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  1. 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…
  2. 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…
  3. 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…
  4. 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-…
  5. 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45562/psn-pdf
    October 12, 2016 - Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. October 12, 2016 Carson-Stevens A, Hibbert P, Williams H, et al. Characterising The Nature Of Primary Care Patient Sa…
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46236/psn-pdf
    April 03, 2018 - The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients. April 3, 2018 Porat T, Delaney B, Kostopoulou O. The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients. BMC Med Inform Decis Mak. 2017;17(1):79. doi:10.1186/s12…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61110/psn-pdf
    November 11, 2020 - Association between parent comfort with English and adverse events among hospitalized children. November 11, 2020 Khan A, Yin HS, Brach C, et al. Association between parent comfort with English and adverse events among hospitalized children. JAMA Pediatr. 2020;174(12):e203215. doi:10.1001/jamapediatrics.2020.3215.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48085/psn-pdf
    June 19, 2019 - A decade of preventing harm. June 19, 2019 Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007. https://psnet.ahrq.gov/issue/decade-preventing-harm Preventable patient safety problems continue to challenge health ca…
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45437/psn-pdf
    September 01, 2018 - Decreasing malpractice claims by reducing preventable perinatal harm. September 1, 2018 Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551. https://psnet.ahrq.gov/issue/decreasing-malpr…
  17. psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
    January 01, 2020 - Spotlight Too Many Cooks in the Kitchen Source and Credits • This presentation is based on the August 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Richard P. Dutton, MD, MBA o AHRQ WebM&M Editors in Chief: Patrick Romano, MD…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33786/psn-pdf
    May 01, 2015 - Video to Improve Patient Safety: Clinical and Educational Uses May 1, 2015 Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient Safety: Clinical and Educational Uses. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses Perspective Reports of…
  19. psnet.ahrq.gov/web-mm/staggered-sensitivity-results
    May 01, 2013 - Staggered Sensitivity Results Citation Text: Guglielmo JB. Staggered Sensitivity Results. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867849/psn-pdf
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety February 26, 2025 Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety In To Err I…

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