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7301. Patient safety: healthcare acquired conditions and serious reportable events. | PSNet
      psnet.ahrq.gov/issue/patient-safety-healthcare-acquired-conditions-and-serious-reportable-events
      March 25, 2025 - Press Release/Announcement Patient safety: healthcare acquired conditions and serious reportable events. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 23, 2009 This …

7302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47935/psn-pdf
      April 17, 2019 - Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. April 17, 2019 Johnston BE, Lou-Meda R, Mendez S, et al. Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. BMJ Glob Health. 2019;4(1). doi:10.1136/bmjgh-201…

7303. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37590/psn-pdf
      April 13, 2018 - Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. April 13, 2018 Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 9781472475756. https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition Although early efforts in the patient saf…

7304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846707/psn-pdf
      March 29, 2023 - Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. March 29, 2023 Agbar F, Zhang S, Wu Y, et al. Effect of patient safety education interventions on patient safety culture of health care professionals: Systematic review and …

7305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865678/psn-pdf
      April 24, 2024 - Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. April 24, 2024 Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Jt Comm J Q…

7306. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48044/psn-pdf
      June 12, 2019 - What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. June 12, 2019 Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS? Lessons from aviation to improve patient safety. Br J Oral Maxillofac Surg. 2019;57(5):407-411. doi:10.10…

7307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42944/psn-pdf
      March 03, 2024 - Clinical Learning Environment Review (CLER) Program. March 3, 2024 Accreditation Council for Graduate Medical Education. https://psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program Many graduate medical education programs have instituted patient safety didactics or online courses to meet accredi…

7308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73513/psn-pdf
      July 21, 2021 - Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. July 21, 2021 Mackenhauer J, Winsløv J-H, Holmskov J, et al. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. Crisis. 2021;43(4):307-314. do…

7309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73682/psn-pdf
      September 08, 2021 - Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study. September 8, 2021 Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds capacity and improves competence for patient saf…

7310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73584/psn-pdf
      August 11, 2021 - What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff. August 11, 2021 Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of care among trainee medical staff. Postgrad Med J. 2021;97(1153):69…

7311. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838247/psn-pdf
      October 05, 2022 - Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. October 5, 2022 Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. BMJ Open. 202…

7312. Primary Care Interventions to Promote Breastfeeding: Clinical Summary (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/FCxshu6GVxPj8utdpVWBVG
      Primary Care Interventions to Promote Breastfeeding: Clinical Summary PRIMARY CARE INTERVENTIONS TO PROMOTE BREASTFEEDING CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE RECOMMENDATION Population Pregnant Women New Mothers The Mother’s Partner, Other Family Members, and Friends …

7313. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867752/psn-pdf
      March 12, 2025 - Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. March 12, 2025 Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;…

7314. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867445/psn-pdf
      January 08, 2025 - Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. January 8, 2025 Militello LG, Diiulio J, Wilson DL, et al. Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. J Am Med Inform Assoc. 2025;32(2):398-403. doi…

7315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860390/psn-pdf
      January 10, 2024 - Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review. January 10, 2024 Guerra-Paiva S, Lobão MJ, Simões DG, et al. Key factors for effective implementation of healthcare workers support interventions after pati…

7316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73350/psn-pdf
      June 02, 2021 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. June 2, 2021 Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. doi:10.1097/jhq.0000000000000301. h…

7317. Critical steps when conducting a risk assessment (pdf file)
      digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/HowtoConductaRiskAssessment.pdf
      January 01, 2010 - Critical steps when conducting a risk assessment How to Conduct a Risk Assessment Risk assessments can be conducted in a number of ways. Certain common methods, such as failure mode and effects analysis, can be time consuming. By following the steps below, through a group process or by interviewing individual…

7318. Log | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/log
      January 01, 2023 - Log Also Known As Work Log Work Diary Examples EHR Implementation Issues Log ( PDF , 573KB) Scanning Record Log ( PDF , 12KB) Timed Office Visit Log ( PDF , 92KB) Description A log is a generic data collection form used for recording what has been done, when it was done, …

7319. Time and Motion Study | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/time-and-motion-study
      January 01, 2023 - Time and Motion Study Also Known As Process Observation Worksheet Time Study Examples Hollingworth W, Devine E, Hansen R, et al. The impact of e-prescribing on prescriber and staff time in ambulatory care clinics: a time-motion study. J Am Med Inform Assoc 2007;14(6):722-30. De…

7320. Task Decomposition | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/task-decomposition
      January 01, 2023 - Task Decomposition Description A task decomposition describes a particular task and then decomposes it to describe the task's features, such as devices and interface components used, duration, errors, and feedback. These categories will be selected by the analyst based on the needs of the analysis. …