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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42627/psn-pdf
    October 02, 2013 - How much diagnostic safety can we afford, and how should we decide? A health economics perspective. October 2, 2013 Newman-Toker DE, McDonald KM, Meltzer DO. How much diagnostic safety can we afford, and how should we decide? A health economics perspective. BMJ Qual Saf. 2013;22(Suppl 2):ii11-ii20. doi:10.1136/bmj…

  2. Appendix A. RACI Chart | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apa.html
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix A. RACI Chart Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart Appendix B. Prioritize Opport…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44696/psn-pdf
    September 01, 2016 - Clinically inconsequential alerts: the characteristics of opioid drug alerts and their utility in preventing adverse drug events in the emergency department. September 1, 2016 Genco EK, Forster JE, Flaten H, et al. Clinically Inconsequential Alerts: The Characteristics of Opioid Drug Alerts and Their Utility in Pr…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852282/psn-pdf
    August 09, 2023 - Implementation of medication reconciliation in outpatient cancer care. August 9, 2023 Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care. BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211. https://psnet.ahrq.gov/issue/implementation-medication-…

  5. TeamSTEPPS Patient Videos | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/resources/patient/index.html
    June 01, 2023 - TeamSTEPPS Patient Videos In these three videos, patients describe their interactions with their doctors and medical teams and how their interactions relate to tools used as a part of TeamSTEPPS. YouTube embedded video: https://www.youtube-nocookie.com/embed/qkJqcrLf8rM TeamSTEPPS Patient Video: Tara (7:1…

  6. 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. …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60152/psn-pdf
    March 25, 2020 - Errors during resuscitation: the impact of perceived authority on delivery of care. March 25, 2020 Delaloye NJ, Tobler K, O?Neill T, et al. Errors during resuscitation: the impact of perceived authority on delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000359. https://psnet.ahrq.gov/issue/e…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46825/psn-pdf
    June 19, 2018 - Diagnostic performance dashboards: tracking diagnostic errors using big data. June 19, 2018 Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945. https://psnet.ahrq.gov/issue/diagnosti…

  9. 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…

  10. 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…

  11. 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…

  12. 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…

  13. 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:…

  14. 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…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48034/psn-pdf
    May 22, 2019 - Chasing zero harm in radiation oncology: using pre- treatment peer review. May 22, 2019 Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre- treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. https://psnet.ahrq.gov/issue/chasing-zero-harm-ra…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44282/psn-pdf
    June 12, 2018 - Standardized competencies for parenteral nutrition prescribing: The American Society for Parenteral and Enteral Nutrition Model. June 12, 2018 Guenter P, Boullata JI, Ayers P, et al. Standardized Competencies for Parenteral Nutrition Prescribing: The American Society for Parenteral and Enteral Nutrition Model. Nut…

  17. 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 …

  18. 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…

  19. 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…

  20. 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…
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