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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45305/psn-pdf
    February 14, 2017 - Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. February 14, 2017 Pronovost P, Watson S, Goeschel CA, et al. Sustaining Reductions in Central Line-Associated Bloodstream Infections in Michigan Intensive Care Units: A 10-Year Analysis. Am…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38900/psn-pdf
    January 03, 2017 - Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. January 3, 2017 Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J Qual Patient Saf. 2009;35(9):467…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37544/psn-pdf
    June 16, 2011 - Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. June 16, 2011 Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training progr…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39837/psn-pdf
    September 15, 2010 - The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases. September 15, 2010 Wolf FA, Way LW, Stewart L. The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 c…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46313/psn-pdf
    December 21, 2017 - Patient outcomes in dose reduction or discontinuation of long-term opioid therapy: a systematic review. December 21, 2017 Frank JW, Lovejoy TI, Becker WC, et al. Patient Outcomes in Dose Reduction or Discontinuation of Long- Term Opioid Therapy: A Systematic Review. Ann Intern Med. 2017;167(3):181-191. doi:10.7326/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42966/psn-pdf
    November 21, 2018 - The next organizational challenge: finding and addressing diagnostic error. November 21, 2018 Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10. https://psnet.ahrq.gov/issue/next-organizational-challe…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41175/psn-pdf
    December 31, 2014 - Design and implementation of an automated email notification system for results of tests pending at discharge. December 31, 2014 Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43690/psn-pdf
    March 26, 2015 - Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. March 26, 2015 Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale adverse events: a Department of Ve…
  9. psnet.ahrq.gov/issue/pharmacists-play-key-role-patient-safety
    March 29, 2023 - Newspaper/Magazine Article Pharmacists play key role in patient safety. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 6, 2005 Description of a successful model from Duke…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46829/psn-pdf
    July 23, 2018 - Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. July 23, 2018 Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Care Spec Pharm. 2018;24(7):691-699. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46504/psn-pdf
    February 22, 2018 - How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study. February 22, 2018 Bradley EH, Brewster AL, McNatt Z, et al. How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study. BMJ Qual Saf. 2…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40601/psn-pdf
    September 29, 2017 - A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative. September 29, 2017 Arriaga AF, Elbardissi AW, Regenbogen SE, et al. A policy-based intervention for the reduction of communication breakdowns in inpatient surg…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40946/psn-pdf
    January 19, 2012 - Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. January 19, 2012 Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad f…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47407/psn-pdf
    January 01, 2020 - Resource-based view on safety culture's influence on hospital performance: the moderating role of electronic health record implementation. September 19, 2018 Upadhyay S, Weech-Maldonado R, Lemak CH, et al. Resource-based view on safety culture’s influence on hospital performance: The moderating role of electronic …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44471/psn-pdf
    September 27, 2016 - Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. September 27, 2016 Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in hospital units. Health Care …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43419/psn-pdf
    October 20, 2014 - Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. October 20, 2014 McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39947/psn-pdf
    July 03, 2014 - Association between implementation of a medical team training program and surgical mortality. July 3, 2014 Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304(15):1693-1700. doi:10.1001/jama.2010.1506. https://psnet.ahrq…
  18. psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
    February 01, 2017 - In Conversation With… Amy C. Edmondson, PhD, AM February 1, 2017  Also Read an Essay Citation Text: In Conversation With… Amy C. Edmondson, PhD, AM. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…
  19. psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Vogus T, Lee M, Mos…
  20. psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Essay View more articles from the same authors. Ci…

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