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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43968/psn-pdfApril 24, 2015 - Mental models: a basic concept for human factors design in infection prevention. April 24, 2015 Sax H, Clack L. Mental models: a basic concept for human factors design in infection prevention. J Hosp Infect. 2015;89(4):335-9. doi:10.1016/j.jhin.2014.12.008. https://psnet.ahrq.gov/issue/mental-models-basic-concept-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50453/psn-pdfOctober 09, 2019 - Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness October 9, 2019 Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and Medication Use among Hospitalized Children Post Critical Illness. J Pediatr Nurs. 2019… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43854/psn-pdfFebruary 11, 2015 - Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. February 11, 2015 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2015. Report No. OEI-01-13-00400. https://psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-use… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42996/psn-pdfMarch 19, 2014 - The "physician-led chart audit": engaging providers in fortifying a culture of safety. March 19, 2014 Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000000000000057. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46865/psn-pdfMarch 07, 2018 - Chasing the 6-sigma: drawing lessons from the cockpit culture. March 7, 2018 Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture. J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097. https://psnet.ahrq.gov/issue/chasing-6-sigma-drawing-lessons… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50744/psn-pdfDecember 18, 2019 - EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived December 18, 2019 Arditi L. Peoples Public Radio. December 3, 2019. https://psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them- survived Emergency medical services are often p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47822/psn-pdfJuly 31, 2019 - High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice. July 31, 2019 Marwitz KK, Giuliano KK, Su W-T, et al. High-alert medication administration and intravenous smart pumps: A descriptive analysis of clinical practice. Res Social Admin Pharm. 2019;15(7):889-8… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47294/psn-pdfNovember 19, 2018 - 2017 John M. Eisenberg Patient Safety and Quality Awards. November 19, 2018 Jt Comm J Qual Patient Saf. 2018;44(7):373-400. https://psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-awards The Eisenberg Award honors individuals and organizations who have made unique and sustained contributions… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47963/psn-pdfJune 02, 2019 - Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. June 2, 2019 Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Br J Anaesth. 2019;122(6):723-725. doi:10.1016/j.bja.2019.02… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73683/psn-pdfSeptember 08, 2021 - Why and how to approach user experience in safety- critical domains: the example of health care. September 8, 2021 Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832. doi:10.1177/0018720819887575. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42048/psn-pdfJuly 01, 2013 - Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. July 1, 2013 Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and respon… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47888/psn-pdfMay 11, 2019 - Achieving dialysis safety: the critical role of higher- functioning teams. May 11, 2019 Wong LP. Achieving dialysis safety: The critical role of higher-functioning teams. Semin Dial. 2019;32(3):266-273. doi:10.1111/sdi.12778. https://psnet.ahrq.gov/issue/achieving-dialysis-safety-critical-role-higher-functioning-t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865676/psn-pdfApril 24, 2024 - The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. April 24, 2024 Shehab N, Alschuler L, McILvenna S, et al. The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for surveillance of patient safety. J… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839835/psn-pdfNovember 09, 2022 - Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. November 9, 2022 Chicago, IL: The National Association for Healthcare Quality; 2022. https://psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-qua… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47133/psn-pdfApril 07, 2019 - "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. April 7, 2019 van Ark AE, Wijnen-Meijer M. "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. Med Teach. 2019;41(2):201-206. doi:10.1080/0142159X.2018.1461205. https://psnet.ahrq.gov/issue/doctor-jazz-les… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46868/psn-pdfApril 03, 2019 - 2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. April 3, 2019 Joint Commission. https://psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced The Eisenberg Award honors individuals and organizations who have made unique and sustained contrib… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47087/psn-pdfMay 02, 2018 - The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. May 2, 2018 Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisation for Economic Co-operation and Development; 2018. https://psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind The global eco… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39349/psn-pdfMarch 23, 2011 - Promoting patient safety through prospective risk identification: example from peri-operative care. March 23, 2011 Smith AF, Boult M, Woods I, et al. Promoting patient safety through prospective risk identification: example from peri-operative care. Qual Saf Health Care. 2010;19(1):69-73. doi:10.1136/qshc.2008.0280… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36244/psn-pdfJune 13, 2012 - With Safety in Mind: Mental Health Services and Patient Safety. June 13, 2012 Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety This report, the second in a series from the United Kingdom's Nati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841790/psn-pdfSeptember 01, 2021 - Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. September 1, 2021 Ibrahim SA, Pronovost PJ. Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. JAMA Health Forum. 2021;2(9):e212430. doi:10.1001/jamahealthforum.20…
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