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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34713/psn-pdfFebruary 18, 2011 - The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. February 18, 2011 Leape L, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991;324(6):377-84. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38100/psn-pdfJuly 02, 2009 - Surgical team behaviors and patient outcomes. July 2, 2009 Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002. https://psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes Direct observation of teamwork… -
www.ahrq.gov/hai/cusp/videos/index.htmlSeptember 01, 2019 - CUSP Videos The following videos give examples of CUSP practices. Introduction About CUSP—A Doctor's Perspective About CUSP: A Nurse's Perspective About CUSP: Overview Assemble the Team The 4 E's Building Your CUSP Team Psychological Safety Physician Engagement Engage the Senior Executive …
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www.ahrq.gov/data/resources/index.html?page=5Data Resources The Agency for Healthcare Research and Quality (AHRQ) offers practical, research-based tools and other resources to help a variety of health care organizations, providers and others make care safer in all health care settings. Results 51-53 of 53 Resources displayed Pagination « first …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60297/psn-pdfJanuary 01, 2021 - A call for the application of patient safety culture in medical humanitarian action: a literature review. May 6, 2020 Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48178/psn-pdfJanuary 01, 2020 - ACR guidance document on MR safe practices: updates and critical information 2019. August 14, 2019 ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging. 2020;51(2):331-338. https://psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-inform… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39105/psn-pdfNovember 18, 2009 - Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. November 18, 2009 Paull DE, Mazzia L, Izu BS, et al. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. Am J Surg. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837730/psn-pdfJanuary 01, 2023 - Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. July 28, 2022 Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. Prehosp Emerg Care. 2023;27(5):669-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47250/psn-pdfSeptember 26, 2018 - Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. September 26, 2018 Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42964/psn-pdfMay 10, 2014 - What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. May 10, 2014 Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencies Crisis Manage. 2014;22(2):81-96. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47374/psn-pdfApril 07, 2019 - Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. April 7, 2019 Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the literature. Int J Health Plann Manage. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61118/psn-pdfJanuary 01, 2021 - Bracing for the storm: one health care system's planning for the COVID-19 surge. November 11, 2020 Kim CS, Meo N, Little D, et al. Bracing for the storm: one health care system's planning for the COVID-19 surge. Jt Comm J Qual Patient Saf. 2021;47(1):60-68. doi:10.1016/j.jcjq.2020.09.007. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45445/psn-pdfSeptember 27, 2016 - Using Kotter's change model for implementing bedside handoff: a quality improvement project. September 27, 2016 Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.1097/NCQ.0000000000000212. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39462/psn-pdfApril 21, 2010 - Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. April 21, 2010 Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010;35(2):134-146. doi:10.1097/HMR.0b0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44047/psn-pdfSeptember 09, 2015 - Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. September 9, 2015 Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non- urgent, clinically significant test results in the elect… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60844/psn-pdfAugust 26, 2020 - Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. August 26, 2020 Gabrysz-Forget F, Young M, Zahabi S, et al. Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fell… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865816/psn-pdfMay 08, 2024 - The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. May 8, 2024 Sama SR, Quinn MM, Gore RJ, et al. The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. J Appl Gerontol. 2024;43(11):1595-1604. doi:10.1177/07334648241246472. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850928/psn-pdfJune 21, 2023 - Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. June 21, 2023 Ming Y, Meehan R. Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. J P… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42918/psn-pdfFebruary 05, 2014 - Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. February 5, 2014 Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Health Aff (M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853622/psn-pdfJanuary 01, 2024 - Enhancing patient safety: a national standard for cyber resiliency in healthcare. September 20, 2023 Samuelson-Kiraly C, Mitchell JI, Kingston D, et al. Enhancing patient safety: A national standard for cyber resiliency in healthcare. Healthc Manage Forum. 2024;37(1):9-12. doi:10.1177/08404704231196138. https://ps…
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