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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46739/psn-pdfJanuary 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. January 24, 2019 Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodologica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857581/psn-pdfJanuary 01, 2025 - Medicare and Medicaid Programs and the Children’s Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long- Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes. Au… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47380/psn-pdfSeptember 05, 2018 - Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. September 5, 2018 Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership, accountability, learning and innovation in healthcare. J Patient Saf Risk Mana… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46606/psn-pdfJuly 10, 2019 - Implementation of a mock root cause analysis to provide simulated patient safety training. July 10, 2019 Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-2017-000096. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46467/psn-pdfOctober 18, 2017 - The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. October 18, 2017 Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National Collaborative for Improving the Clinical Learning Environment. Chicago, IL: Accreditation Council for Graduate Medical Education; 2017. ht… -
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/837039/psn-pdfMay 04, 2022 - The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. May 4, 2022 Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality an… -
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/838195/psn-pdfSeptember 28, 2022 - National Plan for Health Workforce Well-Being. September 28, 2022 Dzau VJ, Kirch D, Murthy V, Nasca T, eds; NAM’s Action Collaborative on Clinician Well-Being and Resilience. Washington DC: The National Academies Press; 2022. ISBN 9780309694674. https://psnet.ahrq.gov/issue/national-plan-health-workforce-well-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74080/psn-pdfJanuary 01, 2022 - The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. November 17, 2021 Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.… -
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/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/72473/psn-pdfJanuary 01, 2021 - Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020 Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation … -
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/45487/psn-pdfJuly 21, 2020 - Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement." July 21, 2020 Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in the Context of Patient Safety and Quality Improvement”. Am J Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849602/psn-pdfMay 31, 2023 - Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication is related to patient safety threats and higher-quality care. May 31, 2023 Dietl JE, Derksen C, Keller FM, et al. Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal com… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46142/psn-pdfJune 14, 2017 - Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. June 14, 2017 Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. https://psnet.ahrq.gov/issue/introducing-new-ju… -
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/47725/psn-pdfMarch 06, 2019 - Overcoming human barriers to safety event reporting in radiology. March 6, 2019 Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-… -
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/…
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