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8941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44074/psn-pdf
      November 16, 2015 - Investigating Clinical Incidents in the NHS. November 16, 2015 Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886. https://psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs Applying evidence ge…

8942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74118/psn-pdf
      January 01, 2022 - From HRO to HERO: making health equity a core system capability. November 24, 2021 Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020. https://psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-syst…

8943. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39218/psn-pdf
      January 13, 2010 - Prolonged hospital stay and the resident duty hour rules of 2003. January 13, 2010 Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged Hospital Stay and the Resident Duty Hour Rules of 2003. Med Care. 2009;47(12). doi:10.1097/mlr.0b013e3181adcbff. https://psnet.ahrq.gov/issue/prolonged-hospital-stay-and-resident-d…

8944. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34586/psn-pdf
      July 21, 2009 - Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. July 21, 2009 Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qual Patient Saf. 2004;30(10):534-542. http…

8945. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44175/psn-pdf
      October 13, 2015 - Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. October 13, 2015 Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: A systematic revi…

8946. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60310/psn-pdf
      May 06, 2020 - ‘They are terrified’: fearing coronavirus, people with potentially fatal conditions avoid emergency care. May 6, 2020 Bruggeman L, Bhatt J. ABC News. April 23, 2020. https://psnet.ahrq.gov/issue/they-are-terrified-fearing-coronavirus-people-potentially-fatal-conditions-avoid- emergency Patient ability to acc…

8947. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45070/psn-pdf
      October 03, 2017 - When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"? October 3, 2017 National Health Policy Forum. Washington, DC: George Washington University. March 11, 2016. https://psnet.ahrq.gov/issue/when-theres-harm-hospital-can-transparency-replace-deny-and-defend This report provides the insight…

8948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72733/psn-pdf
      February 10, 2021 - Start the year off right by preventing these top 10 medication errors and hazards from 2020. February 10, 2021 ISMP Medication Safety Alert! Acute care edition. January 27, 2021;26(2). https://psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020 Medication safety is chal…

8949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60258/psn-pdf
      April 22, 2020 - Operational Measurement of Diagnostic Safety: State of the Science. April 22, 2020 Singh H, Bradford A, Goeschel C. Rockville, MD: Agency for Healthcare Research and Quality; April 2020. AHRQ Publication No. 20-0040-1-EF. https://psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science This is…

8950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73691/psn-pdf
      September 08, 2021 - Pump up the volume: tips for increasing error reporting and decreasing patient harm. September 8, 2021 ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5.  https://psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm Error reporting is an essen…

8951. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39051/psn-pdf
      November 04, 2009 - On the prospects for a blame-free medical culture. November 4, 2009 Collins ME, Block SD, Arnold RM, et al. On the prospects for a blame-free medical culture. Soc Sci Med. 2009;69(9):1287-90. doi:10.1016/j.socscimed.2009.08.033. https://psnet.ahrq.gov/issue/prospects-blame-free-medical-culture This study found tha…

8952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851461/psn-pdf
      July 19, 2023 - Patient safety 2.0: slaying dragons, not just investigating them. July 19, 2023 Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. https://psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them …

8953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46071/psn-pdf
      March 20, 2018 - Evaluating situation awareness: an integrative review. March 20, 2018 Orique SB, Despins L. Evaluating Situation Awareness: An Integrative Review. West J Nurs Res. 2018;40(3):388-424. doi:10.1177/0193945917697230. https://psnet.ahrq.gov/issue/evaluating-situation-awareness-integrative-review Situation awareness in…

8954. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41802/psn-pdf
      October 31, 2012 - Relationship between high-fidelity simulation and patient safety in prelicensure nursing education: a comprehensive review. October 31, 2012 Blum CA, Parcells DA. Relationship between high-fidelity simulation and patient safety in prelicensure nursing education: a comprehensive review. J Nurs Educ. 2012;51(8):429-…

8955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46005/psn-pdf
      July 11, 2018 - The 2016 John M. Eisenberg Patient Safety and Quality Awards. July 11, 2018 Jt Comm J Qual Patient Saf. 2017;43:315-337. https://psnet.ahrq.gov/issue/2016-john-m-eisenberg-patient-safety-and-quality-awards Spotlighting the accomplishments of the 2016 recipients of the John M. Eisenberg Patient Safety and Quality …

8956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41406/psn-pdf
      August 02, 2012 - Can patients report patient safety incidents in a hospital setting? A systematic review. August 2, 2012 Ward JK, Armitage G. Can patients report patient safety incidents in a hospital setting? A systematic review. BMJ Qual Saf. 2012;21(8):685-99. doi:10.1136/bmjqs-2011-000213. https://psnet.ahrq.gov/issue/can-pati…

8957. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44224/psn-pdf
      June 10, 2015 - To be sued less, doctors should consider talking to patients more. June 10, 2015 Carroll AE. https://psnet.ahrq.gov/issue/be-sued-less-doctors-should-consider-talking-patients-more Reporting on trends associated with medical malpractice, how the same physicians tend to get sued, and reasons patients file claims, …

8958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74108/psn-pdf
      January 01, 2022 - 'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors. November 24, 2021 Klasen JM, Teunissen PW, Driessen EW, et al. ‘It depends’: the complexity of allowing residents to fail from the perspective of clinical supervisors. Med Teach. 2022;44(2):196-205. doi:10.1080…

8959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44087/psn-pdf
      November 16, 2015 - Teaching a 'good' ward round. November 16, 2015 Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135. https://psnet.ahrq.gov/issue/teaching-good-ward-round Ward rounds, while an important educational activity, may not receive the attent…

8960. Owora, Arthur Hamie | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/owora-arthur-hamie
      January 01, 2025 - Owora, Arthur Hamie External validation and update of the pediatric asthma risk score as a passive digital marker for childhood asthma using integrated electronic health records. Citation Owora AH, Jiang B, Shah Y, Gaston B, Boustani M. External validation and update of the p…