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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44459/psn-pdf
    October 06, 2016 - Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. October 6, 2016 Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Quality; July 2015. AHRQ Publication No. 15-0058-EF. https://psnet.ahrq.gov/issue/examining-relationship-between-health-it-and…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34649/psn-pdf
    June 11, 2014 - On error management: lessons from aviation. June 11, 2014 Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. https://psnet.ahrq.gov/issue/error-management-lessons-aviation In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38400/psn-pdf
    February 11, 2009 - The impact of clinically undiagnosed injuries on survival estimates. February 11, 2009 Gedeborg R, Thiblin I, Byberg L, et al. The impact of clinically undiagnosed injuries on survival estimates. Crit Care Med. 2009;37(2). doi:10.1097/ccm.0b013e318194b164. https://psnet.ahrq.gov/issue/impact-clinically-undiagnosed…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34921/psn-pdf
    February 27, 2009 - A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. February 27, 2009 Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Crit Care Med. 2005;33(3):533-540. https://psnet.ahrq.go…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47215/psn-pdf
    September 19, 2018 - The application of system dynamics modelling to system safety improvement: present use and future potential. September 19, 2018 Ibrahim M; Gyuchan S; Jun GT; Robinson S. Safety Sci. 2018;106:104-120. https://psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present- use-and-futur…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45505/psn-pdf
    July 01, 2017 - A model for the departmental quality management infrastructure within an academic health system. July 1, 2017 Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613. doi:10.1097/ACM.0000000000001380. htt…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36025/psn-pdf
    March 28, 2011 - Understanding diagnostic errors in medicine: a lesson from aviation. March 28, 2011 Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64. https://psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation T…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44628/psn-pdf
    September 12, 2016 - Rates of safety incident reporting in MRI in a large academic medical center. September 12, 2016 Mansouri M, Aran S, Harvey HB, et al. Rates of safety incident reporting in MRI in a large academic medical center. J Magn Reson Imaging. 2016;43(4):998-1007. doi:10.1002/jmri.25055. https://psnet.ahrq.gov/issue/rates-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45983/psn-pdf
    June 27, 2018 - Educating for the 21st-century health care system: an interdependent framework of basic, clinical, and systems sciences. June 27, 2018 Gonzalo JD, Haidet P, Papp KK, et al. Educating for the 21st-Century Health Care System: An Interdependent Framework of Basic, Clinical, and Systems Sciences. Acad Med. 2017;92(1):…
  10. psnet.ahrq.gov/web-mm/what-happened-telemetry
    January 18, 2012 - Some hospitals have incorporated a bidirectional voice communication badge system ( 8 ) that employs
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37569/psn-pdf
    March 21, 2017 - How often are potential patient safety events present on admission? March 21, 2017 Houchens RL, Elixhauser A, Romano PS. How often are potential patient safety events present on admission? Jt Comm J Qual Patient Saf. 2008;34(3):154-63. https://psnet.ahrq.gov/issue/how-often-are-potential-patient-safety-events-pres…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46467/psn-pdf
    October 18, 2017 - The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. October 18, 2017 Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National Collaborative for Improving the Clinical Learning Environment. Chicago, IL: Accreditation Council for Graduate Medical Education; 2017. ht…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38517/psn-pdf
    February 17, 2011 - Use of electronic health records in US hospitals. February 17, 2011 Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592. https://psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals Increasing the use of electronic health records (EHRs)…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36784/psn-pdf
    February 24, 2011 - The many faces of error disclosure: a common set of elements and a definition. February 24, 2011 Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):755-761. https://psnet.ahrq.gov/issue/many-faces-error-disclosure-co…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45152/psn-pdf
    November 18, 2016 - Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. November 18, 2016 Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. Am J Med Qual. 2016;31(6):598-600. h…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44518/psn-pdf
    January 22, 2016 - Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. January 22, 2016 Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retention and Transfer of Central Ven…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45594/psn-pdf
    December 19, 2017 - Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. December 19, 2017 Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Meaningful Resident Quality and Safet…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35540/psn-pdf
    August 05, 2009 - Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. August 5, 2009 Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to- physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45340/psn-pdf
    August 17, 2016 - To the point: integrating patient safety education Into the obstetrics and gynecology undergraduate curriculum. August 17, 2016 Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the Obstetrics and Gynecology Undergraduate Curriculum. J Patient Saf. 2016;16(1):e39-e…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45720/psn-pdf
    April 13, 2017 - Medical morbidity and mortality conferences: past, present and future. April 13, 2017 George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J. 2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103. https://psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conference…

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