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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46862/psn-pdf
    February 21, 2018 - Considering human factors and developing systems- thinking behaviours to ensure patient safety. February 21, 2018 Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical Pharmacist. 2018;10(2). https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-syste…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844543/psn-pdf
    February 15, 2023 - The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. February 15, 2023 Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. Am J Med Qual. …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74245/psn-pdf
    January 14, 2024 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: User Database Report. January 14, 2024 Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2023. AHRQ Publication no. 23(24)-0095. https://psnet.ahrq.gov/issue/surveys-patient-safety-culture…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862130/psn-pdf
    February 07, 2024 - Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. February 7, 2024 Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers'…

  5. Indiana University Indianapolis | Digital Healthcare Research

    digital.ahrq.gov/organization/indiana-university-indianapolis
    January 01, 2023 - Indiana University Indianapolis Developing a Passive Digital Marker for the Prediction of Childhood Asthma Treatment Response Description This research is developing and evaluating a machine learning algorithm that uses existing electronic health record data to predict childho…

  6. Emerging and Innovative Newly Funded Research | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research
    January 01, 2018 - Emerging and Innovative Newly Funded Research The Health IT Program at AHRQ continues to fund foundational research to identify solutions to ensure that health IT is designed and implemented in ways that improve quality and safety without placing excessive burden on users, including pa…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867694/psn-pdf
    March 05, 2025 - Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. March 5, 2025 Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses - a thick description on the appeal and deadlock of incident rep…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61109/psn-pdf
    November 11, 2020 - Making communication and resolution programmes mission critical in healthcare organisations. November 11, 2020 Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):875-878. doi:10.1136/bmjqs-2020- 0108…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36442/psn-pdf
    July 23, 2023 - TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. July 23, 2023 Department of Health and Human Services, Agency for Healthcare Research and Quality, Department of Defense. https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety Effective teamwo…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50892/psn-pdf
    February 12, 2020 - Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey. February 12, 2020 Prentice JC, Bell SK, Thomas EJ, et al. Association of open communication and the emotional and behavioural impact of medical error on patients …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43957/psn-pdf
    June 21, 2015 - Enhancing the effectiveness of team debriefings in medical simulation: more best practices. June 21, 2015 Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3):115-125. https://psnet.ahrq.gov/issue…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44851/psn-pdf
    March 16, 2016 - Understanding psychological safety in health care and education organizations: a comparative perspective. March 16, 2016 Edmondson AC, Higgins M, Singer SJ, et al. Understanding Psychological Safety in Health Care and Education Organizations: A Comparative Perspective. Res Hum Dev. 2016;13(1):65-83. doi:10.1080/15…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837896/psn-pdf
    January 01, 2023 - Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. August 24, 2022 Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflect…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73281/psn-pdf
    May 19, 2021 - Measuring safety in older adult care homes: a scoping review of the international literature. May 19, 2021 Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmjopen-2020-043206. https://psnet.ahrq…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60304/psn-pdf
    January 01, 2021 - Patients' perspectives of diagnostic error: a qualitative study. May 6, 2020 Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642. https://psnet.ahrq.gov/issue/patients-perspectives-diagnostic…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47880/psn-pdf
    June 18, 2019 - A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. June 18, 2019 Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety Principles. Jt Comm J Qual Patient…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34642/psn-pdf
    June 24, 2015 - Human factor in cardiac surgery: errors and near misses in a high technology medical domain. June 24, 2015 Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Thorac Surg. 2001;72(1):300-5. https://psnet.ahrq.gov/issue/human-factor…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72684/psn-pdf
    January 27, 2021 - National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. January 27, 2021 Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event. J Obstet Gynecol Neonatal Nurs. 2021;50(1):88-101. doi:1…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862617/psn-pdf
    February 14, 2024 - Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. February 14, 2024 Dorset, UK: Health Services Safety Investigations Body; November 2023. https://psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and- usability-inpatient …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73091/psn-pdf
    March 31, 2021 - Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. March 31, 2021 Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Nurs Adm Q. 2021;45(2):135-141. doi:10.1097…
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