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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39210/psn-pdf
    January 12, 2010 - Can aviation-based team training elicit sustainable behavioral change? January 12, 2010 Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207. https://psnet.ahrq.gov/issue/can-aviation-based-team…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41813/psn-pdf
    July 02, 2014 - The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. July 2, 2014 Foster S, Manser T. The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Acad Med. 2012;87(8):1105-24. doi:10.1097/ACM.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74049/psn-pdf
    January 01, 2022 - The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care. November 10, 2021 Segal M, Giuffrida P, Possanza L, et al. The critical role of health information technology in the safe integration of behavioral health and primary care to im…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47733/psn-pdf
    April 27, 2019 - Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. April 27, 2019 Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 2019;45(4):231-240. doi:10.1016/j.jc…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837297/psn-pdf
    June 01, 2022 - Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. June 1, 2022 Al-Khafaji J, Townshend RF, Townsend W, et al. Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. BMJ Open. 2022;12(4):e058219. doi:10…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40326/psn-pdf
    May 25, 2011 - The impact of computerized provider order entry systems on medical-imaging services: a systematic review. May 25, 2011 Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on medical-imaging services: a systematic review. J Am Med Inform Assoc. 2011;18(3):335-40. doi:1…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39338/psn-pdf
    April 30, 2014 - The effect of multidisciplinary care teams on intensive care unit mortality. April 30, 2014 Kim MM, Barnato AE, Angus DC, et al. The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med. 2010;170(4):369-76. doi:10.1001/archinternmed.2009.521. https://psnet.ahrq.gov/issue/effect-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40309/psn-pdf
    April 22, 2011 - The role of theory in research to develop and evaluate the implementation of patient safety practices. April 22, 2011 Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. 2011;20(5):453-9. doi:10.1136/bmjqs.2010…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41369/psn-pdf
    May 29, 2015 - Cognitive interventions to reduce diagnostic error: a narrative review. May 29, 2015 Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjqs-2011-000149. https://psnet.ahrq.gov/issue/cognitive-interventions-re…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45955/psn-pdf
    January 01, 2021 - The essential role of leadership in developing a safety culture. April 3, 2017 The essential role of leadership in developing a safety culture. Sentinel Event Alert. 2021;57(57):1-8. https://psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture The Joint Commission issues sentinel event alerts t…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40673/psn-pdf
    September 03, 2011 - Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. September 3, 2011 Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patient Saf. 2011;37(8):365-374. htt…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43041/psn-pdf
    January 06, 2015 - Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care. January 6, 2015 Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013. https://psnet.ahrq.gov/issue/through-eyes-workforce-creating-joy-meaning-and…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37114/psn-pdf
    October 04, 2011 - A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. October 4, 2011 Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
  14. psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
    September 28, 2022 - Primary Care and Patient Safety: Opportunities at the Interface September 28, 2022  Also Read the Conversations In Conversation With... Freya Spielberg, MD, MPH In Conversation With... Jack Westfall, MD, MPH View more articles from the same authors. …
  15. psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
    August 22, 2014 - In Conversation With… Urmimala Sarkar, MD, MPH August 1, 2014  Also Read an Essay Citation Text: In Conversation With… Urmimala Sarkar, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…
  16. psnet.ahrq.gov/web-mm/need-eat
    February 10, 2021 - The Need to Eat Citation Text: Widaman AM. The Need to Eat. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866622/psn-pdf
    August 28, 2024 - In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles August 28, 2024 In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-an…
  18. psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
    July 10, 2024 - In Conversation with...Patrick S. Romano, MD, MPH November 1, 2010  Citation Text: In Conversation with..Patrick S. Romano, MD, MPH. PSNet [internet]. 2010.In Conversation with...Patrick S. Romano, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
  19. psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
    January 01, 2024 - Spotlight Spotlight Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery 1 Source and Credits This presentation is based on the May 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Andrew P.J. …
  20. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
    June 01, 2012 - Spotlight Case July 2008 Spotlight Case Transfer Troubles 1 2 Source and Credits This presentation is based on the June 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Isla M. Hains, PhD; Centre for Health Systems and Safety Research, Australia…

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