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  1. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-resource-guide.pdf
    March 01, 2023 - -CRCP-Crucial Conversations with Med Providers and Hosp Admins.pptx This PowerPoint presentation suggests … /wohp/Documents/mc3-clinical-champions-mcneil.pdf This PowerPoint, created by Liverpool Hospital, suggests
  2. effectivehealthcare.ahrq.gov/sites/default/files/related_files/lung-cancer-nonsurgical-therapies_disposition-comments.pdf
    June 12, 2013 - survey results show that nearly 40 percent of solo practitioners treat patients with SBRT, which suggests … SBRT is not as widely available as 3DRT or IMRT, but our literature review suggests there has been
  3. effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-interventions-maltreatment-child_disposition-comments.pdf
    April 15, 2013 - challenging to do) and so on, but the sheer volume of factors that would make for a stronger research base suggests … published literature makes the contribution clinically meaningful on the one hand, but on the other hand, suggests
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44380/psn-pdf
    October 26, 2018 - From Safety-I to Safety-II: A White Paper. October 26, 2018 Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015. https://psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper To enhance patient safety, researchers must consider complexity in health care settings. This white pape…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43366/psn-pdf
    March 04, 2015 - Safety of medication use in primary care. March 4, 2015 Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3-20. doi:10.1111/ijpp.12120. https://psnet.ahrq.gov/issue/safety-medication-use-primary-care This systematic review found that incidence rates of…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44445/psn-pdf
    September 16, 2015 - Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician characteristics, organization demographics, or leadership factors? September 16, 2015 Castel ES, Ginsburg LR, Zaheer S, et al. Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician cha…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72865/psn-pdf
    March 17, 2021 - 5 pandemic mistakes we keep repeating. We can learn from our failures. March 17, 2021 Zeynep Tufekci. The Atlantic. February 26, 2021 https://psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures Failures in communication have impacts on patients, teams, organizations and society. Th…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847060/psn-pdf
    January 01, 2001 - The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? January 1, 2001 Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop on Human Error, Safety and Systems Development. Linköping Sweden: Linköping University; 2001. https://psnet.ahrq.gov/issu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73678/psn-pdf
    September 08, 2021 - A report of information technology and health deficiencies in U.S. nursing homes. September 8, 2021 Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. https://psnet.ahrq.gov/issue/report-i…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45372/psn-pdf
    November 18, 2016 - Determinants of patient–oncologist prognostic discordance in advanced cancer. November 18, 2016 Gramling R, Fiscella K, Xing G, et al. Determinants of Patient-Oncologist Prognostic Discordance in Advanced Cancer. JAMA Oncol. 2016;2(11):1421-1426. doi:10.1001/jamaoncol.2016.1861. https://psnet.ahrq.gov/issue/determ…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33927/psn-pdf
    June 23, 2015 - Errors, incidents and accidents in anaesthetic practice. June 23, 2015 Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5):506-19. https://psnet.ahrq.gov/issue/errors-incidents-and-accidents-anae…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45633/psn-pdf
    December 21, 2016 - Lost in translation: medication labeling for immigrant families. December 21, 2016 Smith MCJ, Yin S, Sanders LM. Lost in translation: Medication labeling for immigrant families. J Am Pharm Assoc (2003). 2016;56(6):677-679. doi:10.1016/j.japh.2016.07.002. https://psnet.ahrq.gov/issue/lost-translation-medication-lab…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35749/psn-pdf
    May 09, 2014 - Chemotherapy dose limits set by users of a computer order entry system. May 9, 2014 DuBeshter B; Griggs J; Angel C; Loughner J. https://psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system To avoid excessive dosing of chemotherapeutic agents, standardized dose limits must be agreed u…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47534/psn-pdf
    November 21, 2018 - Resident hesitation in the operating room: does uncertainty equal incompetence? November 21, 2018 Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530. https://psnet.ahrq.gov/issue/resident-hesit…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60897/psn-pdf
    January 01, 2022 - Association between surgeon technical skills and patient outcomes. September 9, 2020 Stulberg JJ, Huang R, Kreutzer L, et al. Association Between Surgeon Technical Skills and Patient Outcomes. JAMA Surg. 2022;157(3):219-220. doi:10.1001/jamasurg.2020.3007. https://psnet.ahrq.gov/issue/association-between-surgeon-t…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47043/psn-pdf
    January 01, 2019 - Association of nurse engagement and nurse staffing on patient safety. December 6, 2018 Carthon MB, Hatfield L, Plover C, et al. Association of nurse engagement and nurse staffing on patient safety. J Nurs Care Qual. 2019;34(1):40-46. doi:10.1097/NCQ.0000000000000334. https://psnet.ahrq.gov/issue/association-nurse-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36027/psn-pdf
    March 28, 2011 - Medical injuries among hospitalized children. March 28, 2011 Meurer JR, Yang H, Guse CE, et al. Medical injuries among hospitalized children. Qual Saf Health Care. 2006;15(3):202-7. https://psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children This AHRQ–funded study applied new screening criteria to ca…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45406/psn-pdf
    November 01, 2016 - Errors and nonadherence in pediatric oral chemotherapy use. November 1, 2016 Walsh KE, Ryan J, Daraiseh N, et al. Errors and Nonadherence in Pediatric Oral Chemotherapy Use. Oncology. 2016;91(4):231-236. https://psnet.ahrq.gov/issue/errors-and-nonadherence-pediatric-oral-chemotherapy-use Medication errors and non…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34086/psn-pdf
    May 27, 2011 - Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. May 27, 2011 Poon EG, Blumenthal D, Jaggi T, et al. Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. Health Aff (Millwood). 2004;23(4):184-90.…