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psnet.ahrq.gov/issue/centre-patient-safety-and-service-qualityAugust 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…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72804/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41132/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/859349/psn-pdfJanuary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44753/psn-pdfApril 12, 2019 - Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups. April 12, 2019 Zwaan L, Monteiro SD, Sherbino J, et al. Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups. BMJ Qual Saf. 201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74264/psn-pdfJanuary 19, 2022 - Characteristics of critical incident reporting systems in primary care: an international survey. January 19, 2022 Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care: an international survey. J Patient Saf. 2022;18(1):e85-e91. doi:10.1097/pts.000000000000070… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46372/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39602/psn-pdfAugust 09, 2013 - Postoperative handover: problems, pitfalls, and prevention of error. August 9, 2013 Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656. https://psnet.ahrq.gov/issue/postoperative-handover-problems-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45519/psn-pdfNovember 01, 2017 - Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. November 1, 2017 Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(11):516-527. doi:10.1016/S1553- … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72657/psn-pdfJanuary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845348/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73114/psn-pdfApril 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/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47909/psn-pdfMay 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44456/psn-pdfSeptember 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50418/psn-pdfJanuary 01, 2020 - Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum. September 1, 2019 Ronan MV, Menon A, Swamy L, et al. Experiential Learning Through Local Implementation of a National Chief Resident in Quality and Patient Safety Curriculum. American Journal o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61091/psn-pdfNovember 04, 2020 - Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. November 4, 2020 Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4):e000843. doi:10.1136/bmjoq-2019… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73133/psn-pdfApril 14, 2021 - A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward. April 14, 2021 Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward. BMC Health Serv Res. 2021;21(1):11… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854385/psn-pdfOctober 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.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45152/psn-pdfNovember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73067/psn-pdfMarch 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…
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