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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840476/psn-pdf
    November 30, 2022 - Patient safety culture in assisted living: staff perceptions and association with state regulations. November 30, 2022 Temkin-Greener H, Mao Y, McGarry B, et al. Patient safety culture in assisted living: staff perceptions and association with state regulations. J Am Med Dir Assoc. 2022;23(12):1997-2002.e3. doi:10…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844996/psn-pdf
    February 22, 2023 - In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study. February 22, 2023 Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitudinally identify and track late…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866246/psn-pdf
    July 10, 2024 - "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. July 10, 2024 Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of hospital doctors’ experiences of …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44249/psn-pdf
    February 12, 2019 - Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. February 12, 2019 Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2015. AHRQ Publication No. 15-0041-EF. https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-saf…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39813/psn-pdf
    October 11, 2010 - Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. October 11, 2010 Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training program improves the c…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44683/psn-pdf
    June 21, 2016 - Physician spending and subsequent risk of malpractice claims: observational study. June 21, 2016 Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. doi:10.1136/bmj.h5516. https://psnet.ahrq.gov/issue/physician-spendi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37791/psn-pdf
    September 29, 2017 - Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. September 29, 2017 Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. Jt Comm J Qual Patient Saf. 2008;3…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44750/psn-pdf
    January 06, 2016 - Simulation in the executive suite: lessons learned for building patient safety leadership. January 6, 2016 Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377. https://psnet.ahrq.gov/issue/simulation-exe…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39821/psn-pdf
    July 16, 2014 - Performance of a fail-safe system to follow up abnormal mammograms in primary care. July 16, 2014 Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal mammograms in primary care. J Patient Saf. 2010;6(3):172-179. https://psnet.ahrq.gov/issue/performance-fail-safe-system-fol…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46578/psn-pdf
    April 29, 2018 - Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. April 29, 2018 Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jamia/ocx106. https://psnet.ahrq.gov…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42068/psn-pdf
    April 09, 2013 - Wisdom through adversity: learning and growing in the wake of an error. April 9, 2013 Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006. https://psnet.ahrq.gov/issue/wisdom-through-adversity-l…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844766/psn-pdf
    January 01, 2020 - Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. September 11, 2019 McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for identification of in-hospital com…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41298/psn-pdf
    November 27, 2012 - Patient safety culture and the association with safe resident care in nursing homes. November 27, 2012 Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns007. https://psnet.ahrq.gov/issue…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41168/psn-pdf
    February 29, 2012 - Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign. February 29, 2012 Sinkowitz-Cochran R, Garcia-Williams A, Hackbarth AD, et al. Evaluation of organizational culture among different levels of healthcar…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45109/psn-pdf
    May 11, 2016 - Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety. May 11, 2016 Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina Hospitals Is Associated with Improvement in Perceived P…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38075/psn-pdf
    February 03, 2011 - Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. February 3, 2011 Arora V, Georgitis E, Siddique J, et al. Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41225/psn-pdf
    March 29, 2012 - The impact of perioperative catastrophes on anesthesiologists: results of a national survey. March 29, 2012 Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10.1213/ANE.0b013e318227524e. https:/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37396/psn-pdf
    March 28, 2012 - Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. March 28, 2012 Davenport DL, Henderson WG, Mosca CL, et al. Risk-adjusted morbidity in teaching …
  19. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ginsberg-highlights.pdf
    June 02, 2025 - Understanding CAHPS Surveys: A Primer for New Users - Highlights from CAHPS Work HIGHLIGHTS FROM RECENT CAHPS WORK Caren Ginsberg, Ph.D. Director, CAHPS & SOPS Center for Quality Improvement & Patient Safety, AHRQ 29 CAHPS V Accomplishments • Survey and Item Set Development and Revision: ► Incorporating Teleh…
  20. www.ahrq.gov/teamstepps-program/curriculum/intro/overview.html
    July 01, 2023 - Section 1: Overview of Key Concepts and Tools This section provides an overview of the key concepts in the Introduction. More extensive explanations and illustrations are provided in section 2 ; methods for teaching the introduction's concepts are in section 3 . Each of the four modules that follow also inclu…