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  1. psnet.ahrq.gov/issue/minding-gaps-assessing-communication-outcomes-electronic-preconsultation-exchange
    November 30, 2016 - Study Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. Citation Text: Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54. …
  2. psnet.ahrq.gov/issue/challenges-electronic-health-records-and-diabetes-electronic-prescribing-implications-safety
    September 23, 2020 - Review The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations. Citation Text: Ratanawongsa N, Chan LLS, Fouts MM, et al. The Challenges of Electronic Health Records and Diabetes Electronic Prescribing: Imp…
  3. psnet.ahrq.gov/issue/viewing-prevention-catheter-associated-urinary-tract-infection-system-using-systems
    July 12, 2023 - Study Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. Citation Text: Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Ass…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43286/psn-pdf
    June 25, 2014 - Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. June 25, 2014 Turner S, Higginson J, Oborne A, et al. Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. Soc Sci Med. 2014;113:169-76. doi:10.1016/j.socscimed.2014.05.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40163/psn-pdf
    December 21, 2014 - Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. December 21, 2014 Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. https://psnet.ahrq.gov/issue/integ…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40519/psn-pdf
    June 08, 2011 - A public health approach to patient safety reporting systems is urgently needed. June 8, 2011 Noble DJ, Panesar S, Pronovost P. A public health approach to patient safety reporting systems is urgently needed. J Patient Saf. 2011;7(2):109-12. doi:10.1097/PTS.0b013e31821b8a6c. https://psnet.ahrq.gov/issue/public-hea…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39207/psn-pdf
    May 24, 2015 - An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. May 24, 2015 Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009. https://psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42057/psn-pdf
    February 20, 2013 - Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. February 20, 2013 Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for acc…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39439/psn-pdf
    May 10, 2010 - Improving insulin distribution and administration safety using Lean Six Sigma methodologies. May 10, 2010 Yamamoto J, Abraham D, Malatestinic B. Improving Insulin Distribution and Administration Safety Using Lean Six Sigma Methodologies. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-212. https://psnet.ahrq.gov/issue…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41815/psn-pdf
    July 02, 2014 - Examining the diagnostic justification abilities of fourth- year medical students. July 2, 2014 Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students. Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff. https://psnet.ahrq.gov/issue/examining-diagnostic…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40017/psn-pdf
    December 14, 2016 - Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. December 14, 2016 Sidhu M, Goske MJ, Connolly B, et al. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. AJR Am J Roentgenol. 2010;195(4):W299-301. doi:10.2214/AJR.09.3938. htt…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39989/psn-pdf
    December 21, 2014 - The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. December 21, 2014 Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/archinternmed.2010.373. https://p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37881/psn-pdf
    July 02, 2008 - Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. July 2, 2008 Powers KA, Rehrig ST, Irias N, et al. Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surg Endosc. 2008;22(4):885-900. https://psnet.ahrq.gov/issue/si…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764408/psn-pdf
    March 02, 2022 - Ensuring critical instruments and devices are appropriate for reuse. March 2, 2022 Quick Safety. February 14, 2022;(64):1-3. https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43457/psn-pdf
    August 02, 2015 - A human factors subsystems approach to trauma care. August 2, 2015 Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA Surg. 2014;149(9):962-8. https://psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care Human factors analysis led to five system changes i…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73098/psn-pdf
    September 07, 2021 - Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. September 7, 2021 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2021. https://psnet.ahrq.gov/issue/achieving-excellence-diagnosis-acute-cardiovascula…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44472/psn-pdf
    January 22, 2016 - Understanding medical errors and adverse events in ICU patients. January 22, 2016 Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x. https://psnet.ahrq.gov/issue/understanding-medical-errors…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45229/psn-pdf
    July 13, 2016 - The WakeWings journey: creating a patient safety program. July 13, 2016 Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004. https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program Successful and sustainable implementa…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40542/psn-pdf
    August 25, 2011 - Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. August 25, 2011 Boyle E, Al-Akash M, Gallagher AG, et al. Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. Postgrad Med J. 2011;87(1030):524-8. doi:10.1136/pgmj…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42190/psn-pdf
    July 01, 2013 - Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. July 1, 2013 Pinder RJ, Greaves FE, Aylin PP, et al. Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. BMJ Qual Saf. 2013;22(7):563-70. doi:10.113…

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