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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39499/psn-pdf
    January 03, 2017 - Caring for our own: deploying a systemwide second victim rapid response team. January 3, 2017 Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-240. https://psnet.ahrq.gov/issue/caring-our-own-deploying-systemwi…

  2. Meddings, Jennifer | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsummedd.html
    October 01, 2014 - Meddings, Jennifer Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: University of Michigan at Ann Arbor Grant Title: Targeting Hospital-Acquired Complications: Impact on the Ca…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39392/psn-pdf
    September 20, 2011 - Effect of point-of-care computer reminders on physician behaviour: a systematic review. September 20, 2011 Shojania KG, Jennings A, Mayhew A, et al. Effect of point-of-care computer reminders on physician behaviour: a systematic review. CMAJ. 2010;182(5):E216-25. doi:10.1503/cmaj.090578. https://psnet.ahrq.gov/iss…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42917/psn-pdf
    February 05, 2014 - The PROMISES Project. February 5, 2014 Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health Care for All; Massachusetts Medical Society; Massachusetts Departme…

  5. Creating Psychological Safety in Teams: Handout | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/tools/psychological-safety.html
    November 01, 2018 - Creating Psychological Safety in Teams: Handout Resource: Creating Psychological Safety in Teams  (PDF, 195 KB, 3 pages) It is important for team members to feel that their environment supports asking for help, trying new ways of doing things, and learning from mistakes. This resource provides suggestions f…

  6. Microsoft PowerPoint - Updated Handouts - Read-Only (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/136331/Opioid%20Patient%20Handout.pdf
    July 18, 2023 - Microsoft PowerPoint - Updated Handouts - Read-Only Gradually lowering your opioid use Do not lower your dose without your health care provider’s supervision. Medication: _____________________________ Current dose: ____________________________ How will my health care provider lower the dose of my medication? • …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41405/psn-pdf
    December 30, 2014 - Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. December 30, 2014 Gurses AP, Kim G, Martinez EA, et al. Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary appr…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45957/psn-pdf
    August 15, 2018 - Comparison of appendectomy outcomes between senior general surgeons and general surgery residents. August 15, 2018 Siam B, Al-Kurd A, Simanovsky N, et al. Comparison of Appendectomy Outcomes Between Senior General Surgeons and General Surgery Residents. JAMA Surg. 2017;152(7):679-685. doi:10.1001/jamasurg.2017.057…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46191/psn-pdf
    July 19, 2017 - Performance of a trigger tool for identifying adverse events in oncology. July 19, 2017 Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. https://psnet.ahrq.gov/issue/performance-trigger…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39210/psn-pdf
    January 12, 2010 - Can aviation-based team training elicit sustainable behavioral change? January 12, 2010 Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207. https://psnet.ahrq.gov/issue/can-aviation-based-team…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39873/psn-pdf
    January 22, 2017 - A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. January 22, 2017 Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm J Qual Patient Saf. 2010;36(10):461-7…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39892/psn-pdf
    September 20, 2011 - How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. September 20, 2011 Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients' propensity to sue and their assessment of pro…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37808/psn-pdf
    February 22, 2011 - How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? February 22, 2011 Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(5):623-8. doi:10.1007/s11606-007-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44315/psn-pdf
    November 20, 2015 - Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. November 20, 2015 Amaral ACK-B, McDonald A, Coburn NG, et al. Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A p…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34112/psn-pdf
    February 09, 2011 - Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. February 9, 2011 Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. 2003;290(14):1868-74. https://psnet.ahrq.gov/issue/excess-length-st…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41775/psn-pdf
    December 18, 2014 - Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. December 18, 2014 Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e1206-14. doi:10.1542/peds.2012-01…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39852/psn-pdf
    February 10, 2015 - National costs of the medical liability system. February 10, 2015 Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807. https://psnet.ahrq.gov/issue/national-costs-medical-liability-system The role of medi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39777/psn-pdf
    November 04, 2012 - The Economic Measurement of Medical Errors. November 4, 2012 Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. https://psnet.ahrq.gov/issue/economic-measurement-medical-errors Although the Institute of Medicine's estimate of up to 98,000 deaths ye…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43367/psn-pdf
    May 01, 2015 - Promoting Patient Safety Through Effective Health Information Technology Risk Management. May 1, 2015 Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND Health. Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014. RR-654-DHHSNCH. https://psnet.ahrq.…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44972/psn-pdf
    February 15, 2017 - The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis. February 15, 2017 Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX) Generators: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(3):e0148991. doi:…
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