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  1. psnet.ahrq.gov/issue/rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-models
    April 09, 2013 - Study Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. Citation Text: Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452…
  2. psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital
    November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…
  3. psnet.ahrq.gov/issue/root-causes-adverse-drug-events-hospitals-and-artificial-intelligence-capabilities-prevention
    May 20, 2020 - Study Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention. Citation Text: Gordo C, Núñez‐Córdoba JM, Mateo R. Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention. J Adv Nurs. 2021;77(7…
  4. psnet.ahrq.gov/issue/low-rate-completion-recommended-tests-and-referrals-academic-primary-care-practice-resident
    January 17, 2024 - Study Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. Citation Text: Amat MJ, Anderson TS, Shafiq U, et al. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident …
  5. psnet.ahrq.gov/issue/patient-harm-during-covid-19-pandemic-using-human-factors-lens-promote-patient-and-workforce
    September 14, 2022 - Commentary Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. Citation Text: Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…
  6. psnet.ahrq.gov/issue/influence-external-assessment-quality-and-safety-surgery-qualitative-study-surgeons
    June 28, 2023 - Study Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives. Citation Text: Øyri SF, Wiig S, Tjomsland O. Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons’ perspectives. BMJ Open …
  7. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2010
    January 01, 2010 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010 Project Name Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings Prin…
  8. psnet.ahrq.gov/issue/improving-detection-intraoperative-medical-errors-imes-and-intraoperative-adverse-events-iaes
    June 04, 2014 - Study Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. Citation Text: Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and intraoperativ…
  9. psnet.ahrq.gov/issue/real-world-virtual-patient-simulation-improve-diagnostic-performance-through-deliberate
    July 21, 2021 - Study Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study. Citation Text: Kotwal S, Fanai M, Fu W, et al. Real-world virtual patient simulation to improve diagnostic performance through deliberate pra…
  10. psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral
    October 28, 2020 - Study Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients. Citation Text: Arnaoutakis GJ, Ogami T, Aranda‐Michel E, et al. Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers…
  11. psnet.ahrq.gov/issue/association-between-patient-safety-culture-and-adverse-events-scoping-review
    November 03, 2015 - Review The association between patient safety culture and adverse events - a scoping review. Citation Text: Vikan M, Haugen AS, Bjørnnes AK, et al. The association between patient safety culture and adverse events – a scoping review. BMC Health Serv Res. 2023;23(1):300. doi:10.1186/s1291…
  12. psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers
    September 04, 2016 - Study Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. Citation Text: Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…
  13. psnet.ahrq.gov/issue/hard-truths-journey-putting-patients-first
    December 04, 2015 - March 28, 2018 A Promise to Learn—a Commitment to Act: Improving the Safety of Patients … May 22, 2023 A Promise to Learn—a Commitment to Act: Improving the Safety of Patients
  14. psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
    April 13, 2018 - January 22, 2014 Informal learning from error in hospitals: what do we learn, how do … we learn and how can informal learning be enhanced?
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33640/psn-pdf
    September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety- transformation … through each of these in greater https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation … https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
  16. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
    August 01, 2006 - Use your five senses….Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice
  17. effectivehealthcare.ahrq.gov/sites/default/files/sadwin.pdf
    January 01, 2011 - § Push Hard and Fast in the Center Slide 15 Photograph: Photo of various chests with the words "Learn … Healthcare/Researchers Photograph: Image of 5 health care professionals, with the words 'Focus on Quality, Learn
  18. digital.ahrq.gov/2019-year-review/research-summary
    January 01, 2019 - Learn More   Key Research Findings The Digital Healthcare Research Program funds research to … Learn more about the impact and key findings here.
  19. psnet.ahrq.gov/issue/compensation-chief-executive-officers-nonprofit-us-hospitals
    December 18, 2018 - January 22, 2014 Informal learning from error in hospitals: what do we learn, how do … we learn and how can informal learning be enhanced?
  20. digital.ahrq.gov/sites/default/files/docs/survey/cis-survey-pre-go-live-physician.pdf
    December 27, 2004 - My ability to learn about and improve our patient care processes. [ ] [ ] [ ] [ ] [ ] [ ] … Sufficient resources have been provided for me to learn to use the new systems [ ] [ ] [ ] [ … My ability to learn about and improve our patient care processes. [ ] [ ] [ ] [ ] [ ] [ ] … Sufficient resources were provided for me to learn to use the new systems. [ ] [ ] [ ] [