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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60297/psn-pdf
    January 01, 2021 - A call for the application of patient safety culture in medical humanitarian action: a literature review. May 6, 2020 Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737. doi:10.10…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42686/psn-pdf
    April 16, 2019 - Improving the quality of health care: what's taking so long? April 16, 2019 Chassin MR. Improving The Quality Of Health Care: What’s Taking So Long? Health Aff. 2013;32(10):1761-1765. doi:10.1377/hlthaff.2013.0809. https://psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long Almost a decade-and…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40806/psn-pdf
    October 31, 2011 - How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. October 31, 2011 Cima RR, La…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46739/psn-pdf
    January 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. January 24, 2019 Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodologica…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45605/psn-pdf
    November 30, 2016 - Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. November 30, 2016 Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. J Interprof Ca…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45322/psn-pdf
    July 20, 2016 - RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30- day inpatient mortality: a national cross-sectional study of acute-care hospitals. July 20, 2016 Smeds-Alenius L, Tishelman C, Lindqvist R, et al. RN assessments of excellent quality of care and patie…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73709/psn-pdf
    September 15, 2021 - Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses. September 15, 2021 Pring ET, Malietzis G, Kendall SWH, et al. Crisis management for surgical teams and their leaders, lessons from the COV…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46372/psn-pdf
    September 13, 2017 - Impact of a successful speaking up program on health- care worker hand hygiene behavior. September 13, 2017 Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK. https://psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene- behavior Improving hand hygiene in health care f…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37659/psn-pdf
    March 02, 2011 - Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. March 2, 2011 Robicsek A, Beaumont JL, Paule SM, et al. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Ann Intern Med. 2008;148(6):409-18. https://psnet.ahrq.gov/issu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866962/psn-pdf
    October 16, 2024 - Diagnostic Excellence– Age-Friendly Health Systems (DxEx–AFHS) Seed Grant Program Improving Diagnosis for Older Adults. October 16, 2024 Boston, MA: Institute for Healthcare Improvement; September 23, 2024. https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant- progra…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50889/psn-pdf
    February 12, 2020 - Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. February 12, 2020 Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A Novel Resource for Targeting Amb…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850910/psn-pdf
    June 21, 2023 - Developing electronic clinical quality measures to assess the cancer diagnostic process. June 21, 2023 Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. doi:10.1093/jamia/ocad089. https:…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47690/psn-pdf
    March 13, 2019 - I-PASS mentored implementation handoff curriculum: champion training materials. March 13, 2019 O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials. MedEdPORTAL. 2019;15:10794. doi:10.15766/mep_2374-8265.10794. https://psnet.ahrq.gov/issue/i-pass-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37022/psn-pdf
    September 24, 2010 - Implementation and impact of a rapid response team in a children's hospital. September 24, 2010 Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425. https://psnet.ahrq.gov/issue/implementation-and-impac…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764405/psn-pdf
    March 02, 2022 - Evaluation of communication and safety behaviors during hospital-wide code response simulation. March 2, 2022 Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital- wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:10.1097/sih.0000000000000575. htt…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73616/psn-pdf
    August 18, 2021 - Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? August 18, 2021 Gangopadhyaya A. Washington DC; Urban Institute: July 2021. https://psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events- same-hospital Racial inequities h…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46255/psn-pdf
    September 06, 2017 - Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities. September 6, 2017 Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities The ambulatory env…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47523/psn-pdf
    December 05, 2018 - Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Providers and the Emergency Department…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73062/psn-pdf
    January 01, 2022 - Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. March 25, 2021 Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive order verification of outpatient …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41186/psn-pdf
    January 03, 2017 - The costs of adverse drug events in community hospitals. January 3, 2017 Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals Adverse drug events (ADEs) a…

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