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  1. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
    June 01, 2014 - PowerPoint Presentation Spotlight Wandering Off the Floors: Safety and Security Risks of Patient Wandering 1 This presentation is based on the June 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43579/psn-pdf
    October 08, 2014 - Implications of Health Literacy for Public Health: Workshop Summary. October 8, 2014 Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2014. ISBN: 9780309303651. https://psnet.ahrq.gov/issue…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60842/psn-pdf
    August 26, 2020 - Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. August 26, 2020 Daliri S, Bouhnouf M, van de Meerendonk HWPC, et al. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Res Social Adm Pharm. 2020;17(4):677-684. doi:10.1016/j.saphar…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40672/psn-pdf
    September 03, 2011 - Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. September 3, 2011 Riley W, Davis SE, Miller KK, et al. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Jt Comm J Qual Pat…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34982/psn-pdf
    July 14, 2010 - Development of the ICU safety reporting system. July 14, 2010 Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32. https://psnet.ahrq.gov/issue/development-icu-safety-reporting-system This AHRQ-funded study describes the development of a Web-based, voluntary, and anonymous reporting system. T…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46866/psn-pdf
    May 23, 2018 - Improving maternal safety at scale with the mentor model of collaborative improvement. May 23, 2018 Main EK, Dhurjati R, Cape V, et al. Improving Maternal Safety at Scale with the Mentor Model of Collaborative Improvement. Jt Comm J Qual Patient Saf. 2018;44(5):250-259. doi:10.1016/j.jcjq.2017.11.005. https://psn…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34715/psn-pdf
    February 18, 2011 - Continuous improvement as an ideal in health care. February 18, 2011 Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56. https://psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care Two approaches to improving quality in health care are illustrated in this artic…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47601/psn-pdf
    December 21, 2018 - Clinical decision support in the era of artificial intelligence. December 21, 2018 Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA. 2018;320(21):2199-2200. doi:10.1001/jama.2018.17163. https://psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intellige…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867700/psn-pdf
    March 01, 2023 - Toolkit for Reducing Central Line-Associated Blood Stream Infections. March 1, 2023 Agency for Healthcare Research and Quality. Toolkit for Reducing Central Line-Associated Blood Stream Infections. March 2023. https://psnet.ahrq.gov/issue/toolkit-reducing-central-line-associated-blood-stream-infections Eliminatin…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848383/psn-pdf
    May 03, 2023 - Burnout in Primary Care: Assessing and Addressing It in Your Practice. May 3, 2023 Gerteis J, Booker C, Brach C, et al. Rockville, MD:  Agency for Healthcare Research and Quality; February 2023. AHRQ Publication No. 23-0025. https://psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-pr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46901/psn-pdf
    May 30, 2018 - Physician resiliency and wellness for transforming a health system. May 30, 2018 Armato CS, Jenike TE. NEJM Catalyst. May 2, 2018. https://psnet.ahrq.gov/issue/physician-resiliency-and-wellness-transforming-health-system Physician burnout can contribute to medical errors. This article discusses an organizational e…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45234/psn-pdf
    November 18, 2016 - Recommended responsibilities for management of MR safety. November 18, 2016 Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282. https://psnet.ahrq.gov/issue/recommended-responsibilities-management-mr…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863757/psn-pdf
    March 06, 2024 - Debriefing to improve interprofessional teamwork in the operating room: a systematic review. March 6, 2024 Skegg E, McElroy C, Mudgway M, et al. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. J Nurs Scholarsh. 2023;55(6):1179-1188. doi:10.1111/jnu.12924. https://psnet.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42116/psn-pdf
    March 20, 2013 - Rapid response systems as a patient safety strategy: a systematic review. March 20, 2013 Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051-00009. https://psnet.ahrq.gov/issu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48133/psn-pdf
    November 01, 2024 - The NHS Patient Safety Strategy. November 1, 2024 NHS England https://psnet.ahrq.gov/issue/nhs-patient-safety-strategy The United Kingdom National Health Service (NHS) has been at the forefront of patient safety innovation. This strategy seeks to further implement approaches that explore and optimize the intersect…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43129/psn-pdf
    July 23, 2014 - Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. July 23, 2014 Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed- methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331. https://psnet.ahrq.gov/issue/use-d…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40182/psn-pdf
    September 25, 2011 - Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months. September 25, 2011 Cima RR, Kollengode A, Clark J, et al. Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. Jt Comm J Qual Patient Saf. 2011;37(2):51-58. https://p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850911/psn-pdf
    June 21, 2023 - International perspectives on modifications to the surgical safety checklist. June 21, 2023 Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist. JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183. https://psnet.ahrq.gov/issue/internatio…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44940/psn-pdf
    September 20, 2016 - Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. September 20, 2016 Lambe KA, O'Reilly G, Kelly BD, et al. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. BMJ Qual Saf. 2016;25(10):808-820. doi:10.1136/bmjqs-2015-004417. https://p…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34797/psn-pdf
    October 06, 2015 - Adapting to new technologies in the operating room. October 6, 2015 Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593- 613. doi:10.1518/001872096778827224. https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room New technology continues to offer great ad…

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