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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47065/psn-pdf
    June 20, 2018 - The complexity, diversity, and science of primary care teams. June 20, 2018 Fiscella K, McDaniel SH. The complexity, diversity, and science of primary care teams. Amer Psychol. 2018;73(4):451-467. doi:10.1037/amp0000244. https://psnet.ahrq.gov/issue/complexity-diversity-and-science-primary-care-teams Teamwork is …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861777/psn-pdf
    January 31, 2024 - Citing harms, momentum grows to remove race from clinical algorithms. January 31, 2024 Kuehn BM. Citing harms, momentum grows to remove race from clinical algorithms. JAMA. 2024;331(6):463-465. doi:10.1001/jama.2023.25530. https://psnet.ahrq.gov/issue/citing-harms-momentum-grows-remove-race-clinical-algorithms Me…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45053/psn-pdf
    May 19, 2019 - Five topics health care simulation can address to improve patient safety: results from a consensus process. May 19, 2019 Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Saf. 2019;15(2):111-120. doi:10.1097/…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838029/psn-pdf
    September 07, 2022 - Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. September 7, 2022 ISMP Medication Safety Alert! Acute care edition! August 25, 2022:27(17)1-6. https://psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr- downtime Unanticipated…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35312/psn-pdf
    January 02, 2017 - Medication errors involving wrong administration technique. January 2, 2017 Santell JP, Cousins DD. Medication Errors Involving Wrong Administration Technique. The Joint Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(05)31068-3. https://psnet.ahrq.gov/issue/medication-errors-i…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60628/psn-pdf
    July 14, 2020 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. June 24, 2020 Cambridge, MA; CRICO Strategies: July 14, 2020. https://psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and- financial-loss Malpractice claims can generate …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43598/psn-pdf
    October 08, 2014 - Clinical faculty: taking the lead in teaching quality improvement and patient safety. October 8, 2014 Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j.ajog.2014.05.043. https://psnet.ahrq…

  8. Exhibit 2.10. Project Team Composition: Door-to-Balloon Project | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-10.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.10. Project Team Composition: Door-to-Balloon Project Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthca…

  9. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapd.html
    April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Appendix D. Vision and Mission Statements Sample vision and mission statements and objectives for patient advisory councils follow. Vision A safe, compassionate, innovative health care community that listens, learns, and responds colla…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35044/psn-pdf
    September 27, 2017 - Decisions about critical events in device-related scenarios as a function of expertise. September 27, 2017 Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12. https://psnet.ahrq.gov/issue/decisions-ab…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45271/psn-pdf
    August 10, 2016 - Patient identification and tube labelling—a call for harmonisation. August 10, 2016 van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.1515/cclm-2015- 1089. https://psnet.ah…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852277/psn-pdf
    August 09, 2023 - Physician burnout and medical errors: exploring the relationship, cost, and solutions received. August 9, 2023 Li CJ, Shah YB, Harness ED, et al. Physician burnout and medical errors: exploring the relationship, cost, and solutions received. Am J Med Qual. 2023;38(4):196-202. doi:10.1097/jmq.0000000000000131. http…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46548/psn-pdf
    April 16, 2018 - Nurses' communication of safety events to nursing home residents and families. April 16, 2018 Wagner LM, Driscoll L, Darlington JL, et al. Nurses' Communication of Safety Events to Nursing Home Residents and Families. J Gerontol Nurs. 2018;44(2):25-32. doi:10.3928/00989134-20171002-01. https://psnet.ahrq.gov/issue…

  14. Tips for Implementing Interventions | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/tips.html
    March 01, 2017 - Tips for Implementing Interventions These tips are to help educators prepare for a live training session and facilitate an interactive experience. Reinforce that the session focuses on ways the team can work together to improve resident safety and reduce catheter-associated urinary tract infections (CAUTIs)…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844763/psn-pdf
    September 11, 2019 - Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. September 11, 2019 Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient safety and interprofessional …

  16. Core-Discussion (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/core-discussion.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 2 — Core Team Discussion Guide Clean Equipment and Environment: Knowledge and Practice Directions Answer the following questions to help reflect on how you can prepare to discuss cleaning and disinfection practices at your facility. Discussion Questio…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44317/psn-pdf
    August 19, 2015 - Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. August 19, 2015 Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-24. doi:10.1016/j.ssci.2015.03.01…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854256/psn-pdf
    October 04, 2023 - Enhancing safety of a system-wide in situ simulation program using no-go considerations. October 4, 2023 Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/sih.0000000000000711. https://psne…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73858/psn-pdf
    September 22, 2021 - Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. September 22, 2021 D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. Surgery. 2021;170(2):440-44…

  20. Exhibit 3.20. Major Factors that Inhibit Lean Success | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-20.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.20. Major Factors that Inhibit Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case …
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