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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47406/psn-pdf
    October 31, 2018 - Systems Approach in Healthcare. October 31, 2018 Dean J, Clarkson J, eds. Future Hosp J. 2018;5:145-187. https://psnet.ahrq.gov/issue/systems-approach-healthcare The systems approach has long been heralded as a key element to safe patient care. Articles in this special issue explore techniques to engage clinicians…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40646/psn-pdf
    July 27, 2011 - Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. July 27, 2011 Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of Engineering. Washington, DC: The National Academies Press; 2011. ISBN: 9780309120647. https://psnet.ahrq.gov/issue/engineering…
  3. digital.ahrq.gov/ahrq-funded-projects/research-agenda-patient-centered-medical-home/final-report
    January 01, 2023 - A Research Agenda for the Patient-Centered Medical Home - Final Report Citation Landon B. A Research Agenda for the Patient-Centered Medical Home - Final Report. (Prepared by the Society of General Internal Medicine under Grant No. R13 HS017995). Rockville, MD: Agency for Healthcare Research and Quali…
  4. digital.ahrq.gov/ahrq-funded-projects/enabling-sleep-apnea-patient-centered-care-internet-intervention/citation/ehealth
    January 01, 2023 - An eHealth approach to the management of chronic sleep disorders. Citation Stepnowsky S, Bonjean M. An eHealth approach to the management of chronic sleep disorders. In: Carlstedt R, ed. Handbook of integrative clinical psychology, psychiatry, and behavioral medicine: perspectives, practices, and rese…
  5. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-compendium-techdoc.pdf
    January 01, 2023 - Compendium of U.S. Health Systems, 2023, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2023, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockvill…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34785/psn-pdf
    February 18, 2011 - Diseases of medical progress. February 18, 2011 MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14. https://psnet.ahrq.gov/issue/diseases-medical-progress This review shares a perspective that the history of medicine provides numerous examples of how emerging illnesses develop from sound the…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73097/psn-pdf
    March 31, 2011 - The Future of Nursing: Leading Change, Advancing Health. March 31, 2011 Institute of Medicine. Washington, DC: The National Academies Press: 2011. https://psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health The effective engagement of nursing is key to patient safety and care quality improvement. T…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39093/psn-pdf
    November 11, 2009 - For whom the Bell Commission tolls: unintended effects of limiting residents' hours. November 11, 2009 Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9. https://psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limitin…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41024/psn-pdf
    December 21, 2011 - Teamwork and team training in the ICU: where do the similarities with aviation end? December 21, 2011 Reader TW, Cuthbertson BH. Teamwork and team training in the ICU: Where do the similarities with aviation end? Crit Care. 2011;15(6). doi:10.1186/cc10353. https://psnet.ahrq.gov/issue/teamwork-and-team-training-ic…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74733/psn-pdf
    February 02, 2022 - Prep, Stop, Block. February 2, 2022 RA-UK, the Faculty of Pain Medicine, RCoA Simulation and NHS Improvement https://psnet.ahrq.gov/issue/prep-stop-block Standardization is a common strategy for preventing practice deviations that can contribute to harm. This tool outlines a three-step process for minimizing the o…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36042/psn-pdf
    February 17, 2011 - Major congenital malformations after first-trimester exposure to ACE inhibitors. February 17, 2011 Cooper WO, Hernandez-Diaz S, Arbogast PG, et al. Major Congenital Malformations after First-Trimester Exposure to ACE Inhibitors. New England Journal of Medicine. 2006;354(23). doi:10.1056/nejmoa055202. https://psnet…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50606/psn-pdf
    October 30, 2019 - One doctor. 25 deaths. How could it have happened? October 30, 2019 Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019. https://psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened Systemic failures persistently undermine processes meant to keep patients safe. This news story discu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34754/psn-pdf
    February 06, 2018 - Patient Safety in Anesthetic Practice. February 6, 2018 Morell RC; Eichhorn JH, eds. New York: Churchill Livingstone, 1997. ISBN: 9780443076824. https://psnet.ahrq.gov/issue/patient-safety-anesthetic-practice Anesthesiology made its mark early on in the quest for patient safety. Eichhorn was a part of the converge…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38982/psn-pdf
    February 03, 2011 - Association of resident fatigue and distress with perceived medical errors. February 3, 2011 West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-300. doi:10.1001/jama.2009.1389. https://psnet.ahrq.gov/issue/association-resident-f…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36256/psn-pdf
    February 02, 2011 - Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. February 2, 2011 West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 2006;296(9):1071-8. https://psne…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35858/psn-pdf
    July 22, 2010 - How long and how much are nurses now working? July 22, 2010 Trinkoff AM, Geiger-Brown J, Brady B, et al. How long and how much are nurses now working? Am J Nurs. 2006;106(4):60-72. https://psnet.ahrq.gov/issue/how-long-and-how-much-are-nurses-now-working The authors analyzed results from a national survey and foun…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35595/psn-pdf
    January 04, 2009 - Patient Safety: Achieving a New Standard of Care. January 4, 2009 Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM, Wolcott J, Erickson SM, eds. Washington (DC): National Academies Press (US); 2004. https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standa…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42537/psn-pdf
    October 02, 2013 - The use of a checklist in a pediatric oncology clinic. October 2, 2013 McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657. https://psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic An Institute o…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42025/psn-pdf
    February 06, 2013 - Medical malpractice: why is it so hard for doctors to apologize? February 6, 2013 Sanghavi D. https://psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize Discussing barriers to physician error disclosure, this article details how an apology-and-offer approach and analyzing claims data can im…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40771/psn-pdf
    June 15, 2012 - Medication prescribing errors in the prehospital setting and in the ED. June 15, 2012 Lifshitz AE, Goldstein LH, Sharist M, et al. Medication prescribing errors in the prehospital setting and in the ED. Am J Emerg Med. 2012;30(5):726-31. doi:10.1016/j.ajem.2011.04.023. https://psnet.ahrq.gov/issue/medication-presc…