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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41946/psn-pdf
    January 09, 2013 - Thirty-day outcomes support implementation of a surgical safety checklist. January 9, 2013 Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012.07.015. https://psnet.ahrq.gov/is…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46673/psn-pdf
    March 21, 2018 - Human factors and simulation in emergency medicine. March 21, 2018 Hayden EM, Wong AH, Ackerman J, et al. Human Factors and Simulation in Emergency Medicine. Acad Emerg Med. 2018;25(2):221-229. doi:10.1111/acem.13315. https://psnet.ahrq.gov/issue/human-factors-and-simulation-emergency-medicine Human factors engine…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48144/psn-pdf
    August 07, 2019 - Moving towards a Safety II approach. August 7, 2019 Woodward S. Moving towards a safety II approach. J Patient Saf Risk Manag. 2019;24(3):96-99. doi:10.1177/2516043519855264. https://psnet.ahrq.gov/issue/moving-towards-safety-ii-approach Efforts to improve patient safety have evolved beyond investigating what went…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45777/psn-pdf
    January 11, 2017 - Disclosure of adverse events in pediatrics. January 11, 2017 McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. Pediatrics. 2016;138(6);e20163215. https://psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics Op…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39547/psn-pdf
    January 19, 2011 - The impact of a tele-ICU on provider attitudes about teamwork and safety climate. January 19, 2011 Chu-Weininger MYL, Wueste L, Lucke JF, et al. The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Qual Saf Health Care. 2010;19(6):e39. doi:10.1136/qshc.2007.024992. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45661/psn-pdf
    November 09, 2016 - Center for Diagnostic Excellence. November 9, 2016 Armstrong Institute for Patient Safety and Quality https://psnet.ahrq.gov/issue/center-diagnostic-excellence Diagnostic error has recently been recognized as a serious patient safety concern. Established within the Armstrong Center for Patient Safety and Quality, …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41583/psn-pdf
    August 08, 2012 - Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. August 8, 2012 Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-2834.2012.01400.x. https://psnet.ahrq.go…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44576/psn-pdf
    January 23, 2018 - Healthcare Quality and Patient Safety Award. January 23, 2018 Iowa Healthcare Collaborative. https://psnet.ahrq.gov/issue/healthcare-quality-and-patient-safety-award This award seeks to recognize health care organizations and professionals that have exhibited leadership and innovation in improving patient safety i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38213/psn-pdf
    November 12, 2008 - AHRQ announces interest in research on diagnostic errors in ambulatory care settings. November 12, 2008 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-error…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47062/psn-pdf
    October 13, 2018 - Latent risk assessment tool for health care leaders. October 13, 2018 Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316. https://psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders Health …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48106/psn-pdf
    July 24, 2019 - Teamwork Toolkit. July 24, 2019 Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019. https://psnet.ahrq.gov/issue/teamwork-toolkit Improving teamwork and communication is a continued focus in the hospital setting. This toolkit is designed to help organizations create a culture that embeds teamwork…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45229/psn-pdf
    July 13, 2016 - The WakeWings journey: creating a patient safety program. July 13, 2016 Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004. https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program Successful and sustainable implementa…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60565/psn-pdf
    June 03, 2020 - The public has been forgiving. But hospitals got some things wrong. June 3, 2020 Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21. https://psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong The complexity of the COVID-19 crisis cr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72652/psn-pdf
    January 20, 2021 - Textbook of Patient Safety and Clinical Risk Management. January 20, 2021 Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022.    https://psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management Foundations and practical exp…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72685/psn-pdf
    January 27, 2021 - Human Factors and Ergonomics in Healthcare. January 27, 2021 Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.    https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare Human factors approaches have been identified as one of the primary vehicles to create las…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41792/psn-pdf
    November 21, 2012 - Systematic review of serious games for medical education and surgical skills training. November 21, 2012 Graafland M, Schraagen JM, Schijven MP. Systematic review of serious games for medical education and surgical skills training. Br J Surg. 2012;99(10):1322-30. doi:10.1002/bjs.8819. https://psnet.ahrq.gov/issue/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60677/psn-pdf
    July 08, 2020 - Optimizing patient safety through system strategies and patient engagement. July 8, 2020 Rooprai P, Mistry N. Patient Saf Qual Healthc. June 23, 2020. https://psnet.ahrq.gov/issue/optimizing-patient-safety-through-system-strategies-and-patient-engagement Health systems are complex environments that require integra…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40198/psn-pdf
    February 09, 2011 - Measures and measurement of high-performance work systems in health care settings: propositions for improvement. February 9, 2011 Etchegaray J, St John C, Thomas EJ. Measures and measurement of high-performance work systems in health care settings: Propositions for improvement. Health Care Manage Rev. 2011;36(1):3…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849338/psn-pdf
    May 24, 2023 - The impact of language barriers on patient care: a pharmacy perspective. May 24, 2023 Patel J. PM Healthcare Journal. Spring 2023(4):5-18. https://psnet.ahrq.gov/issue/impact-language-barriers-patient-care-pharmacy-perspective Language discordance is known to degrade medication safety. The article discusses an exa…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45508/psn-pdf
    September 28, 2016 - Surviving a bad diagnosis. September 28, 2016 Hobson K. US News News and World Report. September 13, 2016. https://psnet.ahrq.gov/issue/surviving-bad-diagnosis Diagnostic error has recently gained recognition as an important patient safety concern. This news article relates the experiences of patients who were mis…

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