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  1. Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles. | PSNet

    psnet.ahrq.gov/issue/sustaining-teamwork-behaviors-through-reinforcement-teamstepps-principles
    September 02, 2015 - August 18, 2010 Bridging the communication gap in the operating room with medical team

  2. Improving patient safety by identifying latent failures in successful operations. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-identifying-latent-failures-successful-operations
    September 15, 2010 - March 17, 2011 Bridging the communication gap in the operating room with medical team

  3. Evaluation of critical incidents in general surgery. | PSNet

    psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery
    April 29, 2009 - point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862158/psn-pdf
    February 07, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. February 7, 2024 Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2024. Publication no. 24-0010-1-EF. https://psnet.ahrq.gov/issue/current-state-diagnostic-safety-implicati…

  5. Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products | PSNet

    psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
    July 21, 2021 - Study Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Citation Text: Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…

  6. Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. | PSNet

    psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care
    March 10, 2021 - Book/Report Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Citation Text: Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. Copy Cita…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837605/psn-pdf
    June 29, 2022 - Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. June 29, 2022 Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.  https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation Health inequities are receiving increased …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849615/psn-pdf
    May 31, 2023 - Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. May 31, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; April 2023. https://psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications- community-languages Gaps in patient…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34844/psn-pdf
    February 24, 2011 - Communication factors in the follow-up of abnormal mammograms. February 24, 2011 Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x. https://psnet.ahrq.gov/issue/communication-factors-follow…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865339/psn-pdf
    March 27, 2024 - Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. March 27, 2024 Dellve L, Skagert K. Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. Safety Sci. 2024;174:106488. doi:10.1016/j.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60558/psn-pdf
    June 03, 2020 - Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing. June 3, 2020 Jessop ZM, Dobbs TD, Ali SR, et al. Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing. Br J Su…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863650/psn-pdf
    February 28, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback February 28, 2024 https://psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking- and-performance Summary To improve patient care and outcomes in the intensive care unit (ICU…

  13. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/867461
    January 31, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Patient and Family Engagement in Long Term Care Curated Library Foundations Long-term Care and Patient Safety Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024 A large and growing number of Americans require care in skilled nursin…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837705/psn-pdf
    July 20, 2022 - Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. July 20, 2022 Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46979/psn-pdf
    January 01, 2021 - Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns. April 4, 2018 Ackerman SL, Gourley G, Le G, et al. Improving Patient Safety in Public Hospitals: Developing Standard Measures to Track Medical Errors and Process Breakdowns. J Patient Saf. 202…

  16. Communication factors in the follow-up of abnormal mammograms. | PSNet

    psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
    March 02, 2011 - Study Communication factors in the follow-up of abnormal mammograms. Citation Text: Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x. Copy Citation Forma…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49653/psn-pdf
    May 01, 2012 - The Forgotten Line May 1, 2012 Render ML. The Forgotten Line. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/forgotten-line The Case An 81-year-old man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and chronic kidney disease was transferred to a referral hospital for p…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46042/psn-pdf
    July 12, 2017 - Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. July 12, 2017 McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method to develop context-sensitive inte…

  19. The Forgotten Line | PSNet

    psnet.ahrq.gov/web-mm/forgotten-line
    March 11, 2011 - The Forgotten Line Citation Text: Render ML. The Forgotten Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  20. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. | PSNet

    psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
    January 02, 2017 - Commentary Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Citation Text: Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.20…
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