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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852271/psn-pdfAugust 09, 2023 - Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. August 9, 2023 Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes Manag. 2023;30(3):67-70. doi:10.12788/j… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43543/psn-pdfNovember 05, 2014 - A patient safety approach to setting pass/fail standards for basic procedural skills checklists. November 5, 2014 Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Simul Healthc. 2014;9(5):277-82. doi:10.1097/SIH.000000000000004… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45152/psn-pdfNovember 18, 2016 - Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. November 18, 2016 Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. Am J Med Qual. 2016;31(6):598-600. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860728/psn-pdfJanuary 17, 2024 - Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. January 17, 2024 Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44884/psn-pdfFebruary 17, 2016 - Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project. February 17, 2016 Sowan AK, Gomez TM, Tarriela AF, et al. Changes in Default Alarm Settings and Standard In-Service are Insufficient to Improve Alarm Fatigue in an Intensi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867011/psn-pdfOctober 23, 2024 - Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. October 23, 2024 Burney RE, Mckeown ES, Zhang Y, et al. Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. J Patient Saf Risk Manag. 2024;29(5):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864378/psn-pdfMarch 13, 2024 - Investigating workplace support and the importance of psychological safety in general surgery residency training. March 13, 2024 Ojute F, Gonzales PA, Berler M, et al. Investigating workplace support and the importance of psychological safety in general surgery residency training. J Surg Educ. 2024;81(4):514-524. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47077/psn-pdfMay 23, 2018 - World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. May 23, 2018 Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards fo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47508/psn-pdfOctober 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. October 24, 2018 Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44713/psn-pdfJanuary 20, 2016 - Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sample survey about "truth-telling practices" in the perioperative setting in the United States. January 20, 2016 Nurok M, Lee Y-Y, Ma Y, et al. Are surgeons and anesthesiologists lying to each other or gaming the syste… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45484/psn-pdfDecember 04, 2016 - High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults. December 4, 2016 Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47317/psn-pdfAugust 15, 2018 - Actions Needed to Address Employee Misconduct Process and Ensure Accountability. August 15, 2018 Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137. https://psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure- accountability Both organi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852447/psn-pdfAugust 16, 2023 - Patient safety in palliative care at the end of life from the perspective of complex thinking. August 16, 2023 Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life from the perspective of complex thinking. Healthcare (Basel). 2023;11(14):2030. doi:10.3390/hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851197/psn-pdfJuly 05, 2023 - Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues: a qualitative study. July 5, 2023 Venesoja A, Tella S, Castrén M, et al. Finnish emergency medical services managers’ and medical directors’ perceptions of collaborating… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46182/psn-pdfJune 28, 2017 - What we know about designing an effective improvement intervention (but too often fail to put into practice). June 28, 2017 Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practice). BMJ Qual Saf. 2016;26(7). doi:10.113… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47054/psn-pdfJuly 19, 2018 - A target to achieve zero preventable trauma deaths through quality improvement. July 19, 2018 Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159. https://psnet.ahrq.gov/issue/target-achi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837890/psn-pdfAugust 24, 2022 - Accuracy of pressure ulcer events in US nursing home ratings. August 24, 2022 Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763. https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37903/psn-pdfMay 09, 2013 - Safe Surgery. May 9, 2013 World Health Organization. https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge This initiative provides a surgical safety checklist and related educational and training materials building on the Second Global Patient Safety Challenge vision to enco… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36675/psn-pdfJanuary 18, 2011 - Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. January 18, 2011 Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. Med Educ. 2007;41(2):173-80… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853622/psn-pdfJanuary 01, 2024 - Enhancing patient safety: a national standard for cyber resiliency in healthcare. September 20, 2023 Samuelson-Kiraly C, Mitchell JI, Kingston D, et al. Enhancing patient safety: A national standard for cyber resiliency in healthcare. Healthc Manage Forum. 2024;37(1):9-12. doi:10.1177/08404704231196138. https://ps…
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