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2881. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42382/psn-pdf
      July 16, 2014 - Huddling for high reliability and situation awareness. July 16, 2014 Goldenhar LM, Brady PW, Sutcliffe K, et al. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906. doi:10.1136/bmjqs-2012-001467. https://psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness Se…

2882. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836932/psn-pdf
      April 13, 2022 - Nurses: Guilty verdict for dosing mistake could cost lives. April 13, 2022 Loller T. Associated Press. March 30, 2022. https://psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives Reporting medical errors, learning from them, and improving systems is a cornerstone of improving patien…

2883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45173/psn-pdf
      November 18, 2016 - Impact of hospital-acquired conditions on financial liabilities for Medicare patients. November 18, 2016 Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.03.025. https://psnet.ahrq.gov…

2884. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45295/psn-pdf
      July 27, 2016 - Medication complexity, medication number, and their relationships to medication discrepancies. July 27, 2016 Patel CH, Zimmerman KM, Fonda JR, et al. Medication Complexity, Medication Number, and Their Relationships to Medication Discrepancies. Ann Pharmacother. 2016;50(7):534-40. doi:10.1177/1060028016647067. ht…

2885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853233/psn-pdf
      September 06, 2023 - Weight estimation for drug dose calculations in the prehospital setting - a systematic review. September 6, 2023 Wells M, Henry B, Goldstein L. Weight estimation for drug dose calculations in the prehospital setting - a systematic review. Prehosp Disaster Med. 2023;38(4):471-484. doi:10.1017/s1049023x23006027. htt…

2886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851194/psn-pdf
      July 05, 2023 - The additional cost of perioperative medication errors July 5, 2023 Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136. https://psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors Prev…

2887. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864855/psn-pdf
      March 20, 2024 - Operating room organization and surgical performance: a systematic review. March 20, 2024 Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3. https://psnet.ahrq.gov/issue/operating-room-…

2888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72705/psn-pdf
      February 03, 2021 - Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis. February 3, 2021 Komashie A, Ward JR, Bashford T, et al. Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis. BMJ Open. 2021;11(1):e037667. doi:10.1136/…

2889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836856/psn-pdf
      April 06, 2022 - To what extent are patients involved in researching safety in acute mental healthcare? April 6, 2022 Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s40900-022-00337-x. https://psnet.ahr…

2890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35127/psn-pdf
      February 24, 2011 - Beyond the medical record: other modes of error acknowledgment. February 24, 2011 Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error acknowledgment. J Gen Intern Med. 2005;20(5):404-9. https://psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment Thi…

2891. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73298/psn-pdf
      May 19, 2021 - The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. May 19, 2021 National Academies of Sciences, Engineering, and Medicine. Washington DC:  National Academies Press; 2021. ISBN: 9780309685061.  https://psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-he…

2892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74176/psn-pdf
      December 15, 2021 - Reducing medication errors for adults in hospital settings. December 15, 2021 Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings. Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2. https://psnet.ahrq.gov/issue/reducing-medi…

2893. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46734/psn-pdf
      February 07, 2018 - To err is human: use of simulation to enhance training and patient safety in anaesthesia. February 7, 2018 Higham H, Baxendale B. To err is human: use of simulation to enhance training and patient safety in anaesthesia. Br J Anaesth. 2017;119(suppl_1):i106-i114. doi:10.1093/bja/aex302. https://psnet.ahrq.gov/issue…

2894. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855430/psn-pdf
      November 15, 2023 - Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. November 15, 2023 Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader-2022-000626. https://psnet.ah…

2895. Webcast - Sept. 9: Patient Safety in Medical Offices: Using SOPS Tools to Drive Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/sops-webcast.html
      August 01, 2025 - Webcast - Sept. 9: Patient Safety in Medical Offices: Using SOPS Tools to Drive Improvement Date:   Tuesday, September 9 Time:   1:00 - 2:30 p.m. ET Register now for the upcoming webinar “Patient Safety in Medical Offices: Using SOPS Tools to Drive Improvement”. This webinar will highlight how the University o…

2896. Individual Mentored Research Scientist Career Development Award Program in Patient-Centered Outcomes Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdpa13181.html
      June 01, 2018 - Individual Mentored Research Scientist Career Development Award Program in Patient-Centered Outcomes Research AHRQ Training Projects Funded by PCOR Trust Fund PA-13-181 This program provides support for a sustained period of protected time for intensive research career development for individual investigato…

2897. EvidenceNOW: Managing Unhealthy Alcohol Use Webinar | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/alcohol/webinar-uau-evaluation.html
      August 01, 2024 - EvidenceNOW: Managing Unhealthy Alcohol Use Webinar In 2019, AHRQ launched the Managing Unhealthy Alcohol Use in Primary Care Initiative to help primary care practices increase efforts to address patients' unhealthy alcohol use (UAU). As a leading cause of preventable death, UAU is associated with a wide range …

2898. Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
      January 01, 2024 - If it is true that VE training leads to better retention of teamwork and communication skills over time

2899. The NSTEMI Curbside Consultation | PSNet
      psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
      August 04, 2021 - SPOTLIGHT CASE The NSTEMI Curbside Consultation Citation Text: Villablanca AC, Wong GX. The NSTEMI Curbside Consultation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scho…

2900. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
      January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) 325 Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) Rona Patey, Rhona Flin, Georgina Fletcher, Nicola Maran, Ronnie Glavin Abstract Safety research in high-reliability industries, such as aviation, has clearly shown that t…