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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42516/psn-pdf
    February 04, 2016 - "Excuse me": teaching interns to speak up. February 4, 2016 O'Connor P, Byrne D, O'Dea A, et al. "Excuse me:" teaching interns to speak up. Jt Comm J Qual Patient Saf. 2013;39(9):426-431. https://psnet.ahrq.gov/issue/excuse-me-teaching-interns-speak Previous research has shown that junior physicians may be unwilli…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37216/psn-pdf
    July 28, 2010 - Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. July 28, 2010 Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43. https://psnet.ahrq.gov/issue/discharge-rounds-80-hour-workwee…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40865/psn-pdf
    September 12, 2016 - A review of current and emerging approaches to address failure-to-rescue. September 12, 2016 Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to- rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. https://psnet.ahrq.gov/issue/review-current-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863000/psn-pdf
    February 21, 2024 - Why engineers are working to build better pulse oximeters. February 21, 2024 Willyard C. MIT Technology Review. February 9, 2024. https://psnet.ahrq.gov/issue/why-engineers-are-working-build-better-pulse-oximeters Engineers play an important role in the development and manufacturing of medical devices with an eye …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43185/psn-pdf
    May 14, 2014 - Preventing health care–associated harm in children. May 14, 2014 Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. https://psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children This commentary describes why de…
  6. psnet.ahrq.gov/training-catalog/building-safety-culture-and-strengthening-hospital-safety-systems
    July 07, 2025 - Building Safety Culture and Strengthening Hospital Safety Systems Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Hospital Quality Institute E…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35443/psn-pdf
    September 18, 2009 - The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals. September 18, 2009 Webster CS. The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38008/psn-pdf
    August 27, 2008 - The Team Climate Inventory: application in hospital teams and methodological considerations. August 27, 2008 Ouwens M, Hulscher M, Akkermans R, et al. The Team Climate Inventory: application in hospital teams and methodological considerations. Qual Saf Health Care. 2008;17(4):275-80. doi:10.1136/qshc.2006.021543. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41537/psn-pdf
    December 30, 2014 - Deaths due to medical error: jumbo jets or just small propeller planes? December 30, 2014 Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368. https://psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-prop…
  10. www.ahrq.gov/antibiotic-use/long-term-care/best-practices/cellulitis.html
    May 01, 2022 - Assessment and Management of the Resident With a Suspected Skin or Soft Tissue Infection After viewing or presenting this presentation, viewers will be able to— Distinguish infectious cellulitis versus cellulitis mimics​. Discuss the diagnostic approach and empiric management of skin and soft tissue inf…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37256/psn-pdf
    July 28, 2010 - Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in medical decision making. July 28, 2010 Weiner SJ, Schwartz A, Yudkowsky R, et al. Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in medical decision making. Med …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42284/psn-pdf
    May 22, 2013 - Current approaches to punitive action for medication errors by boards of pharmacy. May 22, 2013 Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. https://psnet.ahrq.gov/issue/current…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43434/psn-pdf
    August 06, 2014 - Maryland hospitals aren't reporting all errors and complications, experts say. August 6, 2014 Cohn M. https://psnet.ahrq.gov/issue/maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say This news article reports weaknesses in a Maryland reporting program, including poor understanding about wh…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850935/psn-pdf
    June 21, 2023 - Non–operating room anesthesia challenges. June 21, 2023 Smith MJ. Anesthesiology News. June 6, 2023. https://psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges The use of office-based anesthesia presents both care improvements and risks for patients and clinical teams. This article summarizes frontline …
  15. digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery/citation/outcomes
    January 01, 2023 - What outcomes matter to patients after joint or spine surgery? Citation Whitebird RR, Solberg LI, Norton CK, Ziegenfuss JY, Asche SE, Grossman ES. What outcomes matter to patients after joint or spine surgery? J Patient Cent Res Rev. 2020 Apr 27;7(2):157-164. doi: 10.17294/2330-0698.1738. PMID: 323775…
  16. digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery/citation/whats
    January 01, 2023 - What's important: Postoperative care planning. Recognizing the central role of pets in many patients' lives. Citation Whitebird RR, Solberg LI. What's important: Postoperative care planning. Recognizing the central role of pets in many patients' lives. J Bone Joint Surg Am. 2021 Sep 1;103(17):1663-16…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33895/psn-pdf
    April 01, 2024 - The Leapfrog Hospital Survey. April 1, 2024 Leapfrog Group. https://psnet.ahrq.gov/issue/leapfrog-hospital-survey This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in implementing specific patient safety practices. Updates to the survey include increased time a…
  18. www.ahrq.gov/hai/cusp/modules/nursing/index.html
    July 01, 2018 - The Role of the Nurse Manager The Role of the Nurse Manager module of the CUSP Toolkit addresses the role of nursing leaders for your quality improvement initiative. This module explains the– Responsibilities of the nurse manager. Leadership and management roles of the nurse manager. Key business an…
  19. digital.ahrq.gov/principal-investigator/scholle-sarah-h
    January 01, 2023 - Scholle, Sarah H. Health IT-enabled care coordination: a national survey of patient-centered medical home clinicians. Citation Morton S, Shih SC, Winther CH, et al. Health IT-enabled care coordination: a national survey of patient-centered medical home clinicians. Ann Fam Med …
  20. www.ahrq.gov/cpi/about/organization/nac/nac-amd1995.html
    April 01, 2014 - Second Amendment to the Charter National Advisory Council for Health Care Policy, Research, and Evaluation Functions  The Council shall advise the Secretary and Administrator through recommendations regarding priorities for a national agenda and strategy for:  conduct of research, demonstration projects…