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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46132/psn-pdfSeptember 24, 2017 - The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference. September 24, 2017 Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality Improvement Education During the Morbidity and Mort… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74056/psn-pdfJanuary 01, 2022 - Critical care simulation education program during the COVID-19 pandemic. November 10, 2021 Leibner ES, Baron EL, Shah RS, et al. Critical care simulation education program during the COVID-19 pandemic. J Patient Saf. 2022;18(4):e810-e815. doi:10.1097/pts.0000000000000928. https://psnet.ahrq.gov/issue/critical-care… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47147/psn-pdfNovember 19, 2018 - Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. November 19, 2018 Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process for Operating Room-to- ICU Tra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837770/psn-pdfAugust 03, 2022 - Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. August 3, 2022 Smith K, Durant KM, Zimmerman C. Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with conc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47624/psn-pdfMarch 06, 2019 - The association between organizational culture and the ability to benefit from "just culture" training. March 6, 2019 David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.0000000000000561. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839316/psn-pdfJanuary 01, 2023 - Patient voices in hospital safety during the COVID-19 pandemic. November 2, 2022 Groves PS, Bunch JL, Hanrahan KM, et al. Patient voices in hospital safety during the COVID-19 pandemic. Clin Nurs Res. 2023;32(1):105-114. doi:10.1177/10547738221129711. https://psnet.ahrq.gov/issue/patient-voices-hospital-safety-dur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47732/psn-pdfFebruary 06, 2019 - Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature. February 6, 2019 Roybal J, Tsao KJ, Rangel S, et al. Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes and Review of the Literature. Pediatr Qual Saf. 2018;3(5):e108. doi:10.1097/pq9.0000000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44119/psn-pdfSeptember 19, 2016 - Risk managers' descriptions of programs to support second victims after adverse events. September 19, 2016 White AA, Brock DM, McCotter PI, et al. Risk managers' descriptions of programs to support second victims after adverse events. J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002/jhrm.21169. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47525/psn-pdfOctober 31, 2018 - Peer training using cognitive rehearsal to promote a culture of safety in health care. October 31, 2018 Roberts T, Hanna K, Hurley S, et al. Peer Training Using Cognitive Rehearsal to Promote a Culture of Safety in Health Care. Nurse Educ. 2018;43(5):262-266. doi:10.1097/NNE.0000000000000478. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46260/psn-pdfJuly 26, 2017 - ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. July 26, 2017 American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2016;128:e237-e240. https://psnet.ahrq.gov/issue/acog-committee-opinion-680-use-an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47519/psn-pdfFebruary 22, 2019 - Simulation-based education to train learners to "speak up" in the clinical environment: results of a randomized trial. February 22, 2019 Oner C, Fisher N, Atallah F, et al. Simulation-Based Education to Train Learners to "Speak Up" in the Clinical Environment: Results of a Randomized Trial. Simul Healthc. 2018;13(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40180/psn-pdfFebruary 02, 2011 - Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities. February 2, 2011 Good VS, Saldaña M, Gilder R, et al. Large-scale deployment of the Global Trigger Tool across a large hospital… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35361/psn-pdfJuly 16, 2009 - Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. July 16, 2009 Wu HW, Nishimi RY, Page-Lopez CM, et al. Washington DC: National Quality Forum; 2005. https://psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health- literacy In the 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46761/psn-pdfFebruary 14, 2018 - Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. February 14, 2018 Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the lite… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61077/psn-pdfOctober 28, 2020 - Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. October 28, 2020 Farnborough, UK: Healthcare Safety Investigation Branch; September 24, 2020. https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-servi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45772/psn-pdfJanuary 11, 2017 - Technical Series on Safer Primary Care. January 11, 2017 Geneva, Switzerland: World Health Organization; 2016. https://psnet.ahrq.gov/issue/technical-series-safer-primary-care Much of patient safety research has focused on the hospital setting, but a majority of health care is delivered in the ambulatory setting. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851460/psn-pdfJuly 19, 2023 - Patient perceptions and experiences with medication- related activities in the emergency department: a qualitative study. July 19, 2023 Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication- related activities in the emergency department: a qualitative study. BMJ Open … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865337/psn-pdfMarch 27, 2024 - Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. March 27, 2024 Chong RIH, Yaow CYL, Chong NZ-Y, et al. Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. Am J Surg. 2024;229:5-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47917/psn-pdfApril 10, 2019 - The opioid crisis: origins, trends, policies, and the roles of pharmacists. April 10, 2019 Chisholm-Burns MA, Spivey CA, Sherwin E, et al. The opioid crisis: Origins, trends, policies, and the roles of pharmacists. Am J Health-Syst Pharm. 2019;76(7):424-435. doi:10.1093/ajhp/zxy089. https://psnet.ahrq.gov/issue/op… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44308/psn-pdfJuly 22, 2015 - Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study. July 22, 2015 Akbarov A, Kontopantelis E, Sperrin M, et al. Primary Care Medication Safety Surveillance with Integrated Primary and Secondary Care Electronic Health Records: A …
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