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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47907/psn-pdf
    July 19, 2019 - Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. July 19, 2019 Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual Saf. 2019;28(8):667-671. doi:10.1136/bmjqs-2018-009147. https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-bur…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839815/psn-pdf
    November 09, 2022 - A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. November 9, 2022 Adamson HK, Foster B, Clarke R, et al. A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. J Patient Saf. 2022;18(7):e1096-e1101. doi:10.1097/pts.000000…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764394/psn-pdf
    March 02, 2022 - Assessing resident and attending error and adverse events in the emergency department. March 2, 2022 Adler JL, Gurley K, Rosen CL, et al. Assessing resident and attending error and adverse events in the emergency department. Am J Emerg Med. 2022;54:228-231. doi:10.1016/j.ajem.2022.01.015. https://psnet.ahrq.gov/is…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74719/psn-pdf
    February 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…

  5. Exhibit 2.14. Major Factors that Facilitated Lean Success at Central | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.14. Major Factors that Facilitated Lean Success at Central Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Hea…

  6. Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-19.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare …

  7. Implement an Infection Prevention Quality Improvement Project | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/infection-prevention.html
    March 01, 2017 - Implement an Infection Prevention Quality Improvement Project Start with the Implementation Guide , and then consult the Sustainability Guide Long -Term Care Safety Toolkit Modules Comprises six modules (available in English and Spanish) that describe how to apply CUSP for long-term care resident safety…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845636/psn-pdf
    March 08, 2023 - The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. March 8, 2023 Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. Health Care Manage Rev. 2023;48(2):…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73291/psn-pdf
    May 19, 2021 - How can never event data be used to reflect or improve hospital safety performance? May 19, 2021 Olivarius?McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/anae.15476. https://psnet.ahrq.gov/i…

  10. Implementing CLABSI and CAUTI Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/index.html
    April 01, 2022 - Implementing CLABSI and CAUTI Prevention The implementation guide will help your team be supported with resources to move through a program that enhances previous CUSP resources to reduce central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) in the hospit…

  11. SNAC Member: Elizabeth A. Shenkman, Ph.D. | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/nac/snac-shenkman.html
    November 01, 2019 - SNAC Member: Elizabeth A. Shenkman, Ph.D. Professor and Chair Department of Health Outcomes and Biomedical Informatics University of Florida College of Medicine Elizabeth A. Shenkman, Ph.D., is the chair of the Department of Health Outcomes and Biomedical Informatics and the co-director of the University of…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853067/psn-pdf
    August 30, 2023 - The Pursuing Excellence Collaborative: engaging first- year residents and fellows in patient safety event investigations. August 30, 2023 Paull DE, Newton RC, Tess AV, et al. The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event investigations. J Patient Saf. 2023…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837852/psn-pdf
    August 17, 2022 - Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience. August 17, 2022 Ivanovic V, Assadsangabi R, Hacein-Bey L, et al. Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60054/psn-pdf
    March 18, 2020 - Ensuring successful implementation of communication- and-resolution programmes. March 18, 2020 Mello MM, Roche S, Greenberg Y, et al. Ensuring successful implementation of communication-and- resolution programmes. BMJ Qual Saf. 2020;29(11):895-904. doi:10.1136/bmjqs-2019-010296. https://psnet.ahrq.gov/issue/ensuri…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45962/psn-pdf
    April 24, 2018 - Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. April 24, 2018 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):9-13. doi:10.4300/JGME-D-16-00065…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44228/psn-pdf
    September 04, 2016 - Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. September 4, 2016 Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Safety Mission of Teaching Hospitals a…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866119/psn-pdf
    June 12, 2024 - Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. June 12, 2024 Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An American College of Physicians Policy Position Paper. Ann Intern Med. 2024;177(7):964…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47327/psn-pdf
    August 22, 2018 - US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. August 22, 2018 Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Alignment of Graduate Medical Educa…

  19. Sorry Works! | PSNet

    psnet.ahrq.gov/issue/sorry-works
    November 15, 2024 - Multi-use Website Sorry Works! Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 17, 2011 Sorry Works! supports a full-disclosure approach to medical errors. They encourage…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47725/psn-pdf
    March 06, 2019 - Overcoming human barriers to safety event reporting in radiology. March 6, 2019 Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…
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