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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47106/psn-pdfAugust 15, 2018 - Imitating incidents: how simulation can improve safety investigation and learning from adverse events. August 15, 2018 Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097/SIH.0000000000000315. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72602/psn-pdfDecember 23, 2020 - Patient safety in chiropractic teaching programs: a mixed methods study. December 23, 2020 Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0. https://psnet.ahrq.gov/issue/patient-sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43783/psn-pdfJanuary 14, 2015 - Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base. January 14, 2015 Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A review and synthesis of the evidence base. Eur J Intern Med. 2014;25(10):874-87. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46165/psn-pdfJuly 26, 2017 - Transferring aviation practices into clinical medicine for the promotion of high reliability. July 26, 2017 Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;88(5):487-491. doi:10.3357/AMHP.4736… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60960/psn-pdfSeptember 30, 2020 - COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada. September 30, 2020 Dubé MM, Kaba A, Cronin T, et al. COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43038/psn-pdfMarch 05, 2014 - Missed it. March 5, 2014 Green MJ, Rieck R. Missed it. Ann Intern Med. 2013;158(5 Pt 1):357-61. doi:10.7326/0003-4819-158-5- 201303050-00013. https://psnet.ahrq.gov/issue/missed-it-0 This piece uses a graphic novel format to depict a story of a diagnostic error that resulted in a patient’s death. The attention-gr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844783/psn-pdfSeptember 04, 2019 - A lethal hidden curriculum—death of a medical student from opioid use disorder. September 4, 2019 Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537. https://psnet.ahrq.gov/issue/lethal-hidden-… -
www.uspreventiveservicestaskforce.org/uspstf/update-on-methods-insufficient-evidence---table-2February 01, 2009 - Update on Methods: Insufficient Evidence - Table 2 Share to Facebook Share to X Share to WhatsApp Share to Email Print Table 2. The 4 Domains of Information Pertinent to Clinical Decisionmaking for Preventive Services Domain Descrip…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73462/psn-pdfJuly 07, 2021 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. July 7, 2021 Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. J Tissue Viability. 2021;30(3):339-345. doi:10.1016/j.jtv.2021.04.00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34700/psn-pdfJanuary 04, 2017 - Reducing adverse drug events: lessons from a breakthrough series collaborative. January 4, 2017 Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31. https://psnet.ahrq.gov/issue/reducing-adverse-drug-event… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44036/psn-pdfApril 15, 2015 - Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. April 15, 2015 Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? a case control study. BMC Med Educ. 2015;15(1).… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837204/psn-pdfMay 25, 2022 - Resident physicians' advice seeking and error making: a social networks approach. May 25, 2022 Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333. https://psnet.ahrq.gov/issue/resident… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60344/psn-pdfMay 20, 2020 - American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes. May 20, 2020 American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes. Am Geriatr Soc. 2020;68(5):908-911. doi:10.1111/jgs.16477. https://psnet.ahrq.gov/issue/american-geriatrics-society-ags-policy-brief-covid-19-and-nurs… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47256/psn-pdfOctober 03, 2018 - Does the perception of severity of medical error differ between varying levels of clinical seniority? October 3, 2018 Khan I, Arsanious M. Does the perception of severity of medical error differ between varying levels of clinical seniority? Adv Med Educ Pract. 2018;9:443-452. doi:10.2147/AMEP.S146474. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46926/psn-pdfMarch 07, 2018 - A comprehensive program to reduce rates of hospital- acquired pressure ulcers in a system of community hospitals. March 7, 2018 Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital- Acquired Pressure Ulcers in a System of Community Hospitals. J Patient Saf. 2018;14(1):54… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44790/psn-pdfMarch 15, 2016 - The role of emotion in patient safety: are we brave enough to scratch beneath the surface? March 15, 2016 Heyhoe J, Birks Y, Harrison R, et al. The role of emotion in patient safety: Are we brave enough to scratch beneath the surface? J R Soc Med. 2016;109(2):52-8. doi:10.1177/0141076815620614. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60292/psn-pdfMay 06, 2020 - Overcoming COVID-19: what can human factors and ergonomics offer? May 6, 2020 Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: what can human factors and ergonomics offer? J Patient Saf Risk Manag. 2020;25(2):49-54. doi:10.1177/2516043520917764. https://psnet.ahrq.gov/issue/overcoming-covid-19-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60621/psn-pdfJune 24, 2020 - Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. June 24, 2020 Sweet W, Snyder D, Raymond M. Design and implementation of the infection prevention program into risk management: Managing high level disin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42922/psn-pdfApril 12, 2014 - Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. April 12, 2014 Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. Jt Comm J Qual Patient S… -
www.ahrq.gov/patient-safety/reports/engage/strategies.htmlApril 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Evidence-Based Strategies To Engage Patients and Families To Improve Patient Safety This Guide is composed of four evidence-based strategies that promote meaningful engagement with patients and families in ways that …
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