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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43008/psn-pdf
    November 21, 2014 - Understanding safety culture in long-term care: a case study. November 21, 2014 Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. https://psnet.ahrq.gov/issue/understanding-safety-culture-lon…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50822/psn-pdf
    January 22, 2020 - Nurses' sleep, work hours, and patient care quality, and safety January 22, 2020 Stimpfel AW, Fatehi F, Kovner C. Sleep Health. 2020;6(3):314-320. https://psnet.ahrq.gov/issue/nurses-sleep-work-hours-and-patient-care-quality-and-safety Research provides evidence that sleep deprivation among nurses is a threat to p…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36226/psn-pdf
    August 30, 2006 - Framework for a High Performance Health System for the United States. August 30, 2006 Mongan JJ. New York, NY; The Commonwealth Fund: 2006. https://psnet.ahrq.gov/issue/framework-high-performance-health-system-united-states This report calls for providing "safe, well-coordinated, accessible, and efficient" care th…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47829/psn-pdf
    March 27, 2019 - The impact of internal service quality on preventable adverse events in hospitals. March 27, 2019 Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/poms.12758. https://psnet.ahrq.gov/…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42901/psn-pdf
    January 29, 2014 - Do safety checklists improve teamwork and communication in the operating room? A systematic review. January 29, 2014 Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. doi:10.1097/SLA.0000000000000206…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74019/psn-pdf
    July 11, 2023 - PACT Collaborative: Pathway to Accountability, Compassion and Transparency. July 11, 2023 Ariadne Labs, Brigham and Women’s Hospital, Harvard TH Chan School of Public Health. https://psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency Communication and Resolution Programs (CR…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40217/psn-pdf
    April 04, 2011 - The objective impact of clinical peer review on hospital quality and safety. April 4, 2011 Edwards MT. The objective impact of clinical peer review on hospital quality and safety. Am J Med Qual. 2011;26(2):110-9. doi:10.1177/1062860610380732. https://psnet.ahrq.gov/issue/objective-impact-clinical-peer-review-hospi…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34660/psn-pdf
    December 24, 2008 - Building a learning organization. December 24, 2008 Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. https://psnet.ahrq.gov/issue/building-learning-organization Garvin, a Harvard Business School professor, postulates that for organizations to truly improve over time and succeed, they ne…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43270/psn-pdf
    June 18, 2014 - Group urges going metric to head off dosing mistakes. June 18, 2014 Budnitz DS, Lovegrove MC, Rose KO. Adherence to Label and Device Recommendations for Over-the- Counter Pediatric Liquid Medications. PEDIATRICS. 2014;133(2). doi:10.1542/peds.2013-2362. https://psnet.ahrq.gov/issue/group-urges-going-metric-head-dos…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41838/psn-pdf
    December 04, 2016 - Modern palliative radiation treatment: do complexity and workload contribute to medical errors? December 4, 2016 D'Souza N, Holden L, Robson S, et al. Modern palliative radiation treatment: do complexity and workload contribute to medical errors? Int J Radiat Oncol Biol Phys. 2012;84(1):e43-8. doi:10.1016/j.ijrobp…

  11. Appendix E. Poster on Urinary Catheter Risks and Indications (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-e.pdf
    September 01, 2015 - Appendix E. Poster on Urinary Catheter Risks and Indications AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix E. Poster on Urinary Catheter Risks and Indications ■ Acute urinary retention or obstruction ■ Perioperative use in selected surgeries ■ Assistance of healing of severe perineal an…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60956/psn-pdf
    September 30, 2020 - Assessing and supporting late career practitioners: four key questions. September 30, 2020 White AA, Sage WM, Mazor KM, et al. Assessing and supporting late career practitioners: four key questions. Jt Comm J Qual Patient Saf. 2020;46(10):591-595. doi:10.1016/j.jcjq.2020.07.001. https://psnet.ahrq.gov/issue/assess…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45363/psn-pdf
    September 14, 2016 - Effective perioperative communication to enhance patient care. September 14, 2016 Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20. doi:10.1016/j.aorn.2016.06.001. https://psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care Poor team …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35061/psn-pdf
    March 03, 2011 - Resident work hour limits and patient safety. March 3, 2011 Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg. 2005;241(6):847-56; discussion 856-60. https://psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety Resident work hour limitations have been enfor…

  15. Implementing a Daily Team Huddle—AMA CME Module | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/tools/team-huddle.html
    February 01, 2025 - Implementing a Daily Team Huddle—AMA CME Module Resource: Daily Team Huddles Boost Productivity and Teamwork This toolkit helps to identify strategies to incorporate daily huddles into practice workflows, to devise daily huddle structure, and to measure the success of the daily huddle for revisions. The resour…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74188/psn-pdf
    December 15, 2021 - Semantically ambiguous language in the teaching operating room. December 15, 2021 Liu C, McKenzie A, Sutkin G. Semantically ambiguous language in the teaching operating room. J Surg Edu. 2021;78(6):1938-1947. doi:10.1016/j.jsurg.2021.03.020. https://psnet.ahrq.gov/issue/semantically-ambiguous-language-teaching-ope…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34805/psn-pdf
    November 07, 2017 - Medication errors in neonatal and paediatric intensive- care units. November 7, 2017 Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6. https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units Th…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42071/psn-pdf
    February 27, 2013 - Rate of occult specimen provenance complications in routine clinical practice. February 27, 2013 Pfeifer JD, Liu J. Rate of occult specimen provenance complications in routine clinical practice. Am J Clin Pathol. 2013;139(1):93-100. doi:10.1309/AJCP50WEZHWIFCIV. https://psnet.ahrq.gov/issue/rate-occult-specimen-pr…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39498/psn-pdf
    February 10, 2015 - The effect of health information technology on quality in U.S. hospitals. February 10, 2015 McCullough JS, Casey M, Moscovice I, et al. The effect of health information technology on quality in U.S. hospitals. Health Aff (Millwood). 2010;29(4):647-654. doi:10.1377/hlthaff.2010.0155. https://psnet.ahrq.gov/issue/ef…

  20. CHIPRA 207: Section 6, Tables 6 and 7 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-section-6-tables-6-7.pdf
    June 02, 2025 - CHIPRA 207: Section 6, Tables 6 and 7 Section VI_A Table 6: Reliability Testing Table 6. Reliability testing of California hospital values Loneway Technique Spearman Co…
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