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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46249/psn-pdf
    July 12, 2017 - Zero preventable deaths after traumatic injury: an achievable goal. July 12, 2017 Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8. doi:10.1097/ta.0000000000001425. https://psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal Criti…
  2. www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/lets-talk-about-it-discussion-guides/lets-talk-about-it-starting-aspirin-prevent-heart-disease-and-stroke-discussion-guide-healthcare-professionals-and-patients
    April 09, 2025 - Let's Talk About It: Starting Aspirin to Prevent Heart Disease and Stroke Discussion Guide for Healthcare Professionals and Patients Share to Facebook Share to X Share to WhatsApp Share to Email Print Download English PDF Download Spanish…
  3. digital.ahrq.gov/principal-investigator/czaja-sara
    January 01, 2023 - Czaja, Sara Improving Meaningful Access of Internet Health Information for Older Adults - Final Report Citation Czaja S. Improving Meaningful Access of Internet Health Information for Older Adults - Final Report. (Prepared by the University of Miami under Grant No. R21 HS01883…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866444/psn-pdf
    August 07, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety. August 7, 2024 Miller K, Ratwani R, Hose B-Z, et al. Documenting Diagnosis: Exploring The Impact Of Electronic Health Records On Diagnostic Safety. Rockville, MD: Agency for Healthcare Research and Quality; August 2024. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44665/psn-pdf
    January 01, 2019 - Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. January 1, 2018 Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632. doi:10.1016/j.athoracsur.2019.09.03…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40215/psn-pdf
    February 10, 2015 - Performance-based payment incentives increase burden and blame for hospital nurses. February 10, 2015 Kurtzman ET, O'Leary D, Sheingold BH, et al. Performance-based payment incentives increase burden and blame for hospital nurses. Health Aff (Millwood). 2011;30(2):211-218. doi:10.1377/hlthaff.2010.0573. https://ps…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73343/psn-pdf
    June 02, 2021 - Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. June 2, 2021 Antognini JF. Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. J Patient Saf. 2021;17(4):e274-e279. doi:10.1097/pts.0000000…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46247/psn-pdf
    August 08, 2018 - Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. August 8, 2018 van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a Meeting Sponsored by the Anesthesia Pat…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46279/psn-pdf
    August 02, 2017 - Recognizing the ordinary as extraordinary: insight into the "way we work" to improve patient safety outcomes. August 2, 2017 Henneman EA. Recognizing the Ordinary as Extraordinary: Insight Into the "Way We Work" to Improve Patient Safety Outcomes. Am J Crit Care. 2017;26(4):272-277. doi:10.4037/ajcc2017812. https:…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45819/psn-pdf
    March 15, 2017 - How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program. March 15, 2017 Kliegman RM, Bordini BJ, Basel D, et al. How Doctors Think: Common Diagnostic Errors in Clinical Judgment-Lessons from an Undiagnosed and Rare Disease Program. Pediatr Clin North A…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45138/psn-pdf
    May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover (WOOSH). May 25, 2016 Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48018/psn-pdf
    July 31, 2019 - PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. July 31, 2019 Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342. doi:10.1097/SIH.0000000000…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46933/psn-pdf
    April 04, 2018 - Pain states, the opioid epidemic, and the role of radiologists. April 4, 2018 Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists. Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x. https://psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-r…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43182/psn-pdf
    May 14, 2014 - Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? May 14, 2014 Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? Curr Opin Anaesthesiol. 2014;27(3):323-9…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73426/psn-pdf
    June 23, 2021 - The perfect storm: exam of a medical error and factors contributing to its possible escalation. June 23, 2021 Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.0000000000000846. https://psnet.ahrq.gov/iss…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45869/psn-pdf
    March 25, 2017 - Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU. March 25, 2017 Allan SH, Doyle PA, Sapirstein A, et al. Data-Driven Implementation of Alarm Reduction Interventions in a Cardiovascular Surgical ICU. Jt Comm J Qual Patient Saf. 2017;43(2):62-70. doi:10.1016/j.jcjq.2016.1…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47068/psn-pdf
    June 25, 2018 - The need for closed-loop systems for management of abnormal test results. June 25, 2018 Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425. https://psnet.ahrq.gov/issue/need-closed-loop-systems…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45341/psn-pdf
    July 27, 2016 - How to avoid catastrophic events on the ward. July 27, 2016 Bein B, Seewald S, Gräsner J-T. How to avoid catastrophic events on the ward. Best Pract Res Clin Anaesthesiol. 2016;30(2):237-45. doi:10.1016/j.bpa.2016.04.003. https://psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward Hospitals require robust esca…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46175/psn-pdf
    September 24, 2017 - Applying lessons from social psychology to transform the culture of error disclosure. September 24, 2017 Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. https://psnet.ahrq.gov/issue/applying-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45740/psn-pdf
    January 23, 2017 - Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. January 23, 2017 Parsonage RK, Hiscock J, Law R-J, et al. Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. Br J Gen Pract. 2017;67(654):e49-e56…