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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46793/psn-pdf
    February 28, 2018 - Patient safety movement: history and future directions. February 28, 2018 Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006. https://psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions The pati…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60868/psn-pdf
    September 02, 2020 - Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. September 2, 2020 Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies in a statewide collaborative …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47542/psn-pdf
    January 16, 2019 - Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. January 16, 2019 Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of Medicine; 2019. https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45505/psn-pdf
    July 01, 2017 - A model for the departmental quality management infrastructure within an academic health system. July 1, 2017 Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613. doi:10.1097/ACM.0000000000001380. htt…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46146/psn-pdf
    June 07, 2017 - Increasing patient safety event reporting in an emergency medicine residency. June 7, 2017 Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716. https://psnet.ahrq.gov/issue/increasing-p…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849607/psn-pdf
    May 31, 2023 - Use of technology to improve the adherence to surgical safety checklists in the operating room. May 31, 2023 Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(10):572-577. doi:10.1016/j.jcjq.202…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34848/psn-pdf
    February 17, 2011 - Improving patient safety—five years after the IOM report. February 17, 2011 Altman DE, Clancy CM, Blendon RJ. Improving Patient Safety — Five Years after the IOM Report. New Engl J Med. 2004;351(20):2041-2043. doi:10.1056/nejmp048243. https://psnet.ahrq.gov/issue/improving-patient-safety-five-years-after-iom-report…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45283/psn-pdf
    June 29, 2016 - Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016 Graber ML, Bailey R, Johnston D. RTI International; Washington, DC: US Department of Health and Human Services, Office of the National Coordinator for Health Information Technology; 2016. https://psn…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45218/psn-pdf
    June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. June 15, 2016 Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33799/psn-pdf
    January 01, 2015 - Burnout Among Health Professionals and Its Effect on Patient Safety January 1, 2015 Lyndon A. Burnout Among Health Professionals and Its Effect on Patient Safety. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety Annual Perspective 2015 Bur…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49492/psn-pdf
    November 01, 2005 - Reconciling Doses November 1, 2005 Federico F. Reconciling Doses. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/reconciling-doses Case Objectives List the steps involved in medication reconciliation. Describe the role of each of the stakeholders in medication reconciliation. Discuss how medication reconc…
  12. psnet.ahrq.gov/perspective/handoffs-and-transitions
    February 01, 2007 - Annual Perspective Handoffs and Transitions Niraj Sehgal, MD, MPH | January 22, 2014  View more articles from the same authors. Citation Text: Sehgal NL. Handoffs and Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
  13. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
    January 01, 2021 - Spotlight Spotlight The Consequences of Miscommunication Regarding a Possible Artifact Source and Credits • This presentation is based on the June 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Kriti Gwal, MD o AHRQ WebM&M Edit…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867345/psn-pdf
    December 11, 2024 - Implementation of a high-reliability organization framework in a large integrated health care system: a pre- post quasi-experimental quality improvement project. December 11, 2024 Sawyer AM, Thiyarajan S, Essen KE, et al. Implementation of a high-reliability organization framework in a large integrated health care…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854376/psn-pdf
    October 11, 2023 - Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. October 11, 2023 Michelson KA, McGarghan FLE, Waltzman ML, et al. Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. Hosp Pediatr. 2023;13(7):e170-e174. doi:10.1542/hpeds…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46546/psn-pdf
    January 10, 2018 - Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California. January 10, 2018 Shaikh U, Afsar-Manesh N, Amin AN, et al. Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care tra…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40806/psn-pdf
    October 31, 2011 - How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. October 31, 2011 Cima RR, La…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36843/psn-pdf
    January 05, 2017 - Improving medication reconciliation in the outpatient setting. January 5, 2017 Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92. https://psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting The Jo…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47508/psn-pdf
    October 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. October 24, 2018 Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372. https://psnet.ahrq.go…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47054/psn-pdf
    July 19, 2018 - A target to achieve zero preventable trauma deaths through quality improvement. July 19, 2018 Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159. https://psnet.ahrq.gov/issue/target-achi…

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