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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47450/psn-pdf
    March 27, 2019 - A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. March 27, 2019 Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45917/psn-pdf
    March 29, 2017 - Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature. March 29, 2017 Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare: Drawing together the cognitive psychology and healthcare literature. Ap…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43982/psn-pdf
    April 01, 2015 - Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. April 1, 2015 Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BMJ Qual Saf. 2015;24(4):250-254. doi:10.1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43966/psn-pdf
    April 03, 2017 - TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents? April 3, 2017 Mirarchi FL, Cammarata C, Zerkle SW, et al. TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents? J Patient Saf. 2015;11(1):9-17. doi:10.1097/PTS…
  5. psnet.ahrq.gov/issue/san-diego-center-patient-safety
    March 09, 2025 - Multi-use Website San Diego Center for Patient Safety. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 17, 2011 The San Diego Center for Patient Safety (SDCPS) consists o…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50834/psn-pdf
    January 29, 2020 - Medication reconciliation improvement utilizing process redesign and clinical decision support. January 29, 2020 Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. 2020;46(1):27-36. doi:10.1016/j.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44069/psn-pdf
    October 08, 2016 - An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams. October 8, 2016 Tscholl DW, Weiss M, Kolbe M, et al. An Anesthesia Preinduction Checklist to Improve Information Exchange, Knowled…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863760/psn-pdf
    March 06, 2024 - Imagining improved interactions: patients' designs to address implicit bias. March 6, 2024 Yang C, Coney L, Mohanraj D, et al. AMIA Annu Symp Proc. 2023;2023:774-783. https://psnet.ahrq.gov/issue/imagining-improved-interactions-patients-designs-address-implicit-bias Implicit biases can compromise decision making a…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50686/psn-pdf
    January 01, 2020 - 'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety. November 20, 2019 Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing trainee failure while guarding p…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36552/psn-pdf
    January 12, 2011 - Toward learning from patient safety reporting systems. January 12, 2011 Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems This study reports the initia…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43909/psn-pdf
    March 11, 2015 - Summary and frequency of barriers to adoption of CPOE in the US. March 11, 2015 Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us Although compu…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37294/psn-pdf
    May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35596/psn-pdf
    February 17, 2011 - Disciplinary action by medical boards and prior behavior in medical schools. February 17, 2011 Papadakis MA, Teherani A, Banach MA, et al. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 2005;353(25):2673-82. https://psnet.ahrq.gov/issue/disciplinary-action-medical-boards-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44592/psn-pdf
    December 02, 2015 - Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. December 2, 2015 Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866538/psn-pdf
    August 14, 2024 - Improving departmental psychological safety through a medical school-wide initiative August 14, 2024 Porter-Stransky KA, Horneffer-Ginter KJ, Bauler LD, et al. Improving departmental psychological safety through a medical school-wide initiative. BMC Med Educ. 2024;24(1):800. doi:10.1186/s12909-024-05794- 4. https…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60198/psn-pdf
    April 08, 2020 - Hierarchy and medical error: speaking up when witnessing an error. April 8, 2020 Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648. https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-wh…
  17. digital.ahrq.gov/principal-investigator/jih-jane
    February 22, 2022 - Jih, Jane Improving the Management of Multiple Chronic Conditions with mPROVE - Final Report Citation Jih J. Improving the Management of Multiple Chronic Conditions with mPROVE – Final Report. (Prepared by University of California, San Francisco under Grant No. U18 HS026883). …
  18. View PDF (pdf file)

    integrationacademy.ahrq.gov/print/pdf/node/23266
    View PDF American Academy of Family Physicians (AAFP) View PDF Website https://www.aafp.org/home.html Mission To strengthen family physicians and the communities they care for. Contact: Michael Monroe, B.S. Title: Senior Manager, Clinical and Health Practices Email: mmonroe@aafp.org Location Leawood, KS United S…
  19. digital.ahrq.gov/principal-investigator/lenox-michelle
    February 07, 2019 - Lenox, Michelle CDS Connect- Year 8 Final Report Citation Final Report (Year 8 of CDS Connect) CDS Connect Maintenance and Update Prepared under Contract No. 75FCMC18D0047. AHRQ Publication No. 24-0067. Rockville, MD: Agency for Healthcare Research and Quality; August 2024. …
  20. integrationacademy.ahrq.gov/sites/default/files/2020-07/mac_baird.docx
    January 01, 2020 - Importance of a Solid Collaborative Care Team in Primary Care Clinics - Part 1 Mac Baird Transcript AHRQ Academy Video Providers seek integrated care services and teammates once they begin to experience the results of that type of integrated service. So when they first start out after training they might have no idea …