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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851655/psn-pdf
    July 26, 2023 - Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care: an interview study. July 26, 2023 Olin K, Klinga C, Ekstedt M, et al. Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care: an interview …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47877/psn-pdf
    June 15, 2019 - End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography. June 15, 2019 Ardila D, Kiraly AP, Bharadwaj S, et al. End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography. Nat Med. 2019;25(6):954-961. doi:10.1038/s4…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43764/psn-pdf
    July 03, 2016 - Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. July 3, 2016 Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097/ACM.0000000000000579. https://psnet.ahr…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845301/psn-pdf
    March 01, 2023 - Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial. March 1, 2023 Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial. BMJ.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43651/psn-pdf
    November 18, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. November 18, 2016 Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl). 2014;1(4):283-287. doi:10.1515/dx-2014-0064. https://psn…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861764/psn-pdf
    January 31, 2024 - Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. January 31, 2024 Amat MJ, Anderson TS, Shafiq U, et al. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. Jt Comm J Qual Patien…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47118/psn-pdf
    August 08, 2018 - Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. August 8, 2018 Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.1016/j.jclinane.2017.12.008. https:/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60571/psn-pdf
    June 10, 2020 - Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. June 10, 2020 Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in a time of crisis. CJEM. 2020;22(6):738…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837804/psn-pdf
    August 10, 2022 - Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. August 10, 2022 Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person to the hospital: a multi?method qualitative study. J Adv Nurs. 2022;78(1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853618/psn-pdf
    September 20, 2023 - Improving patients' intensive care admission through multidisciplinary simulation-based crisis resource management: a qualitative study. September 20, 2023 Jensen JF, Ramos J, Ørom M?L, et al. Improving patients' intensive care admission through multidisciplinary simulation?based crisis resource management: a qual…
  11. Tool: SSA (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/staff-safety-asst.docx
    January 01, 2017 - Tool: SSA What Is the Purpose of This Tool? The purpose of this tool is to tap into frontline knowledge to find risks on your unit that impact patient safety. Who Should Use This Tool? All health care providers and administrative staff on the unit should use this tool. When Should This Tool Be Used? Assessing saf…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837416/psn-pdf
    June 15, 2022 - From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme. June 15, 2022 Singh M, Collins L, Farrington R, et al. From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme. Diagnosis (B…
  13. www.ahrq.gov/talkingquality/translate/labels/index.html
    March 01, 2016 - Describing Health Care Quality Measures in User-Friendly Ways Most people are not familiar with even quite common health care quality measures. The typical “name” of most clinical measures is in medical language that many people do not understand or may actually misunderstand. At this stage in the development…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72682/psn-pdf
    January 27, 2021 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical center in Taiwan. January 27, 2021 Tiao C-H, Tsai L-C, Chen L-C, et al. Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effe…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38572/psn-pdf
    April 22, 2009 - Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. April 22, 2009 de Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care. 2009;18(2):121-6. doi:10.1136/qshc.2008.027524. https://p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866076/psn-pdf
    June 05, 2024 - Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. June 5, 2024 Ferguson J, Stringer G, Walshe K, et al. Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. BMJ Qual Saf. 2024;33(6):354-362. doi:10.1136/bmjqs-20…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866909/psn-pdf
    October 09, 2024 - General practitioners' risk literacy and real-world prescribing of potentially hazardous drugs: a cross- sectional study. October 9, 2024 Wegwarth O, Hoffmann TC, Goldacre B, et al. General practitioners’ risk literacy and real-world prescribing of potentially hazardous drugs: a cross-sectional study. BMJ Qual Saf…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72579/psn-pdf
    January 01, 2021 - Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. December 16, 2020 Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116(2):225-233. doi:10.1111/vox.13…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50883/psn-pdf
    February 12, 2020 - Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. February 12, 2020 Pater CM, Sosa TK, Boyer J, et al. Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. BMJ Qual Saf. 2020;29(9):717-726. doi:10.1136/b…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73286/psn-pdf
    May 19, 2021 - Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. May 19, 2021 Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. Appl Er…