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  1. 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 …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44941/psn-pdf
    October 05, 2016 - An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. October 5, 2016 Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information Management System improves pre-anaesthe…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37610/psn-pdf
    June 16, 2011 - Is yours a learning organization? June 16, 2011 Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134. https://psnet.ahrq.gov/issue/yours-learning-organization Key tenets of improving patient safety at the organizational level include taking a systems approach to s…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73426/psn-pdf
    June 23, 2021 - The perfect storm: exam of a medical error and factors contributing to its possible escalation. June 23, 2021 Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.0000000000000846. https://psnet.ahrq.gov/iss…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34058/psn-pdf
    September 29, 2017 - Research designs for studies evaluating the effectiveness of change and improvement strategies. September 29, 2017 Eccles M, Grimshaw J, Campbell M, et al. Research designs for studies evaluating the effectiveness of change and improvement strategies. Qual Saf Health Care. 2003;12(1):47-52. https://psnet.ahrq.gov/…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47574/psn-pdf
    November 21, 2018 - The architecture of safety: an emerging priority for improving patient safety. November 21, 2018 Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643. https://psnet.ahrq.gov/issue/…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866648/psn-pdf
    September 04, 2024 - ACOG Committee Statement No. 10: Racial and Ethnic Inequities in Obstetrics and Gynecology. September 4, 2024 ACOG Committee Statement No. 10: Racial and Ethnic Inequities in Obstetrics and Gynecology. Obstet Gynecol. 2024;144(3):e62-e74. doi:10.1097/aog.0000000000005678. https://psnet.ahrq.gov/issue/acog-committe…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838315/psn-pdf
    October 12, 2022 - Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. October 12, 2022 Redmond S, Barwise A, Zornes S, et al. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. Health Serv Insights. 2022;15:117863292211235. doi:…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45142/psn-pdf
    November 18, 2016 - Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. November 18, 2016 Goodman D, Ogrinc G, Davies L, et al. Explanation and elaboration of the SQUIRE (Standards for Quality Impro…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47549/psn-pdf
    March 04, 2019 - Interventions against bullying of prelicensure students and nursing professionals: an integrative review. March 4, 2019 Rutherford DE, Gillespie GL, Smith CR. Interventions against bullying of prelicensure students and nursing professionals: An integrative review. Nurs Forum. 2019;54(1):84-90. doi:10.1111/nuf.12301…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46426/psn-pdf
    September 28, 2017 - Toward more proactive approaches to safety in the electronic health record era. September 28, 2017 Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005. https://psnet.ahrq.gov/issue/toward…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861292/psn-pdf
    January 24, 2024 - Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. January 24, 2024 Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42. https://psnet.ahrq.gov/issue/deficiencies-community-care-n…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867182/psn-pdf
    November 20, 2024 - Combining multiple large language models improves diagnostic accuracy. November 20, 2024 Barabucci G, Shia V, Chu ES, et al. Combining multiple large language models improves diagnostic accuracy. NEJM AI. 2024;1(11):AIcs2400502. doi:10.1056/aics2400502. https://psnet.ahrq.gov/issue/combining-multiple-large-languag…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44841/psn-pdf
    February 03, 2016 - Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. February 3, 2016 Murray P. Washington, DC; Senate Health, Education, Labor, and Pensions Committee; 2016. https://psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical- dev…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35805/psn-pdf
    January 02, 2017 - Getting the board on board: engaging hospital boards in quality and patient safety. January 2, 2017 Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. https://psnet.ahrq.gov/issue/getting-board-board-engaging-hospita…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60060/psn-pdf
    March 18, 2020 - The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. March 18, 2020 Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. J Health Life Sc…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44798/psn-pdf
    November 02, 2016 - From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. November 2, 2016 Bardach N, Lyndon A, Asteria-Peñaloza R, et al. From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. BMJ Qual Saf. 2016;25(11):889-897. doi:…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44723/psn-pdf
    December 16, 2015 - Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. December 16, 2015 Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles Improve Communication and Teamwork in the Emergency Department. Jour…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45351/psn-pdf
    July 20, 2016 - Building a Patient Safety Toolkit for use in general practice. July 20, 2016 Bell BG, Spencer R, Marsden K, et al. Building a Patient Safety Toolkit for use in general practice. InnovAiT. 2016;9(9):557-562. doi:10.1177/1755738016650468. https://psnet.ahrq.gov/issue/patient-safety-toolkit-general-practice Although…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73164/psn-pdf
    April 21, 2021 - Effectiveness of communication interventions in obstetrics--a systematic review. April 21, 2021 Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616. https://psnet.ahrq.go…
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