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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45829/psn-pdf
    June 27, 2018 - Learning from errors: analysis of medication order voiding in CPOE systems. June 27, 2018 Kannampallil TG, Abraham J, Solotskaya A, et al. Learning from errors: analysis of medication order voiding in CPOE systems. J Am Med Inform Assoc. 2017;24(4):762-768. doi:10.1093/jamia/ocw187. https://psnet.ahrq.gov/issue/le…
  2. Ppe-Quiz (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 3 Quiz Personal Protective Equipment 1. Personal protective equipment (PPE) can reduce contamination of health care personnel hands and clothes. ☐ True ☐ False 2. PPE includes gloves, gowns, masks, and goggles. ☐ True ☐ False 3. Gowns should …
  3. Ppe-Quiz-Key (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz-key.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 3 Quiz Answer Key Personal Protective Equipment 1. Personal protective equipment (PPE) can reduce contamination of health care personnel hands and clothes. ☒ True ☐ False 2. PPE includes gloves, gowns, masks, and goggles. ☒ True ☐ False 3. Go…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45535/psn-pdf
    January 23, 2017 - Surgical specimen management: a descriptive study of 648 adverse events and near misses. January 23, 2017 Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396. https://psnet.ahrq.gov/issue/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37803/psn-pdf
    January 06, 2017 - Paying the piper: investing in infrastructure for patient safety.  January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60523/psn-pdf
    May 27, 2020 - "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. May 27, 2020 Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. AJOB Empir …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41993/psn-pdf
    April 21, 2015 - Simulation-based trial of surgical-crisis checklists. April 21, 2015 Arriaga AF, Bader AM, Wong JM, et al. Simulation-based trial of surgical-crisis checklists. N Engl J Med. 2013;368(3):246-53. doi:10.1056/NEJMsa1204720. https://psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists Surgical check…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60347/psn-pdf
    January 01, 2021 - Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. May 20, 2020 Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. J Patient Saf. 2021;17(…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844043/psn-pdf
    February 08, 2023 - In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic? February 8, 2023 Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, et al. In Situ Simulation: A Strategy to Restore Patient Safety in Intensive Care Units after the COVID-19 Pandemic? Systematic Review. Heal…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858163/psn-pdf
    December 13, 2023 - Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. December 13, 2023 Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. BMC Prim …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44904/psn-pdf
    June 01, 2016 - Does time pressure have a negative effect on diagnostic accuracy? June 1, 2016 ALQahtani DA, Rotgans JI, Mamede S, et al. Does Time Pressure Have a Negative Effect on Diagnostic Accuracy? Acad Med. 2016;91(5):710-716. doi:10.1097/ACM.0000000000001098. https://psnet.ahrq.gov/issue/does-time-pressure-have-negative-e…
  12. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/orgchart/organizationchart-060225.pdf
    June 01, 2025 - AHRQ Organization Chart Office of Extramural Research, Education and Priority Populations Francis D. Chesley, Jr., M.D. Director Directs the scientific review process for grants and contracts, manages Agency research training programs, evaluates the scientific contribution of proposed and ongoing research an…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866349/psn-pdf
    July 24, 2024 - A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. July 24, 2024 Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to improve the reporting rate of patient safety inciden…
  14. www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
    March 01, 2021 - EvidenceNOW in Action EvidenceNOW cooperatives have provided tailored support to small practices in their regions to help them use evidence and data to enhance patient care. For example, external consultants helped practices use their electronic health record data to identify at-risk patients and improve care. …
  15. www.ahrq.gov/cpi/about/organization/nac/hickman.html
    February 01, 2025 - NAC Member Biography: Sharon Weidner Hickman Sharon Weidner Hickman, M.B.A., CPHQ, CPPS, MCPC, LSSMBB President and Chief Operating Officer Adaptient, LLP Sharon Weidner Hickman, M.B.A., CPHQ, CPPS, MCPC, LSSMBB, is a healthcare executive with a demonstrated track record of achievement in strategic development,…
  16. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/orgchart/organizationchart-072825.pdf
    July 01, 2025 - AHRQ Organization Chart Office of Extramural Research, Education and Priority Populations Francis D. Chesley, Jr., M.D. Director Directs the scientific review process for grants and contracts, manages Agency research training programs, evaluates the scientific contribution of proposed and ongoing research an…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60342/psn-pdf
    May 20, 2020 - Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. May 20, 2020 Kisely S, Warren N, McMahon L, et al. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare wor…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43072/psn-pdf
    November 21, 2016 - Physician attitudes toward family-activated medical emergency teams for hospitalized children. November 21, 2016 Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;40(4):187-192. https://psnet.a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47500/psn-pdf
    October 24, 2018 - Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. October 24, 2018 Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Understand Latent Safety Issues. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47286/psn-pdf
    July 18, 2018 - ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. July 18, 2018 ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;23:1-4,6,7. https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part- 2 Mistakes in t…