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421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45450/psn-pdf
     February 13, 2018 - Avoiding Unconscious Bias: a Guide for Surgeons. February 13, 2018 London, UK: Royal College of Surgeons of England; 2016. https://psnet.ahrq.gov/issue/avoiding-unconscious-bias-guide-surgeons Biases can affect decision making and behaviors toward colleagues and patients. This guidance provides information for sur…

422. Acting Locally: Working in Clinical Microsystems CD-ROM. | PSNet
     psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
     May 20, 2019 - Special or Theme Issue Acting Locally: Working in Clinical Microsystems CD-ROM. Citation Text: Acting Locally: Working in Clinical Microsystems CD-ROM. Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865. Copy Citation Save Save to yo…

423. Preventing and mitigating radiology system failures: a guide to disaster planning. | PSNet
     psnet.ahrq.gov/issue/preventing-and-mitigating-radiology-system-failures-guide-disaster-planning
     November 23, 2016 - Commentary Preventing and mitigating radiology system failures: a guide to disaster planning. Citation Text: Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg…

424. Guided reflection interventions show no effect on diagnostic accuracy in medical students. | PSNet
     psnet.ahrq.gov/issue/guided-reflection-interventions-show-no-effect-diagnostic-accuracy-medical-students
     September 20, 2016 - Study Guided reflection interventions show no effect on diagnostic accuracy in medical students. Citation Text: Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297…

425. The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations. | PSNet
     psnet.ahrq.gov/issue/handbook-patient-safety-compliance-practical-guide-health-care-organizations
     February 07, 2019 - Book/Report The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations. Citation Text: The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations. Rozovsky FA, Woods JR. San Francisco, CA: Jossey-Bass; 2005. ISBN 97807879651…

426. Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine. | PSNet
     psnet.ahrq.gov/issue/cognitive-errors-and-diagnostic-mistakes-case-based-guide-critical-thinking-medicine
     September 11, 2019 - Book/Report Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine. Citation Text: Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine. Howard J. Cham, Switzerland: Springer Nature Switzerland; 2019. ISBN: 9…

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35017/psn-pdf
     August 24, 2017 - The Field Guide to Human Error Investigations, Third Edition. August 24, 2017 Dekker S. Boca Baton, FL: CRC Press; 2017. https://psnet.ahrq.gov/issue/field-guide-human-error-investigations-third-edition This revised and reorganized book provides a primer on how human error causes mishaps and often illustrates dee…

428. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. | PSNet
     psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
     March 04, 2015 - Commentary A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. Citation Text: Ashley L, Armitage G, Neary M, et al. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its …

429. Medication Safety Best Practices Guide for Ambulatory Care Use. | PSNet
     psnet.ahrq.gov/issue/medication-safety-best-practices-guide-ambulatory-care-use
     February 08, 2006 - Tools/Toolkit Measurement Tool/Indicator Published February 8, 2006 Medication Safety Best Practices Guide for Ambulatory Care Use. Galt KA; Rule AM. Topics Approach to Improving Safety …

430. Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care. | PSNet
     psnet.ahrq.gov/issue/guide-infection-prevention-outpatient-settings-minimum-expectations-safe-care
     June 11, 2014 - Book/Report Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care. Citation Text: Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care. Atlanta, GA: Centers for Disease Control and Prevention; 2011. Copy Cit…

431. Ethical Issues in Patient Safety Research: Interpreting Existing Guidance. | PSNet
     psnet.ahrq.gov/issue/ethical-issues-patient-safety-research-interpreting-existing-guidance
     July 14, 2021 - Book/Report Ethical Issues in Patient Safety Research: Interpreting Existing Guidance. Citation Text: Ethical Issues in Patient Safety Research: Interpreting Existing Guidance. Geneva, Switzerland: World Health Organization; 2013. ISBN: 9789241505475. Copy Citation …

432. Patient and Family Advisory Council (PFAC) Toolkit for Exploring Diagnostic Quality. | PSNet
     psnet.ahrq.gov/issue/patient-and-family-advisory-council-pfac-toolkit-exploring-diagnostic-quality
     November 08, 2017 - Toolkit Patient and Family Advisory Council (PFAC) Toolkit for Exploring Diagnostic Quality. Citation Text: Patient and Family Advisory Council (PFAC) Toolkit for Exploring Diagnostic Quality. Alpharetta, GA: Society to Improve Diagnosis in Medicine; February 2024. Copy Citation …

433. Strategies for Addressing Health Care Worker Fatigue. | PSNet
     psnet.ahrq.gov/issue/strategies-addressing-health-care-worker-fatigue
     March 28, 2012 - Book/Report Strategies for Addressing Health Care Worker Fatigue. Citation Text: Strategies for Addressing Health Care Worker Fatigue. Oakbrook Terrace, IL: Joint Commission Resources; 2008. ISBN: 9781599402291.   Copy Citation Save Save to your library…

434. Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. | PSNet
     psnet.ahrq.gov/issue/health-literacy-and-patient-safety-help-patients-understand-manual-clinicians-2nd-ed
     November 26, 2008 - Book/Report Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. Citation Text: Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. Weiss BD. Chicago, IL: American Medical Association Foundation; 2007. Cop…

435. Patient Safety and Incident Management Toolkit. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-incident-management-toolkit
     December 04, 2016 - Toolkit Patient Safety and Incident Management Toolkit. Citation Text: Patient Safety and Incident Management Toolkit. Edmonton, AB: Canadian Patient Safety Institute. June 2015. Copy Citation Save Save to your library Print Download PDF Share …

436. How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study. | PSNet
     psnet.ahrq.gov/issue/how-guiding-coalitions-promote-positive-culture-change-hospitals-longitudinal-mixed-methods
     February 21, 2018 - Study How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study. Citation Text: Bradley EH, Brewster AL, McNatt Z, et al. How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interve…

437. The Joint Commission Big Book of Checklists. 2nd Edition. | PSNet
     psnet.ahrq.gov/issue/joint-commission-big-book-checklists-2nd-edition
     December 21, 2008 - Book/Report The Joint Commission Big Book of Checklists. 2nd Edition. Citation Text: The Joint Commission Big Book of Checklists. 2nd Edition. Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598. Copy Citation Save Save to your library Print …

438. Patients as Partners: How to Involve Patients and Families in Their Own Care. | PSNet
     psnet.ahrq.gov/issue/patients-partners-how-involve-patients-and-families-their-own-care
     July 12, 2006 - Book/Report Patients as Partners: How to Involve Patients and Families in Their Own Care. Citation Text: Patients as Partners: How to Involve Patients and Families in Their Own Care. McGreevey M. Oakbrook Terrace, IL: Joint Commission Resources: 2006. ISBN 9780866889964. Copy Citation …

439. Safely Home: What Happens When People Leave Hospital Care Settings? | PSNet
     psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings
     August 02, 2023 - Book/Report Safely Home: What Happens When People Leave Hospital Care Settings? Citation Text: Safely Home: What Happens When People Leave Hospital Care Settings? London, UK: Healthwatch England; July 2015. Copy Citation Save Save to your library Print D…

440. Standardise, Educate, Harmonise: Commissioning the Conditions for Safer Surgery. | PSNet
     psnet.ahrq.gov/issue/standardise-educate-harmonise-commissioning-conditions-safer-surgery
     August 02, 2023 - Book/Report Standardise, Educate, Harmonise: Commissioning the Conditions for Safer Surgery. Citation Text: Standardise, Educate, Harmonise: Commissioning the Conditions for Safer Surgery. NHS England Never Events Taskforce. London, UK: NHS England; February 27, 2014. Copy Citation …