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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44844/psn-pdf
    March 02, 2016 - From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. March 2, 2016 Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1002/jhrm.21205. https://psnet.ahrq.gov/…

  2. Training Module 1—Skills Questions | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/hand-hygiene/skills-test.html
    March 01, 2017 - Training Module 1—Skills Questions AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The How-To's of Hand Hygiene How long should you rub your hands with soap when you are hand washing? At least 5 seconds At least 15 seconds At least 30 seconds At least 60 seconds  How long …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46631/psn-pdf
    March 20, 2018 - Simulation-based education to ensure provider competency within the healthcare system. March 20, 2018 Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10.1111/acem.13322. https://psnet.ahrq.g…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74132/psn-pdf
    December 01, 2021 - Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence December 1, 2021 Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73239/psn-pdf
    May 12, 2021 - Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications. May 12, 2021 Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adu…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36227/psn-pdf
    August 30, 2006 - Does crew resource management training work? An update, an extension, and some critical needs. August 30, 2006 Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412. doi:10.1518/001872006777724444. https:…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35877/psn-pdf
    July 23, 2010 - National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. July 23, 2010 Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8. https://psnet.ahrq.gov/issue/national-quality-forum-30-safe-practi…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46429/psn-pdf
    October 04, 2017 - Clinician perspectives on the management of abnormal subcritical tests in an urban academic safety-net health care system. October 4, 2017 Clarity C, Sarkar U, Lee J, et al. Clinician Perspectives on the Management of Abnormal Subcritical Tests in an Urban Academic Safety-Net Health Care System. Jt Comm J Qual Pat…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43281/psn-pdf
    May 28, 2015 - A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. May 28, 2015 Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/jep.12272. https://psnet.ahrq.gov/issue/m…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45919/psn-pdf
    July 05, 2017 - Managing the patient identification crisis in healthcare and laboratory medicine. July 5, 2017 Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004. https://psnet.ahrq.gov/i…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35934/psn-pdf
    February 24, 2011 - Learning from mistakes: factors that influence how students and residents learn from medical errors. February 24, 2011 Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical errors. J Gen Intern Med. 2006;21(5):419-23. https://psnet.ahrq.g…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866436/psn-pdf
    August 07, 2024 - Using name overlap analysis to understand medication name search safety. August 7, 2024 Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048. https://psnet.ahrq.gov/issue/using-name-overlap-analy…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44216/psn-pdf
    April 25, 2016 - Improving medication safety during hospital-based transitions of care. April 25, 2016 Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care. Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025. https://psnet.ahrq.gov/issue/improving-medication-safety-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73155/psn-pdf
    April 22, 2021 - Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. April 22, 2021 Dancsecs KA, Nestor M, Bailey A, et al. Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. Am J Emerg Med. 2021;47:90-94. doi:10.1016/j.…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44519/psn-pdf
    December 02, 2015 - Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review. December 2, 2015 O'Connell MB, Chang F, Tocco A, et al. Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review. J Am Geriatr Soc. 2015;63(9):1900-1905. doi:10.11…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46653/psn-pdf
    July 02, 2019 - Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. July 2, 2019 Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):841-847. doi:10.1093/jamia/ocy026. h…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46924/psn-pdf
    March 07, 2018 - Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. March 7, 2018 Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about hi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50881/psn-pdf
    February 12, 2020 - Adverse events during intrahospital transport of critically ill children: a systematic review. February 12, 2020 Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review. Anesth Analg. 2020;131(4):1135-1145. doi:10.1213/ane.0000000000004585…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38491/psn-pdf
    January 31, 2011 - Diagnostic errors--The next frontier for patient safety. January 31, 2011 Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. doi:10.1001/jama.2009.249. https://psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety Studies from autopsy dat…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837852/psn-pdf
    August 17, 2022 - Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience. August 17, 2022 Ivanovic V, Assadsangabi R, Hacein-Bey L, et al. Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician …
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