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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836748/psn-pdf
    March 16, 2022 - Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. March 16, 2022 Cheng MKW, Collins S, Baron RB, et al. Analysis of the interprofessional clinical learning environment for quality improvement and patient safety f…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34829/psn-pdf
    April 06, 2011 - Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. April 6, 2011 Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4. https://psnet.ahrq.gov/issue/use-medical-emerg…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60869/psn-pdf
    September 02, 2020 - A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other? September 2, 2020 Ashcroft J, Wilkinson A, Khan M. A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35540/psn-pdf
    August 05, 2009 - Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. August 5, 2009 Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to- physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45365/psn-pdf
    August 03, 2016 - Workarounds and test results follow-up in electronic health record–based primary care. August 3, 2016 Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860722/psn-pdf
    January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? January 17, 2024 Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. https://psnet.ahrq.gov/issue/ten-y…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838321/psn-pdf
    October 12, 2022 - Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. October 12, 2022 Adler-Milstein J, Aggarwal N, Ahmed M, et al. NAM Perspectives. Washington DC: National Academy of Medicine; 2022. https://psnet.ahrq.gov/issue/meeting-moment-addressing-bar…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46765/psn-pdf
    April 04, 2018 - Advancing perinatal patient safety through application of safety science principles using health IT. April 4, 2018 Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Mak. 2017;17(1):176. doi:10.1186/s12…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47374/psn-pdf
    April 07, 2019 - Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. April 7, 2019 Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the literature. Int J Health Plann Manage. 20…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45851/psn-pdf
    February 22, 2017 - Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. February 22, 2017 Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus aureus health care-associated i…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72657/psn-pdf
    January 20, 2021 - Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. January 20, 2021 Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a commun…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44507/psn-pdf
    July 18, 2016 - Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. July 18, 2016 Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A discussion paper reviewing team mechanisms for improved patient outcomes. Aus…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47554/psn-pdf
    November 07, 2018 - Diagnostic Excellence Initiative. November 7, 2018 Gordon and Betty Moore Foundation. https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite an increasing focus on di…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45876/psn-pdf
    January 01, 2021 - Making residents part of the safety culture: improving error reporting and reducing harms. February 15, 2017 Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1097/PTS.0000000000000344. https://…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47910/psn-pdf
    August 21, 2019 - Cognitive Informatics: Reengineering Clinical Workflow for Safer and More Efficient Care. August 21, 2019 Zheng K, Westbrook J, Kannampallil TG, Patel VL, eds. Springer International Publishing; 2019. ISBN: 9783030169152. https://psnet.ahrq.gov/issue/cognitive-informatics-reengineering-clinical-workflow-safer-and-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34067/psn-pdf
    January 04, 2017 - Does full disclosure of medical errors affect malpractice liability? The jury is still out. January 4, 2017 Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11. https://psnet.ahrq.gov/issue/does…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47993/psn-pdf
    May 15, 2019 - Using near-miss events to improve MRI safety in a large academic centre. May 15, 2019 Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593. https://psnet.ahrq.gov/issue/using-near-miss-events-imp…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45510/psn-pdf
    October 19, 2016 - How to perform a root cause analysis for workup and future prevention of medical errors: a review. October 19, 2016 Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20. doi:10.1186/s13037-016-0107-8. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40025/psn-pdf
    December 21, 2014 - Evaluating an evidence-based bundle for preventing surgical site infection. December 21, 2014 Anthony T, Murray BW, Sum-Ping JT, et al. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg. 2011;146(3):263-9. doi:10.1001/archsurg.2010.249. https://psnet.ahrq.gov…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866596/psn-pdf
    August 28, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act August 28, 2024 Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. AHRQ Publication No. 24-0010-3-EF …

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