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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46372/psn-pdf
    September 13, 2017 - Impact of a successful speaking up program on health- care worker hand hygiene behavior. September 13, 2017 Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK. https://psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene- behavior Improving hand hygiene in health care f…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850910/psn-pdf
    June 21, 2023 - Developing electronic clinical quality measures to assess the cancer diagnostic process. June 21, 2023 Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. doi:10.1093/jamia/ocad089. https:…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866959/psn-pdf
    October 16, 2024 - A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. October 16, 2024 Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in Swedish healthcare to characteris…
  4. psnet.ahrq.gov/issue/centre-patient-safety-and-service-quality
    August 01, 2024 - Multi-use Website Centre for Patient Safety and Service Quality. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 17, 2009 This research program was established to explo…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45152/psn-pdf
    November 18, 2016 - Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. November 18, 2016 Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. Am J Med Qual. 2016;31(6):598-600. h…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73067/psn-pdf
    March 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. March 24, 2021 LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47380/psn-pdf
    September 05, 2018 - Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. September 5, 2018 Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership, accountability, learning and innovation in healthcare. J Patient Saf Risk Mana…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47725/psn-pdf
    March 06, 2019 - Overcoming human barriers to safety event reporting in radiology. March 6, 2019 Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42115/psn-pdf
    March 20, 2013 - Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. March 20, 2013 Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):397-403. doi:10.7326/0003-4…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44456/psn-pdf
    September 02, 2015 - Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. September 2, 2015 Callinan SM, Brandt NJ. Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72804/psn-pdf
    March 03, 2021 - How to do no harm: empowering local leaders to make care safer in low-resource settings. March 3, 2021 Vincent CA, Mboga M, Gathara D, et al. How to do no harm: empowering local leaders to make care safer in low-resource settings. Arch Dis Child. 2021;106(4):333-337. doi:10.1136/archdischild-2020-320631. https://p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845348/psn-pdf
    February 02, 2012 - Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. February 2, 2012 Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Am…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47909/psn-pdf
    May 29, 2019 - Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. May 29, 2019 Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. Diagnosis (Berl). 2019;6(2):179-185. do…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854385/psn-pdf
    October 11, 2023 - Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. October 11, 2023 Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. 2023;4(3):e321. doi:10.1097/as9.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859349/psn-pdf
    January 01, 2024 - Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. December 20, 2023 Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-an…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73114/psn-pdf
    April 07, 2021 - Clinical and financial implications of second-opinion surgical pathology review. April 7, 2021 Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa263. https://psnet.ahrq.gov/issue/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41132/psn-pdf
    March 13, 2012 - Spreading a medication administration intervention organizationwide in six hospitals. March 13, 2012 Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. https://psnet.ahrq.gov/issue/spreading-medi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837796/psn-pdf
    August 10, 2022 - Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. August 10, 2022 Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. JAMA Pediatr. 2022;176(9):924-932. doi:10…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46142/psn-pdf
    June 14, 2017 - Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. June 14, 2017 Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. https://psnet.ahrq.gov/issue/introducing-new-ju…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867751/psn-pdf
    March 12, 2025 - Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. March 12, 2025 Mahajan P, White E, Shaw KN, et al. Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. Acad Emerg Med. 2025;Epub Jan 15. doi:10.1111/acem.15087. https://psnet.…

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