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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47791/psn-pdf
    March 20, 2019 - Essential activities for electronic health record safety: a qualitative study. March 20, 2019 Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study. Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109. https://psnet.ahrq.gov/issue/esse…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40821/psn-pdf
    October 31, 2011 - Educational interventions to improve handover in health care: a systematic review. October 31, 2011 Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review. Med Educ. 2011;45(11):1081-9. doi:10.1111/j.1365-2923.2011.04049.x. https://psnet.ahrq.gov/issue/educational-in…

  3. Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-3.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41946/psn-pdf
    January 09, 2013 - Thirty-day outcomes support implementation of a surgical safety checklist. January 9, 2013 Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012.07.015. https://psnet.ahrq.gov/is…

  5. Figure 4: Medication Reconciliation Upon Discharge: High Level Process Map After Redesign | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-4.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 4: Medication Reconciliation Upon Discharge: High Level Process Map After Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45913/psn-pdf
    March 01, 2017 - Simulation, mastery learning and healthcare. March 1, 2017 Dunn W, Dong Y, Zendejas B, et al. Simulation, Mastery Learning and Healthcare. Am J Med Sci. 2017;353(2):158-165. doi:10.1016/j.amjms.2016.12.012. https://psnet.ahrq.gov/issue/simulation-mastery-learning-and-healthcare Simulation has been adopted as a val…

  7. Figure 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-2.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38968/psn-pdf
    May 04, 2014 - What went right: lessons for the intensivist from the crew of US Airways Flight 1549. May 4, 2014 Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377. https://psnet.ahrq.gov/issue/what-went-right-lessons-int…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45834/psn-pdf
    February 22, 2017 - Implementing an error disclosure coaching model: a multicenter case study. February 22, 2017 White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260. https://psnet.ahrq.gov/issue/implementing-e…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39100/psn-pdf
    January 28, 2010 - Hospital governance and the quality of care. January 28, 2010 Jha AK, Epstein AM. Hospital governance and the quality of care. Health Aff (Millwood). 2010;29(1):182-7. doi:10.1377/hlthaff.2009.0297. https://psnet.ahrq.gov/issue/hospital-governance-and-quality-care This study surveyed more than 700 board chairs and…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60717/psn-pdf
    July 22, 2020 - The U.S. is repeating its deadliest pandemic mistake. July 22, 2020 KHAZAN OLGA. The U.S. is repeating its deadliest pandemic mistake. The Atlantic. 2020;July 6. https://psnet.ahrq.gov/issue/us-repeating-its-deadliest-pandemic-mistake Residential care facilities have been particularly challenged by COVID-19. This a…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36263/psn-pdf
    October 21, 2010 - Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. October 21, 2010 Osterholt DM, Rowe AK, Hamel MJ, et al. Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. Trop Med Int Healt…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44452/psn-pdf
    September 04, 2016 - Reflecting on diagnostic errors: taking a second look is not enough. September 4, 2016 Monteiro SD, Sherbino J, Patel A, et al. Reflecting on Diagnostic Errors: Taking a Second Look is Not Enough. J Gen Intern Med. 2015;30(9):1270-4. doi:10.1007/s11606-015-3369-4. https://psnet.ahrq.gov/issue/reflecting-diagnostic…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856641/psn-pdf
    January 01, 2009 - WebAIRS Anesthesia Incident Reporting System. January 1, 2009 Australian and New Zealand Tripartite Anaesthetic Data Committee. https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system Reporting errors in anesthesiology practice can motivate and inform safety improvement work. This website serves …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40564/psn-pdf
    September 25, 2011 - Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. September 25, 2011 Lamb BW, Vincent CA, Green JSA, et al. Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46673/psn-pdf
    March 21, 2018 - Human factors and simulation in emergency medicine. March 21, 2018 Hayden EM, Wong AH, Ackerman J, et al. Human Factors and Simulation in Emergency Medicine. Acad Emerg Med. 2018;25(2):221-229. doi:10.1111/acem.13315. https://psnet.ahrq.gov/issue/human-factors-and-simulation-emergency-medicine Human factors engine…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36969/psn-pdf
    May 21, 2014 - Evaluation of the Patient Safety Improvement Corps: Experiences of the First Two Groups of Trainees. May 21, 2014 Teleki S, Santa Monica, CA: RAND Corporation; 2006. ISBN: 978-0-8330-3992-7 https://psnet.ahrq.gov/issue/evaluation-patient-safety-improvement-corps-experiences-first-two-groups- trainees This report …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38592/psn-pdf
    April 29, 2009 - The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. April 29, 2009 Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Qual Saf Health Care. 2009;18(2):137-40. …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41547/psn-pdf
    July 25, 2012 - Changes in intern attitudes toward medical error and disclosure. July 25, 2012 Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x. https://psnet.ahrq.gov/issue/changes-intern-attitudes-towa…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43020/psn-pdf
    May 29, 2014 - Handoff practices in undergraduate medical education. May 29, 2014 Liston BW, Tartaglia KM, Evans D, et al. Handoff practices in undergraduate medical education. J Gen Intern Med. 2014;29(5):765-9. doi:10.1007/s11606-014-2806-0. https://psnet.ahrq.gov/issue/handoff-practices-undergraduate-medical-education This su…
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