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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44513/psn-pdf
    September 23, 2015 - Improving Diagnosis in Health Care. September 23, 2015 Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309377690. https://psnet.ahrq.gov/issue/improving-diagnosis-health-care The National Academy of Me…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73244/psn-pdf
    May 12, 2021 - Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review. May 12, 2021 Brown NJ, Wilson B, Szabadi S, et al. Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review. Patient Sa…

  3. Critical steps when conducting a risk assessment (pdf file)

    digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/HowtoConductaRiskAssessment.pdf
    January 01, 2010 - Critical steps when conducting a risk assessment How to Conduct a Risk Assessment Risk assessments can be conducted in a number of ways. Certain common methods, such as failure mode and effects analysis, can be time consuming. By following the steps below, through a group process or by interviewing individual…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42439/psn-pdf
    November 23, 2016 - Guide to Patient and Family Engagement in Hospital Quality and Safety. November 23, 2016 Rockville, MD: Agency for Healthcare Research and Quality; June 2013. https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety Studies have shown that a surprisingly large proportion of hosp…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74706/psn-pdf
    January 26, 2022 - Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). January 26, 2022 Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for Healthcare Research and Quality Patient Safety for Selected Indicators Com…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40649/psn-pdf
    April 21, 2015 - Explaining Michigan: developing an ex post theory of a quality improvement program. April 21, 2015 Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):167-205. doi:10.1111/j.1468-0009.2011.00625.x. https://psnet.ahrq.g…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73350/psn-pdf
    June 02, 2021 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. June 2, 2021 Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. doi:10.1097/jhq.0000000000000301. h…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838186/psn-pdf
    September 28, 2022 - Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews. September 28, 2022 Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews…

  9. AHRQ NAC Meeting | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/organization/nac/webex-instructions.html
    March 01, 2018 - AHRQ NAC Meeting March 16, 11:00 a.m. to 1:00 p.m. Instructions on Joining WebEx Via Computer Step 1: Click on or copy the link below and paste it in your browser. It is recommended to use Firefox or Chrome. https://capitalconsultingcorp.webex.com/capitalconsultingcorp/onstage/g.php?MTID=ea9f5703b56b58af…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867641/psn-pdf
    February 26, 2025 - Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium). February 26, 2025 Neyens L, Stouten E, Vanhaecht K, et al. Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867523/psn-pdf
    January 15, 2025 - How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. January 15, 2025 Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. Jt Com…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73425/psn-pdf
    June 23, 2021 - A qualitative study of what care workers do to provide patient safety at home through telecare. June 23, 2021 Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at home through telecare. BMC Health Serv Res. 2021;21(1):553. doi:10.1186/s12913-021-06556-4. htt…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836997/psn-pdf
    April 27, 2022 - The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. April 27, 2022 Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73188/psn-pdf
    April 28, 2021 - Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. April 28, 2021 Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):26. doi:10.1186/s12910-021-00593-8. ht…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848811/psn-pdf
    May 10, 2023 - Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. May 10, 2023 Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. BMJ O…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867437/psn-pdf
    January 08, 2025 - Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. January 8, 2025 Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/ane.0000000000007261. https://psne…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853969/psn-pdf
    September 27, 2023 - Perceptions of chief clinical information officers on the state of electronic health records systems interoperability in NHS England: a qualitative interview study. September 27, 2023 Li E, Lounsbury O, Clarke J, et al. Perceptions of chief clinical information officers on the state of electronic health records sy…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46541/psn-pdf
    January 31, 2018 - The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment. January 31, 2018 Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards: Promoting Physician Learning and Professional Development in a Safe, Humane …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45045/psn-pdf
    May 25, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report. May 25, 2016 Schneider EC, Ridgely MS, Quigley DD, et al. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-0027-EF. https://psnet.ahrq.g…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38079/psn-pdf
    February 15, 2011 - Development and evaluation of the Institute for Healthcare Improvement global trigger tool. February 15, 2011 Classen DC, Lloyd RC, Provost LP, et al. Development and Evaluation of the Institute for Healthcare Improvement Global Trigger Tool. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e318183a475. https://psne…
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