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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866253/psn-pdf
    July 10, 2024 - Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. July 10, 2024 Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. Ane…
  2. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47522/psn-pdf
    January 01, 2021 - Examining medical office owners and clinicians perceptions on patient safety climate. November 7, 2018 Mazurenko O, Richter J, Kazley AS, et al. Examining Medical Office Owners and Clinicians Perceptions on Patient Safety Climate. J Patient Saf. 2021;17(8):e1537-e1545. doi:10.1097/PTS.0000000000000540. https://psn…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73215/psn-pdf
    May 05, 2021 - To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. May 5, 2021 Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2021;26(2):64-73. doi:10.1177/2516043521990…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836807/psn-pdf
    March 30, 2022 - Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. March 30, 2022 Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. NEJM Catal Innov Care Deliv. 2022;3(4). https://p…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45014/psn-pdf
    July 18, 2016 - Improving patient safety through simulation training in anesthesiology: where are we? July 18, 2016 Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523. https://psnet.ahrq.gov/issue/impro…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837731/psn-pdf
    July 27, 2022 - Predictors and outcomes of patient safety culture: a cross-sectional comparative study. July 27, 2022 Mrayyan MT. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ Open Qual. 2022;11(3):e001889. doi:10.1136/bmjoq-2022-001889. https://psnet.ahrq.gov/issue/predictors-and-out…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837331/psn-pdf
    June 08, 2022 - Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? June 8, 2022 Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? Int Emerg Nurs. 2022;63:101174. doi:10.1016/j.i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866639/psn-pdf
    September 04, 2024 - Relationship between patient safety culture and patient experience in hospital settings: a scoping review. September 4, 2024 Alabdaly A, Hinchcliff R, Debono D, et al. Relationship between patient safety culture and patient experience in hospital settings: a scoping review. BMC Health Serv Res. 2024;24(1):906. doi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45734/psn-pdf
    January 23, 2017 - Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score? January 23, 2017 Voepel-Lewis T, Malviya S, Tait AR. Inappropriate Opioid Dosing and Prescribing for Children: An Unintended Consequence of the Clinical Pain Score? JAMA Pediatr. 2017;171(1):5-6. doi:10.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837147/psn-pdf
    May 18, 2022 - Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses. May 18, 2022 Strube?Lahmann S, Müller?Werdan U, Klingelhöfer?Noe J, et al. Patient safety in home care: A multicenter cross?sectional study about medication errors and medication management…
  12. digital.ahrq.gov/ahrq-funded-projects/scaling-interoperable-clinical-decision-support-patient-centered-chronic-pain-care/citation/study
    January 01, 2023 - Study protocol for a type III hybrid effectiveness-implementation trial to evaluate scaling interoperable clinical decision support for patient-centered chronic pain management in primary care. Citation Salloum RG, Bilello L, Bian J, Diiulio J, Paz LG, Gurka MJ, Gutierrez M, Hurley RW, Jones RE, Marti…
  13. www.ahrq.gov/cpi/about/nac/snac-escarce.html
    December 01, 2021 - SNAC Member: José J. Escarce, M.D., Ph.D. Distinguished Professor of Medicine and of Health Policy and Management David Geffen School of Medicine at University of California, Los Angeles José J. Escarce, M.D., Ph.D., is a health economist, an internist, and a distinguished professor of medicine in the David …
  14. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability.html
    June 01, 2017 - Sustainability Toolkit To Improve Safety in Ambulatory Surgery Centers It is important to build in plans for sustainment when starting an implementation project. The resources below can help your ambulatory surgery center integrate sustainment activities into the project. Training and Tools for Sustaining I…
  15. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-2.html
    August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Evidence Base Supporting Telehealth Previous Page Next Page Table of Contents Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Introduction Evidence Base Supporting Telehealth I…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus Patent Ductus Arteriosus Characteristics ■ A persistent open connection beyond 3 months of age between the pulmonary artery and the aorta with blood flow from the aorta to the pulmonary artery. ■ An open ductus may lead to: – Congestive heart…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74200/psn-pdf
    January 01, 2022 - Association of surgeon-patient sex concordance with postoperative outcomes. December 22, 2021 Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339. https://psnet.ahrq.gov/issue/association-s…
  18. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/Excel_Tool_Slides_2020-1-Intro.pdf
    January 01, 2020 - Tutorial on the SOPS Data Entry and Analysis Tools Webcast-Intro Tutorial on the SOPS Data Entry and Analysis Tools Webcast December 3, 2020 2:30-3:00 PM ET Need Help? • No sound from computer speakers? • Trouble with your connection or slides not moving? ► Log out and log back in • Other problems? ► Use …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837677/psn-pdf
    July 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022 Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186. https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-info-form.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Background Quality Improvement Team Information Form AHRQ Safety Program for Perinatal Care Background Quality Improvement Team Information Form Who should use this tool? Health care teams Please indicate staff members designated as Labor and Delivery Quality Improvement Team…