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8021. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73390/psn-pdf
      June 16, 2021 - Developing a patient safety culture in primary dental care. June 16, 2021 Bailey E, Dungarwalla M. Developing a patient safety culture in primary dental care. Prim Dent J. 2021;10(1):89-95. doi:10.1177/2050168420980990. https://psnet.ahrq.gov/issue/developing-patient-safety-culture-primary-dental-care Research int…

8022. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39333/psn-pdf
      May 04, 2010 - Explaining ethnic disparities in patient safety: a qualitative analysis. May 4, 2010 Suurmond J, Uiters E, de Bruijne M, et al. Explaining ethnic disparities in patient safety: a qualitative analysis. Am J Public Health. 2010;100 Suppl 1:S113-7. doi:10.2105/AJPH.2009.167064. https://psnet.ahrq.gov/issue/explaining…

8023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74076/psn-pdf
      November 17, 2021 - Influence of perioperative handoffs on complications and outcomes. November 17, 2021 Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008. https://psnet.ahrq.gov/issue/influence-perioperative-handoffs-complic…

8024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848384/psn-pdf
      May 03, 2023 - Roadmap to Health Care Safety for Massachusetts. May 3, 2023 Massachusetts Healthcare Safety and Quality Consortium. Boston, MA: Betsy Lehman Center for Patient Safety; April 2023. https://psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts Collective engagement and focus are required to attain large sys…

8025. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44832/psn-pdf
      February 03, 2016 - Crowdsourcing diagnosis for patients with undiagnosed illnesses: an evaluation of CrowdMed. February 3, 2016 Meyer AND, Longhurst CA, Singh H. Crowdsourcing Diagnosis for Patients With Undiagnosed Illnesses: An Evaluation of CrowdMed. J Med Internet Res. 2016;18(1):e12. doi:10.2196/jmir.4887. https://psnet.ahrq.go…

8026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44073/psn-pdf
      April 15, 2015 - Clinician support: five years of lessons learned. April 15, 2015 Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31. https://psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned This magazine article relates insights from an academic health care system that developed a…

8027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45910/psn-pdf
      March 08, 2017 - Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. March 8, 2017 Ottawa, ON: Canadian Agency for Drugs and Technologies in Health; 2016. https://psnet.ahrq.gov/issue…

8028. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836999/psn-pdf
      April 27, 2022 - Toolkit for Preventing CLABSI and CAUTI in ICUs. April 27, 2022 Rockville, MD: Agency for Healthcare Research and Quality; April 2022. https://psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus Healthcare-associated infections can result in significant morbidity and mortality. Developed by AHRQ, this cu…

8029. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842778/psn-pdf
      January 18, 2023 - During in-flight emergencies, sometimes airlines’ medical kits fall short. January 18, 2023 Ramachandran V. Kaiser Health News. January 6, 2023. https://psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short Inadequate equipment and personnel training degrade the reliability of i…

8030. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60215/psn-pdf
      April 08, 2020 - Pain Alleviation Toolkit. April 8, 2020 American Society of Anesthesiologists, American Academy of Orthopaedic Surgeons. March 12, 2020. https://psnet.ahrq.gov/issue/pain-alleviation-toolkit Communication and shared decision-making are fundamental tactics to guide clinical team and patient efforts to minimize the …

8031. Artificial Intelligence and Human Factors in Health Care Quality & Safety Conference | PSNet
      psnet.ahrq.gov/training-catalog/artificial-intelligence-and-human-factors-health-care-quality-safety-conference
      Artificial Intelligence and Human Factors in Health Care Quality & Safety Conference Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Penn State College of Medicine…

8032. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47557/psn-pdf
      November 14, 2018 - A Patient-Safe Future. November 14, 2018 Patient Safety Learning: London, UK; September 2018. https://psnet.ahrq.gov/issue/patient-safe-future This paper provides an analysis of the current status of patient safety in the United Kingdom. The report outlines existing challenges and strategies to drive system improv…

8033. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35415/psn-pdf
      December 21, 2008 - Acting Locally: Working in Clinical Microsystems CD- ROM. December 21, 2008 Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865. https://psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom This resource represents a collection of special articles published in the Joint …

8034. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43008/psn-pdf
      November 21, 2014 - Understanding safety culture in long-term care: a case study. November 21, 2014 Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. https://psnet.ahrq.gov/issue/understanding-safety-culture-lon…

8035. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39278/psn-pdf
      March 05, 2010 - To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene. March 5, 2010 Garcia-Williams A; Brinsley-Rainisch K; Schillie S; Sinkowitz-Cochran R. https://psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-vid…

8036. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48111/psn-pdf
      July 10, 2019 - Medication Safety in Key Action Areas. July 10, 2019 Geneva, Switzerland: World Health Organization; 2019. https://psnet.ahrq.gov/issue/medication-safety-key-action-areas Reducing adverse medication events is a worldwide challenge. This collection of technical reports explores key areas of concern that require act…

8037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43898/psn-pdf
      February 11, 2015 - Special Section on Patient Safety and Quality in Healthcare. February 11, 2015 Andersen HB, Lipczak H, Borch-Johnsen K, eds. Cogn Technol Work. 2015;17:1-155. https://psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare Articles in this special issue explore patient safety from a sociotechnic…

8038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34129/psn-pdf
      January 16, 2019 - WHO Patient Safety. January 16, 2019 World Health Organization. https://psnet.ahrq.gov/issue/who-patient-safety Reducing accidents and the risk of error requires a significant and sustained response at national and global levels. With this in mind, the World Health Organization and its partners launched the World …

8039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34748/psn-pdf
      March 07, 2005 - Reducing Adverse Drug Events. March 7, 2005 Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998. https://psnet.ahrq.gov/issue/reducing-adverse-drug-events This application-oriented book provides the results of the Institute for Healthcare Improvement (IHI) Breakthrough S…

8040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40440/psn-pdf
      July 02, 2014 - Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. July 2, 2014 Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Ac…