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Showing results for "references".

1981. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36288/psn-pdf
      December 23, 2016 - Preventing adverse events caused by emergency electrical power system failures. December 23, 2016 Preventing adverse events caused by emergency electrical power system failures. Sentinel Event Alert. 2006;37(37):1-3. https://psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system- …

1982. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37719/psn-pdf
      July 17, 2018 - AHRQ Health Care Innovations Exchange. July 17, 2018 Agency for Healthcare Research and Quality. 2008-2016. https://psnet.ahrq.gov/issue/ahrq-health-care-innovations-exchange This AHRQ resource provided a searchable collection of innovations in health care, opportunities for medical providers and administrators to…

1983. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847545/psn-pdf
      April 12, 2023 - Normalization of deviance is contrary to the principles of high reliability. April 12, 2023 Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894. https://psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliab…

1984. Communication between primary and secondary care: deficits and danger. | PSNet
      psnet.ahrq.gov/issue/communication-between-primary-and-secondary-care-deficits-and-danger
      September 23, 2020 - Study Communication between primary and secondary care: deficits and danger. Citation Text: Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037. Copy Citation Format…

1985. PSNet How-to Videos | PSNet
      psnet.ahrq.gov/curated-library/video-library
      August 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed PSNet How-to Videos  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: AHRQ Date Created: November 30, 2022…

1986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33922/psn-pdf
      August 05, 2009 - The importance of cognitive errors in diagnosis and strategies to minimize them. August 5, 2009 Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003;78(8):775-780. https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them…

1987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863220/psn-pdf
      February 28, 2024 - Second-victim phenomenon. February 28, 2024 New L, Lambeth T. Second-victim phenomenon. Nurs Clin North Am. 2024;59(1):141-152. doi:10.1016/j.cnur.2023.11.011. https://psnet.ahrq.gov/issue/second-victim-phenomenon The second victim phenomenon (SVP) refers to clinicians who experience continued psychological harm …

1988. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39796/psn-pdf
      July 09, 2013 - Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. July 9, 2013 Romano PS, Hussey P, Ritley D. Rockville, MD: Agency for Healthcare Research and Quality; 2010. AHRQ Publication No. 09(10)-0073. https://psnet.ahrq.gov/issue/selecting-quality-and-resource-use-measures…

1989. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43036/psn-pdf
      March 27, 2014 - Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. March 27, 2014 Chopra V, McMahon LF. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. JAMA. 2014;311(12):1199-200. doi:10.1001/jama.2014.710. https://psnet.ahrq.gov/issue/redesigning-hospital-alarms…

1990. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836972/psn-pdf
      April 20, 2022 - Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). April 20, 2022 Rockville, MD: Agency for Healthcare Research and Quality; April 7, 2022. RFA-HS-22-008. https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and- quality-r18 …

1991. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41436/psn-pdf
      October 19, 2012 - Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? October 19, 2012 Raine J, Scarrott D. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? Eur J Pediatr. 2012;171(10):1449-52. https://psnet.ahrq.go…

1992. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47404/psn-pdf
      September 12, 2018 - The gap in electronic drug information resources: a systematic review. September 12, 2018 Rambaran KA, Huynh HA, Zhang Z, et al. The Gap in Electronic Drug Information Resources: A Systematic Review. Cureus. 2018;10(6):e2860. doi:10.7759/cureus.2860. https://psnet.ahrq.gov/issue/gap-electronic-drug-information-res…

1993. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845351/psn-pdf
      March 01, 2023 - Access to Clinical Information at the Bedside. March 1, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; February 2023. https://psnet.ahrq.gov/issue/access-clinical-information-bedside Patient misidentification in emergent situations can reduce the appropriateness of care delivery and safety. This rep…

1994. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47925/psn-pdf
      August 21, 2019 - Second victims and mindfulness: a systematic review. August 21, 2019 S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176. https://psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review The secon…

1995. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837336/psn-pdf
      June 08, 2022 - Automated identification of diagnostic labelling errors in medicine. June 8, 2022 Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039. https://psnet.ahrq.gov/issue/automated-identification-diagnostic-labe…

1996. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43198/psn-pdf
      July 19, 2023 - TeamSTEPPS Core Curriculum. July 19, 2023 Rockville, MD: Agency for Healthcare Research and Quality; July 2023. https://psnet.ahrq.gov/issue/teamstepps-core-curriculum The TeamSTEPPS® program was developed to support effective communication and teamwork in health care. The curriculum offers training for participan…

1997. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47851/psn-pdf
      May 22, 2019 - Communication and Resolution After an Adverse Health Care Incident. May 22, 2019 Pettersen B, Tate J, Tipper K, McKean H. Colorado Senate Bill 19-201. https://psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident Communication-and-resolution mechanisms are seen as important approache…

1998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44251/psn-pdf
      January 13, 2016 - Early impact of the 2011 ACGME duty hour regulations on surgical outcomes. January 13, 2016 Scally CP, Ryan AM, Thumma JR, et al. Early impact of the 2011 ACGME duty hour regulations on surgical outcomes. Surgery. 2015;158(6):1453-61. doi:10.1016/j.surg.2015.05.002. https://psnet.ahrq.gov/issue/early-impact-2011-a…

1999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865933/psn-pdf
      May 22, 2024 - Utilizing pharmacogenomic testing can improve medication safety and prevent harm. May 22, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(9):1-4. https://psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and- prevent-harm Pharmacogenomics (PGx) refers to the impact of gen…

2000. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46790/psn-pdf
      March 14, 2018 - When clinicians drop out and start over after adverse events. March 14, 2018 Rodriquez J, Scott SD. When Clinicians Drop Out and Start Over after Adverse Events. Jt Comm J Qual Patient Saf. 2018;44(3):137-145. doi:10.1016/j.jcjq.2017.08.008. https://psnet.ahrq.gov/issue/when-clinicians-drop-out-and-start-over-afte…