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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43938/psn-pdf
    March 18, 2015 - Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. March 18, 2015 Butler M. J AHIMA. March 2015;86:18-23. https://psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues Although health information technology presents opportunities to improve patient safety, …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40281/psn-pdf
    August 25, 2011 - Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial. August 25, 2011 Bladh L, Ottosson E, Karlsson J, et al. Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled tr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44615/psn-pdf
    November 04, 2015 - Implementing an obstetric emergency team response system: overcoming barriers and sustaining response dose. November 4, 2015 Richardson MG, Domaradzki KA, McWeeney DT. Implementing an Obstetric Emergency Team Response System: Overcoming Barriers and Sustaining Response Dose. Jt Comm J Qual Patient Saf. 2015;41(11…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44638/psn-pdf
    May 18, 2016 - Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. May 18, 2016 Langlois S. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Perspect Med Educ. 2016;5(2):88-94. doi:10.1007/s40037-0…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866411/psn-pdf
    July 31, 2024 - Simulation to Improve Patient Safety: Getting Started. July 31, 2024 Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. Publication No. 24-0055. https://psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-start…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60016/psn-pdf
    March 04, 2020 - The influence of bullying on nursing practice errors: a systematic review. March 4, 2020 Johnson AH, Benham?Hutchins M. The Influence of Bullying on Nursing Practice Errors: A Systematic Review. AORN J. 2020;111(2). doi:10.1002/aorn.12923. https://psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-sys…
  7. digital.ahrq.gov/organization/cincinnati-childrens-hospital-medical-center
    January 01, 2023 - Cincinnati Children's Hospital Medical Center Optimal Methods for Notifying Clinicians About Epilepsy Surgery Patients Description This research prospectively evaluated a machine learning algorithm that identifies candidates for neurologic surgery to control epilepsy. Gr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46609/psn-pdf
    January 01, 2020 - The impact of adverse events on clinicians: what's in a name? April 3, 2019 Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256. https://psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863757/psn-pdf
    March 06, 2024 - Debriefing to improve interprofessional teamwork in the operating room: a systematic review. March 6, 2024 Skegg E, McElroy C, Mudgway M, et al. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. J Nurs Scholarsh. 2023;55(6):1179-1188. doi:10.1111/jnu.12924. https://psnet.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39960/psn-pdf
    September 19, 2016 - Respectful Management of Serious Clinical Adverse Events. Second Edition. September 19, 2016 Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition This white paper e…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60032/psn-pdf
    March 11, 2020 - Medical teamwork and the evolution of safety science: a critical review. March 11, 2020 Neuhaus C, Lutnæs DE, Bergström J. Medical teamwork and the evolution of safety science: a critical review. Cogn Technol Work. 2020;22(1):13-27. doi:10.1007/s10111-019-00545-8. https://psnet.ahrq.gov/issue/medical-teamwork-and-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72499/psn-pdf
    November 25, 2020 - Transformational improvement in quality care and health systems: the next decade. November 25, 2020 Braithwaite J, Vincent CA, Garcia-Elorrio E, et al. Transformational improvement in quality care and health systems: the next decade. BMC Med. 2020;18(1):340. doi:10.1186/s12916-020-01739-y. https://psnet.ahrq.gov/i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73077/psn-pdf
    March 24, 2021 - Well-Being Playbook 2.0. A COVID-19 Resource for Hospital and Health System Leaders. March 24, 2021 AHA Physician Alliance. Chicago, IL: American Hospital Association. February 2021.  https://psnet.ahrq.gov/issue/well-being-playbook-20-covid-19-resource-hospital-and-health-system-leaders Human factors enginee…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46020/psn-pdf
    July 21, 2017 - Towards high-reliability organising in healthcare: a strategy for building organisational capacity. July 21, 2017 Aboumatar HJ, Weaver SJ, Rees D, et al. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. BMJ Qual Saf. 2017;26(8):663-670. doi:10.1136/bmjqs-2016-00624…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46682/psn-pdf
    January 24, 2018 - AHRQ Safety Program for Surgery. January 24, 2018 Rockville, MD: Agency for Healthcare Research and Quality. December 2017. AHRQ Publication No. 16(18)-0004-1-EF. https://psnet.ahrq.gov/issue/ahrq-safety-program-surgery Large-scale collaboratives have achieved success in implementing patient safety improvements. T…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46640/psn-pdf
    August 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73429/psn-pdf
    June 23, 2021 - Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. June 23, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; June 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings Wrong site/wrong patent surgery is a persisten…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50888/psn-pdf
    February 12, 2020 - Preventable closed claims in the AANA Foundation closed malpractice claims database. February 12, 2020 Kremer MJ, Hirsch M, Geisz-Everson M, et al. Preventable Closed Claims in the AANA Foundation Closed Malpractice Claims Database. AANA J. 2019;87(6). https://psnet.ahrq.gov/issue/preventable-closed-claims-aana-fo…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44918/psn-pdf
    April 13, 2016 - National Reporting and Learning System Research and Development. April 13, 2016 Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development Incident reporting has a…
  20. digital.ahrq.gov/sites/default/files/docs/publication/r01hs015280-hsu-final-report-2008.pdf
    January 01, 2008 - of ambulatory health information technology (HIT) on quality, safety, and resource use in a large, integrated … These measures 5 represent areas for which the Integrated Delivery System (IDS) has clinical … Using automated databases in a large, prepaid integrated delivery system, we examined the proportion … Mailed survey to all primary care clinicians working in a large, integrated delivery system (IDS) in … Variation in Chronic Disease Care in Primary Care Teams of a Large Integrated Delivery System.