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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72515/psn-pdf
    January 15, 2025 - AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users. December 17, 2024 Rockville, MD: Agency for Healthcare Research and Quality. January 15, 2025. https://psnet.ahrq.gov/issue/tutorial-ahrq-sopsr-data-entry-and-analysis-tool An organization’s understanding of its culture is foundational t…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47712/psn-pdf
    February 20, 2019 - A cognitive forcing tool to mitigate cognitive bias—a randomised control trial. February 20, 2019 O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial. BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3. https://psnet.ahrq.gov/issue/cognitive-forcing…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837346/psn-pdf
    June 08, 2022 - Decontamination of Surgical Instruments. June 8, 2022 Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022. https://psnet.ahrq.gov/issue/decontamination-surgical-instruments Surgical equipment sterilization can be hampered by equipment design, production pressures, process complexity and policy mi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44023/psn-pdf
    November 16, 2015 - Impact of organizations on healthcare-associated infections. November 16, 2015 Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect. 2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012. https://psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infectio…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45363/psn-pdf
    September 14, 2016 - Effective perioperative communication to enhance patient care. September 14, 2016 Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20. doi:10.1016/j.aorn.2016.06.001. https://psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care Poor team …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44442/psn-pdf
    August 26, 2015 - How your hospital can make you sick. August 26, 2015 Consumer Reports. July 29, 2015. https://psnet.ahrq.gov/issue/how-your-hospital-can-make-you-sick This news article reports on health care–associated infections, particularly Clostridium difficile and methicillin-resistant Staphylococcus aureus, discusses ways h…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73359/psn-pdf
    June 02, 2020 - Patient Safety Movement Foundation. June 2, 2020 15642 Sand Canyon Ave. #51268, Irvine, CA 92619. 877-236-0279, info@psmf.org. https://psnet.ahrq.gov/issue/patient-safety-movement-foundation This organization shares best practices to align and optimize efforts toward eliminating patient harm by the …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46059/psn-pdf
    July 11, 2017 - Pathologists' perspectives on disclosing harmful pathology error. July 11, 2017 Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. https://psnet.ahrq.gov/issue/pathologists-perspectives…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45951/psn-pdf
    October 31, 2017 - A systematic review of team training in health care: ten questions. October 31, 2017 Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004. https://psnet.ahrq.gov/issue/systematic-rev…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35339/psn-pdf
    April 23, 2014 - Disclosing harmful medical errors to patients: a time for professional action. April 23, 2014 Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73861/psn-pdf
    September 22, 2021 - Bringing the clinical laboratory into the strategy to advance diagnostic excellence. September 22, 2021 Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119. https://psnet.ahrq.g…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43050/psn-pdf
    March 19, 2014 - Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care. March 19, 2014 Washington, DC: United States Government Accountability Office; March 6, 2014. Publication GAO-14- 207. https://psnet.ahrq.gov/issue/electronic-health-record-progr…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863764/psn-pdf
    March 06, 2024 - Medication errors 2023: the year in review: January through December. March 6, 2024 Pharmacy Practice News; February 2024: Suppl 1-12. https://psnet.ahrq.gov/issue/medication-errors-2023-year-review-january-through-december The medication process has multiple steps in it that can open the door to mistakes. This ar…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40130/psn-pdf
    January 12, 2011 - Patient safety culture: factors that influence clinician involvement in patient safety behaviours. January 12, 2011 Wakefield JG, McLaws M-L, Whitby M, et al. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Qual Saf Health Care. 2010;19(6):585-91. doi:10.1136/qshc…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47268/psn-pdf
    May 11, 2019 - Measuring shared mental models in healthcare. May 11, 2019 Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219. https://psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare Shared mental models are an important element of team collaboration. This review explores the current…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46508/psn-pdf
    November 22, 2017 - The checklist: recognize limits, but harness its power. November 22, 2017 Alspach JAG. The Checklist: Recognize Limits, but Harness Its Power. Crit Care Nurse. 2017;37(5):12-18. doi:10.4037/ccn2017603. https://psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power Checklists are used in various health c…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37895/psn-pdf
    July 09, 2008 - Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? July 9, 2008 Williams J. Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits related to social capital? J Safety Res. 2008;39(3). doi:10.1016/j.jsr.2008.01.00…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44546/psn-pdf
    December 14, 2016 - Diagnostic delays in paediatric stroke. December 14, 2016 Mallick AA, Ganesan V, Kirkham FJ, et al. Diagnostic delays in paediatric stroke. J Neurol Neurosurg Psychiatry. 2015;86(8):917-21. doi:10.1136/jnnp-2014-309188. https://psnet.ahrq.gov/issue/diagnostic-delays-paediatric-stroke Diagnostic error is a rapidly …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74100/psn-pdf
    November 24, 2021 - Pediatric medication errors and reduction strategies in the perioperative period. November 24, 2021 Bekes JL, Sackash CR, Voss AL, et al. AANA J. 2021;89(4):319-324. https://psnet.ahrq.gov/issue/pediatric-medication-errors-and-reduction-strategies-perioperative-period Pediatric medication errors during anesthesia …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38200/psn-pdf
    November 05, 2008 - Measuring mobile patient safety information system success: an empirical study. November 5, 2008 Jen W-Y, Chao C-C. Measuring mobile patient safety information system success: an empirical study. Int J Med Inform. 2008;77(10):689-97. doi:10.1016/j.ijmedinf.2008.03.003. https://psnet.ahrq.gov/issue/measuring-mobile…

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