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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861768/psn-pdf
    January 31, 2024 - "We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. January 31, 2024 Mastalerz KA, Jordan SR, Townsley N. “We're all truly pulling in the exact same direction”: a qualitative study of attending a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44776/psn-pdf
    April 15, 2016 - Best practices for chemotherapy administration in pediatric oncology: quality and safety process improvements (2015). April 15, 2016 Looper K, Winchester K, Robinson D, et al. Best Practices for Chemotherapy Administration in Pediatric Oncology: Quality and Safety Process Improvements (2015). J Pediatr Oncol Nurs.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866556/psn-pdf
    August 21, 2024 - Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. August 21, 2024 Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. J Med Internet Res. 2024…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37334/psn-pdf
    February 01, 2011 - A framework for health care organizations to develop and evaluate a safety scorecard. February 1, 2011 Pronovost P, Berenholtz SM, Needham DM. A framework for health care organizations to develop and evaluate a safety scorecard. JAMA. 2007;298(17):2063-5. https://psnet.ahrq.gov/issue/framework-health-care-organiza…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47962/psn-pdf
    May 01, 2019 - Understanding the clinical implications of resident involvement in uncommon operations. May 1, 2019 Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j.jsurg.2019.03.011. https://psnet.a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866636/psn-pdf
    January 01, 2025 - Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. September 4, 2024 Campione Russo A, Tilly J?L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13485. https://psnet.ahrq.gov/is…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47867/psn-pdf
    June 19, 2019 - Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. June 19, 2019 Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. Paediatr Anaesth. 2019;29(3):258-2…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867596/psn-pdf
    January 22, 2025 - Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. January 22, 2025 Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm,…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40394/psn-pdf
    January 01, 2019 - Partnership for Patients. October 6, 2016 Washington, DC: US Department of Health and Human Services. https://psnet.ahrq.gov/issue/partnership-patients Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to decrease preventable harm in United States hospitals.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47007/psn-pdf
    May 02, 2018 - Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. May 2, 2018 Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of the Human Factors Engineering Literature. Hum Factors. 2018;60(3):281-292. doi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38485/psn-pdf
    June 23, 2017 - Impact of a comprehensive patient safety strategy on obstetric adverse events. June 23, 2017 Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.01.022. https://psnet.ahrq.gov/issu…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72748/psn-pdf
    February 17, 2021 - The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. February 17, 2021 De Brún A, Anjara S, Cunningham U, et al. The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. Int J Environ Res Public Heal…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865678/psn-pdf
    April 24, 2024 - Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. April 24, 2024 Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Jt Comm J Q…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40260/psn-pdf
    February 08, 2017 - A case for safety leadership team training of hospital managers. February 8, 2017 Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers. Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d. https://psnet.ahrq.gov/issue/case-safety-leadership-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857455/psn-pdf
    January 01, 2024 - Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration. December 6, 2023 List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social needs: how Joint Commission standard…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60051/psn-pdf
    March 18, 2020 - Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. March 18, 2020 Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily s…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850340/psn-pdf
    June 14, 2023 - Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta- analysis. June 14, 2023 Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta-analysis. Nurse Educ Today. 2…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50865/psn-pdf
    February 05, 2020 - Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. February 5, 2020 Battar S, Dickerson KRW, Sedgwick C, et al. Understanding principles of high reliabil…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865968/psn-pdf
    May 29, 2024 - A strategic solution to preventing the harm associated with ambulance handover delays. May 29, 2024 Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199. https://psnet.ahrq.gov/issue/strategic-solu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44552/psn-pdf
    June 21, 2016 - Reducing diagnostic errors—why now? June 21, 2016 Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491- 2493. doi:10.1056/NEJMp1508044. https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now Diagnostic error has recently garnered attention as a patient safety pr…

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