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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41668/psn-pdf
    December 21, 2014 - A surgical simulation curriculum for senior medical students based on TeamSTEPPS. December 21, 2014 Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340. https://psnet.ahrq.gov/issue/…
  2. PROMPTLY REMOVE (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-f.docx
    June 02, 2025 - PROMPTLY REMOVE AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix F. Urinary Catheter Decision-Making Algorithm Is there a urinary catheter in place? Does the patient meet criteria for catheter placement? Avoid catheter placement. Accepted Urinary Catheter Placement Indications 1. Acute urinary retentio…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855439/psn-pdf
    December 07, 2023 - Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience. November 15, 2023 American Hospital Association. December 7, 2023. https://psnet.ahrq.gov/issue/bringing-systemness-focus-quality-safety-and-patient-experience Health care organizations require a systems approach to address patient safety ch…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42345/psn-pdf
    June 12, 2013 - With money at risk, hospitals push staff to wash hands. June 12, 2013 Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Healthcare. Clinical Infectious Diseases. 2011;54(1). doi:10.1093…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47371/psn-pdf
    September 26, 2018 - When I say…diagnostic error. September 26, 2018 Hautz WE. When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602. https://psnet.ahrq.gov/issue/when-i-saydiagnostic-error Inconsistent terminology use in research, education, and measurement strategy development hinders progress and understanding in eme…
  6. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-section-6-table-6-7.pdf
    June 02, 2025 - CHIPRA 230: Section 6, Tables 6 and 7 Table 6: Agreement and Kappa Statistics for Inter-Rater Reliability Variable Description Records Reviewed For IRR (N) N Agreed (%) Kappa Statistic Documentation of BMI percentile 59 58 (98) 0.982 Documentation of weight classification 59 55 (93) 0.924 …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45134/psn-pdf
    August 10, 2016 - Patient Safety: Exploring Quality of Care in the US. August 10, 2016 ProPublica, Inc. New York, NY. 2012-2016. https://psnet.ahrq.gov/issue/patient-safety-exploring-quality-care-us This website provides resources exploring patient safety challenges from various perspectives, including feature length articles and m…
  8. 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…
  9. 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…
  10. 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-…
  11. 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 …
  12. 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…
  13. 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…
  14. 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…
  15. 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. …
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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 …