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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38592/psn-pdf
    April 29, 2009 - The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. April 29, 2009 Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Qual Saf Health Care. 2009;18(2):137-40. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41755/psn-pdf
    October 10, 2012 - Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012 Salt Lake City, UT: Utah Department of Health, HealthInsight, Utah Hospital Association; 2012. https://psnet.ahrq.gov/issue/utah-tenth-anniversary-2001-2011-patient-safety-report-identifying- oppor…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41994/psn-pdf
    March 11, 2013 - Does training with human patient simulation translate to improved patient safety and outcome? March 11, 2013 Shear TD, Greenberg SB, Tokarczyk A. Does training with human patient simulation translate to improved patient safety and outcome? Curr Opin Anaesthesiol. 2013;26(2):159-63. doi:10.1097/ACO.0b013e32835dc0af…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46305/psn-pdf
    September 27, 2017 - Using simulation to improve systems. September 27, 2017 Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am. 2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011. https://psnet.ahrq.gov/issue/using-simulation-improve-systems-0 Simulations in health care can help uncover technical …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40747/psn-pdf
    September 07, 2011 - Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. September 7, 2011 Neale G, Hogan H, Sevdalis N. Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. Clin Med (Lond). 2011;11(4):317-321. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60810/psn-pdf
    August 12, 2020 - Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems. August 12, 2020 Philadelphia, PA: Pew Charitable Trusts; July 21, 2020. https://psnet.ahrq.gov/issue/hospitals-can-take-key-steps-improve-safe-use-digital-systems Tracking problems with health information technology (Health IT) is an important st…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45155/psn-pdf
    May 25, 2016 - Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes. May 25, 2016 Wolfe H, Zebuhr C, Topjian AA, et al. Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes*. Crit Care Med. 2014;42(7):1688-95. doi:10.1097/CCM.0000000000000327. https://psnet.ahrq.gov/issue/interdiscipli…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45590/psn-pdf
    August 02, 2017 - Improving Diagnostic Accuracy Project 2016–2017. August 2, 2017 Washington, DC: National Quality Forum; October 2016. https://psnet.ahrq.gov/issue/improving-diagnostic-accuracy-project-2016-2017 The Improving Diagnosis in Health Care report provided recommendations to help achieve safe, reliable diagnosis. This we…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36841/psn-pdf
    December 31, 2014 - Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. December 31, 2014 Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. https://psnet.ahrq.gov/issue/using-medica…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35859/psn-pdf
    July 22, 2010 - A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. July 22, 2010 Weinstein L. A multifacited approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Am J Obstet Gynecol. 2006;194(4):1160-5; discu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839330/psn-pdf
    November 02, 2022 - Diagnosis: Reducing Errors and Improving Quality. November 2, 2022 Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine, 21e. New York, NY: McGraw Hill; 2022 https://psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality The task of performing a …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38885/psn-pdf
    August 19, 2009 - Patient safety: Part II. Opportunities for improvement in patient safety. August 19, 2009 Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.jaad.2009.04.055. https://psnet.ahrq.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38824/psn-pdf
    March 04, 2011 - Evaluation of a physician informatics tool to improve patient handoffs. March 4, 2011 Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892. https://psnet.ahrq.gov/issue/evaluation-phys…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38361/psn-pdf
    January 31, 2011 - IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. January 31, 2011 Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940. https://psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38507/psn-pdf
    February 10, 2015 - From tasks to processes: the case for changing health information technology to improve health care. February 10, 2015 Walker JM, Carayon P. From tasks to processes: the case for changing health information technology to improve health care. Health Aff (Millwood). 2009;28(2):467-477. doi:10.1377/hlthaff.28.2.467. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41762/psn-pdf
    May 03, 2017 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report. May 3, 2017 Price CS, Savitz LA. Rockville, MD: Agency for Healthcare Research and Quality; March 2012. AHRQ Publication No. 12-0046-EF. https://psnet.ahrq.gov/issue/improving-measurement-surgical-si…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40943/psn-pdf
    September 26, 2012 - Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. September 26, 2012 Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):855-62. https://psnet.ahrq.gov/is…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38913/psn-pdf
    May 24, 2015 - Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. May 24, 2015 Cambridge, MA: New England Healthcare Institute; August 12, 2009. https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication- adherence-chro…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40727/psn-pdf
    October 21, 2011 - Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. October 21, 2011 Lau H, Litman KC. Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. Jt Comm J Qual Patient Saf. 2011;37(9):400-408. https://psnet.ahrq.gov/issue/savin…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44487/psn-pdf
    September 23, 2015 - Patient safety and quality improvement: terminology. September 23, 2015 Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology To Err Is…

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