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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44294/psn-pdf
    October 03, 2017 - You can't understand something you hide: transparency as a path to improve patient safety. October 3, 2017 Wachter R, Kaplan GS, Gandhi T, et al. Health Affairs Blog. June 22, 2015. https://psnet.ahrq.gov/issue/you-cant-understand-something-you-hide-transparency-path-improve-patient- safety Transparency is recogn…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33993/psn-pdf
    March 02, 2011 - Improving patient care. My right knee. March 2, 2011 Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5. https://psnet.ahrq.gov/issue/improving-patient-care-my-right-knee Dr. Donald Berwick writes this compelling piece as a personal reflection on the current deficiencies in health…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866555/psn-pdf
    August 21, 2024 - Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. August 21, 2024 Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. J Patient Saf. 2024;20(5…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72702/psn-pdf
    February 03, 2021 - Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. February 3, 2021 Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044. https://psnet.ahrq.gov/issue/out…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46425/psn-pdf
    September 13, 2017 - Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals. September 13, 2017 Brindley P, Cardinal P, eds. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada; 2017. ISBN: 9781926588414. https://psnet.ahrq.gov/issue/opti…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45679/psn-pdf
    January 03, 2018 - Global Guidelines on the Prevention of Surgical Site Infection. January 3, 2018 Global Guidelines on the Prevention of Surgical Site Infection. https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection Efforts to reduce surgical site infections have achieved some success. The World Health O…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46403/psn-pdf
    September 06, 2017 - Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program. September 6, 2017 Quality and Safety Education for Nurses. https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program Patient safety and quality improvement competencies are developed through interprof…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43142/psn-pdf
    June 15, 2014 - Development and sustainability of an inpatient-to- outpatient discharge handoff tool: a quality improvement project. June 15, 2014 Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt Comm J Qual Patient Saf. 2014;40(5…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45227/psn-pdf
    January 21, 2017 - Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. January 21, 2017 Bennett SC, Finer N, Halamek LP, et al. Implementing Delivery Room Checklists and Communication Standards in a Multi-Neonatal ICU Quality Improvement Collaborative. Jt Comm …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47979/psn-pdf
    May 01, 2019 - Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. May 1, 2019 Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829. https://psnet.ahrq.gov/iss…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46222/psn-pdf
    June 21, 2017 - Enhanced time out: an improved communication process. June 21, 2017 Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014. https://psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process The Universal Protocol requires hospitals t…
  12. psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
    March 29, 2023 - Improvements in data access and availability would enable providers to identify when screening and follow-up
  13. psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems
    September 11, 2019 - Commentary Emerging Classic Challenges and opportunities for improving patient safety through human factors and systems engineering. Citation Text: Carayon P, Wooldridge A, Hose B-Z, et al. Challenges And Opportunities For Improving Patient Safety Through Human …
  14. psnet.ahrq.gov/issue/new-diagnostic-team
    July 19, 2023 - Commentary The new diagnostic team. Citation Text: Graber ML, Rusz D, Jones ML, et al. The new diagnostic team. Diagnosis (Berl). 2017;4(4):225-238. doi:10.1515/dx-2017-0022. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  15. psnet.ahrq.gov/issue/wrong-patient
    December 23, 2008 - Commentary Classic The wrong patient. Citation Text: Chassin MR, Becher EC. The wrong patient. Ann Intern Med. 2002;136(11):826-833. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  16. psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
    January 09, 2018 - Book/Report Classic The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. Citation Text: The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. Wachter R. New York, NY: McGraw-Hill; 2015. ISBN: 9780071849463. …
  17. psnet.ahrq.gov/issue/differential-diagnosis-checklists-reduce-diagnostic-error-differentially-randomised
    September 23, 2020 - Study Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. Citation Text: Kämmer JE, Schauber SK, Hautz SC, et al. Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. Med Educ. 2021;55(10):1172-1…
  18. psnet.ahrq.gov/issue/effective-followership-standardized-algorithm-resolve-clinical-conflicts-and-improve-teamwork
    March 13, 2013 - Commentary Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. Citation Text: Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 20…
  19. psnet.ahrq.gov/issue/journey-toward-high-reliability-comprehensive-safety-program-improve-quality-care-and-safety
    September 19, 2017 - Study Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. Citation Text: Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program to…
  20. psnet.ahrq.gov/issue/using-artificial-intelligence-improve-primary-care-patients-and-clinicians
    March 02, 2022 - Commentary Using artificial intelligence to improve primary care for patients and clinicians. Citation Text: Sarkar U, Bates DW. Using artificial intelligence to improve primary care for patients and clinicians. JAMA Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965. …

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