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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49626/psn-pdf
    May 01, 2011 - Outbreak May 1, 2011 Rothman R, Stapleton S. Outbreak. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/outbreak The Case A 36-year-old healthy man developed an acute febrile illness associated with a vesicular rash. He presented to an urgent care clinic where he was diagnosed with varicella infection ("chic…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49471/psn-pdf
    December 01, 2004 - Carpe Diem (Seize the Day) December 1, 2004 Krumholz A. Carpe Diem (Seize the Day). PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/carpe-diem-seize-day The Case A 53-year-old man presented for a new patient visit at a local medical clinic. He had several chronic medical conditions including hypertension, h…
  3. psnet.ahrq.gov/perspective/lesson-vas-team-training-program
    November 01, 2011 - Peer-to-peer communication Most professional groups can more easily take in new information from a … communication breakdowns), while at the same time using like-professions to communicate to the same professional
  4. psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
    February 01, 2014 - But with the number of inputs, the blurring of the line between professional and personal communications … A distraction may occur when a driver is texting while in traffic or when a health care professional
  5. psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
    November 01, 2011 - Peer-to-peer communication Most professional groups can more easily take in new information from a … communication breakdowns), while at the same time using like-professions to communicate to the same professional
  6. psnet.ahrq.gov/issue/culture-change-infection-control-applying-psychological-principles-improve-hand-hygiene
    November 21, 2021 - Study Culture change in infection control: applying psychological principles to improve hand hygiene. Citation Text: Cumbler E, Castillo L, Satorie L, et al. Culture change in infection control: applying psychological principles to improve hand hygiene. J Nurs Care Qual. 2013;28(4):304…
  7. psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-national-patient-safety-imperative
    March 21, 2012 - Study Eliminating central line-associated bloodstream infections: a national patient safety imperative. Citation Text: Berenholtz SM, Lubomski LH, Weeks K, et al. Eliminating central line-associated bloodstream infections: a national patient safety imperative. Infect Control Hosp Epidem…
  8. psnet.ahrq.gov/issue/patients-willingness-and-ability-identify-and-respond-errors-their-personal-health-records
    March 10, 2021 - Study Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data. Citation Text: Lear R, Freise L, Kybert M, et al. Patients' willingness and ability to identify and respond to errors in thei…
  9. psnet.ahrq.gov/issue/2019-novel-coronavirus-covid-19-pandemic-built-environment-considerations-reduce-transmission
    January 12, 2022 - Commentary 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. Citation Text: Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. mSystems. 2020;5(2):e0024…
  10. psnet.ahrq.gov/issue/association-safety-program-improving-antibiotic-use-antibiotic-use-and-hospital-onset
    July 20, 2022 - Study Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals Citation Text: Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with an…
  11. psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
    August 14, 2018 - Study Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool. Citation Text: Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076. Copy Cit…
  12. psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge
    December 13, 2017 - Study Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. Citation Text: Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on…
  13. psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
    October 24, 2018 - Study Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Citation Text: Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health A…
  14. psnet.ahrq.gov/issue/association-between-workarounds-and-medication-administration-errors-bar-code-assisted
    August 26, 2020 - Study Classic Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. Citation Text: van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication adm…
  15. psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
    September 28, 2010 - Study A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. Citation Text: Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of …
  16. psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
    May 26, 2021 - Study Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Citation Text: Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…
  17. psnet.ahrq.gov/issue/tempos-management-primary-care-key-factor-classifying-adverse-events-and-improving-quality
    March 15, 2017 - Study 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. Citation Text: Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. BMJ Qual Saf.…
  18. psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps
    June 22, 2022 - Study Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. Citation Text: Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;3…
  19. psnet.ahrq.gov/issue/racial-bias-pain-assessment-and-treatment-recommendations-and-false-beliefs-about-biological
    July 20, 2022 - Study Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Citation Text: Hoffman KM, Trawalter S, Axt JR, et al. Racial bias in pain assessment and treatment recommendations, and false beliefs about biolo…
  20. psnet.ahrq.gov/issue/types-and-origins-diagnostic-errors-primary-care-settings
    January 19, 2012 - Study Types and origins of diagnostic errors in primary care settings. Citation Text: Singh H, Giardina TD, Meyer AND, et al. Types and origins of diagnostic errors in primary care settings. JAMA Intern Med. 2013;173(6):418-425. doi:10.1001/jamainternmed.2013.2777. Copy Citation …

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