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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37675/psn-pdf
    April 09, 2008 - Hospital progress in reducing error: the impact of external interventions. April 9, 2008 Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20. https://psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interv…
  3. 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…
  4. 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…
  5. 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854249/psn-pdf
    January 01, 2014 - What is safety science? August 19, 2013 Aven T. What is safety science? Safety Sci. 2014;67:15-20. doi:10.1016/j.ssci.2013.07.026. https://psnet.ahrq.gov/issue/what-safety-science Safety is seen as the absence of accidents and safety science research can be used to improve many industries, including healthcare. Th…
  7. 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…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46385/psn-pdf
    October 23, 2018 - The key to reducing doctors' misdiagnoses. October 23, 2018 Landro L. Wall Street Journal. September 12, 2017. https://psnet.ahrq.gov/issue/key-reducing-doctors-misdiagnoses Misdiagnosis has gained recognition as an important patient safety problem. This newspaper article reports on several areas of research and i…
  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/47983/psn-pdf
    May 01, 2019 - Health systems and hospitals in pursuit of high reliability. May 1, 2019 Cheney C. HealthLeaders Media. April 17, 2019. https://psnet.ahrq.gov/issue/health-systems-and-hospitals-pursuit-high-reliability This news article describes how a 19-hospital health system successfully applied high reliability principles to …
  12. 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…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836717/psn-pdf
    March 09, 2022 - The problem with…using stories as a source of evidence and learning. March 9, 2022 Iedema R. The problem with … using stories as a source of evidence and learning. BMJ Qual Saf. 2022;31(3):234-237. doi:10.1136/bmjqs-2021-014221. https://psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning P…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50572/psn-pdf
    October 23, 2019 - Five reasons for optimism on World Patient Safety Day. October 23, 2019 Fontana G, Flott K, Dhingra-Kumar N, et al. Five reasons for optimism on World Patient Safety Day. Lancet. 2019;394(10203):993-995. doi:10.1016/S0140-6736(19)32134-8. https://psnet.ahrq.gov/issue/five-reasons-optimism-world-patient-safety-day …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48179/psn-pdf
    August 21, 2019 - Is WHO's surgical safety checklist being hyped? August 21, 2019 Urbach DR, Dimick JB, Haynes AB, et al. Is WHO's surgical safety checklist being hyped? BMJ. 2019;366:l4700. doi:10.1136/bmj.l4700. https://psnet.ahrq.gov/issue/whos-surgical-safety-checklist-being-hyped Checklists are a popular yet controversial stra…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40030/psn-pdf
    January 04, 2011 - Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. January 4, 2011 Richards JD, Harris T. Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. Emerg Med J. 2011;28(1):29-32. doi:10.1136/emj.2009.082370. https://psnet.ahrq.g…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73898/psn-pdf
    September 29, 2021 - A Thematic Analysis of HSIB's First 22 Investigations.  September 29, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. https://psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations In-depth failure investigations provide improvement insights for individuals and or…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40274/psn-pdf
    December 29, 2014 - Predictors of the perceived impact of a patient safety collaborative: an exploratory study. December 29, 2014 Pinto A, Benn J, Burnett S, et al. Predictors of the perceived impact of a patient safety collaborative: an exploratory study. Int J Qual Health Care. 2011;23(2):173-81. doi:10.1093/intqhc/mzq089. https://…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42631/psn-pdf
    November 08, 2013 - "That was a close call": endorsing a broad definition of near misses in health care. November 8, 2013 Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479. https://psnet.ahrq.gov/issue/was-close-call…
  20. 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…

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