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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34796/psn-pdf
    November 18, 2015 - The business case for quality: case studies and an analysis. November 18, 2015 Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30. https://psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis This comprehens…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50916/psn-pdf
    February 19, 2020 - Patient safety and suicide prevention in mental health services: time for a new paradigm? February 19, 2020 Quinlivan L, Littlewood DL, Webb RT, et al. Patient safety and suicide prevention in mental health services: time for a new paradigm? J Mental Health. 2020;29(1):1-5. doi:10.1080/09638237.2020.1714013. https…
  3. psnet.ahrq.gov/issue/ashrm-patient-safety-portal
    September 27, 2016 - Multi-use Website ASHRM Patient Safety Portal. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 21, 2012 This Web site provides access to educational resources for risk ma…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47802/psn-pdf
    March 04, 2019 - The path to diagnostic excellence includes feedback to calibrate how clinicians think. March 4, 2019 Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. 2019;321(8):737-738. doi:10.1001/jama.2019.0113. https://psnet.ahrq.gov/issue/path-diagnostic-excelle…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44621/psn-pdf
    February 10, 2016 - Young surgeons on speaking up: when and how surgical trainees voice concerns about supervisors' clinical decisions. February 10, 2016 Sur MD, Schindler N, Singh P, et al. Young surgeons on speaking up: when and how surgical trainees voice concerns about supervisors' clinical decisions. Am J Surg. 2016;211(2):437-4…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40546/psn-pdf
    September 29, 2017 - Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. September 29, 2017 Black LM. Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. Am J Nurs. 2011;111(6):26-37. doi:10.1097/01.NAJ.0000398537.06542.c0. https://psnet.ahrq…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50932/psn-pdf
    February 26, 2020 - Clinician-directed performance improvement: moving beyond externally mandated metrics. February 26, 2020 Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. https://psnet.ahrq.gov/issue/clinician-direct…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43660/psn-pdf
    November 12, 2014 - Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting. November 12, 2014 Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46473/psn-pdf
    December 18, 2017 - Diagnostic errors: impact of an educational intervention on pediatric primary care. December 18, 2017 Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.07.004. https://psnet.ahrq.gov…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45172/psn-pdf
    January 01, 2017 - Strategies for developing and recognizing faculty working in quality improvement and patient safety. December 30, 2016 Coleman DL, Wardrop RM, Levinson WS, et al. Strategies for Developing and Recognizing Faculty Working in Quality Improvement and Patient Safety. Acad Med. 2017;92(1):52-57. doi:10.1097/ACM.0000000…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47429/psn-pdf
    December 05, 2018 - The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. December 5, 2018 Edmondson AC. Hoboken, NJ: John Wiley & Sons, Inc.; 2019. ISBN: 9781119477266. https://psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning- innova…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43398/psn-pdf
    July 30, 2014 - Strategies to prevent healthcare-associated infections through hand hygiene. July 30, 2014 Ellingson K, Haas JP, Aiello AE, et al. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol. 2014;35(8):937-960. doi:10.1086/677145. https://psnet.ahrq.gov/issue/strateg…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60155/psn-pdf
    March 25, 2020 - Analysis of patient-physician concordance in the understanding of chemotherapy treatment plans among patients with cancer. March 25, 2020 Almalki H, Absi A, Alghamdi A, et al. Analysis of patient-physician concordance in the understanding of chemotherapy treatment plans among patients with cancer. JAMA Netw Open. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43468/psn-pdf
    December 10, 2014 - Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? December 10, 2014 Simons P, Houben R, Benders J, et al. Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? Eur J Oncol Nurs. 2014;18(5…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837201/psn-pdf
    May 25, 2022 - Near miss research in the healthcare system: a scoping review. May 25, 2022 Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124. https://psnet.ahrq.gov/issue/near-miss-research-healthcare-system-sco…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45349/psn-pdf
    July 27, 2016 - An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. July 27, 2016 Polinski JM, Moore JM, Kyrychenko P, et al. An Insurer's Care Transition Program Emphasizes Medication Reconciliation, Reduces Readmissions And Costs. Health Aff (Millwood). 2016;35(7):1222-9. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44619/psn-pdf
    November 04, 2015 - Seeing through Google Glass: using an innovative technology to improve medication safety behaviors in undergraduate nursing students. November 4, 2015 Schneidereith T. Seeing Through Google Glass: Using an Innovative Technology to Improve Medication Safety Behaviors in Undergraduate Nursing Students. Nurs Educ Per…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836718/psn-pdf
    March 09, 2022 - Systems engineering analysis of diagnostic referral closed-loop processes. March 9, 2022 Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603. https://psnet.ahrq.gov/issue/systems-engineering-an…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34662/psn-pdf
    December 24, 2008 - User's manual for the IOM's 'Quality Chasm' report. December 24, 2008 Berwick DM. A user's manual for the IOM's 'Quality Chasm' report. Health Aff (Millwood). 2002;21(3):80-90. https://psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report Fifteen months after releasing its report on patient safety (To Err Is …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45670/psn-pdf
    November 16, 2016 - Not thinking clearly? Play a game, seriously! November 16, 2016 Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867- 1868. doi:10.1001/jama.2016.14174. https://psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously Heuristics enable experts to build off their …

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