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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60969/psn-pdf
    November 08, 2023 - Network of Patient Safety Databases Chartbook. November 8, 2023 Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23- 0082. https://psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook The sharing of data is a core element of a learning health system. AHRQ h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865974/psn-pdf
    May 29, 2024 - Minimizing bias when using artificial intelligence in critical care medicine. May 29, 2024 Ranard BL, Park S, Jia Y, et al. Minimizing bias when using artificial intelligence in critical care medicine. J Crit Care. 2024;82:154796. doi:10.1016/j.jcrc.2024.154796. https://psnet.ahrq.gov/issue/minimizing-bias-when-us…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47555/psn-pdf
    November 14, 2018 - How one hospital improved patient safety in 10 minutes a day. November 14, 2018 van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018. https://psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day Aviation continues to provide inspiration for patient safety innovation. This commentar…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43178/psn-pdf
    July 28, 2014 - Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. July 28, 2014 Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining s…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60034/psn-pdf
    March 11, 2020 - Responding to unprofessional behavior by trainees - a "just culture" framework. March 11, 2020 Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms1912591. https://psnet.ahrq.gov/issue/resp…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38509/psn-pdf
    April 01, 2009 - Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. April 1, 2009 Pape H-C, Pfeifer R. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. Patient Saf Surg. 2009;3(1):…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46028/psn-pdf
    July 05, 2017 - The role of morbidity and mortality rounds in medical education: a scoping review. July 5, 2017 Benassi P, MacGillivray L, Silver I, et al. The role of morbidity and mortality rounds in medical education: a scoping review. Med Educ. 2017;51(5):469-479. doi:10.1111/medu.13234. https://psnet.ahrq.gov/issue/role-morb…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46350/psn-pdf
    September 24, 2017 - Time for transparent standards in quality reporting by health care organizations. September 24, 2017 Pronovost P, Wu AW, Austin M. Time for Transparent Standards in Quality Reporting by Health Care Organizations. JAMA. 2017;318(8):701-702. doi:10.1001/jama.2017.10124. https://psnet.ahrq.gov/issue/time-transparent-…
  9. digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines/final-report
    January 01, 2023 - Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability - Final Report Citation Ratwani R. Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability - Final R…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43404/psn-pdf
    August 06, 2014 - 'Even now it makes me angry': health care students' professionalism dilemma narratives. August 6, 2014 Monrouxe L, Rees CE, Endacott R, et al. 'Even now it makes me angry': health care students' professionalism dilemma narratives. Med Educ. 2014;48(5):502-17. doi:10.1111/medu.12377. https://psnet.ahrq.gov/issue/ev…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864862/psn-pdf
    March 20, 2024 - Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. March 20, 2024 Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887. https://psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic- review The Medication Without H…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48141/psn-pdf
    July 24, 2019 - Evidence Brief: Implementation of High Reliability Organization Principles. July 24, 2019 Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019. https://psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles This brief evalu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34061/psn-pdf
    January 04, 2017 - Patient Safety Leadership WalkRounds. January 4, 2017 Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1. https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds This study shares the concept of an interventi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44794/psn-pdf
    May 21, 2019 - Medical Device Use Error: Root Cause Analysis. May 21, 2019 Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790. https://psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis Applying human factors engineering to examine mistakes associated with medical device use can lead …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43967/psn-pdf
    November 16, 2015 - Equipped: overcoming barriers to change to improve quality of care (theories of change). November 16, 2015 Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):13-8. doi:10.1136/archdischild-2013- …
  16. digital.ahrq.gov/organization/hancock-county-health-services
    January 01, 2023 - Hancock County Health Services Electronic Health Record Implementation for Continuum of Care in Rural Iowa - 2008 Principal Investigator O'Brien, John Project Name Electronic Health Record Implementation for Continuum of Care in Rural Iowa …
  17. digital.ahrq.gov/ahrq-funded-projects/achieving-individualized-precision-prevention-ipp-through-scalable/final-report
    January 01, 2023 - Achieving Individualized Precision Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form - Final Report Citation Friedman C. Achieving Individualized Precision Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Co…
  18. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care/final-report
    January 01, 2023 - Health Information Technology in Heart Failure Care - Final Report Citation Blecker S. Health Information Technology in Heart Failure Care - Final Report. (Prepared by the New York University School of Medicine under Grant No. K08 HS023683). Rockville, MD: Agency for Healthcare Research and Quality, 2…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73178/psn-pdf
    April 28, 2021 - Risk perception on the labour ward: a mixed methods study. April 28, 2021 McCarthy C, Meaney S, Rochford M, et al. Risk perception on the labour ward: a mixed methods study. J Patient Saf Risk Manag. 2021;26(2):56-63. doi:10.1177/25160435211002428. https://psnet.ahrq.gov/issue/risk-perception-labour-ward-mixed-met…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46478/psn-pdf
    March 27, 2018 - Promote a culture of safety with good catch reports. March 27, 2018 Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14. https://psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports Near misses or good catches present organizations with learning opportunities. Using data compariso…