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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44750/psn-pdf
    January 06, 2016 - Simulation in the executive suite: lessons learned for building patient safety leadership. January 6, 2016 Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377. https://psnet.ahrq.gov/issue/simulation-exe…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46250/psn-pdf
    July 26, 2017 - Surgical residents' work hours and well-being in year 2 of the FIRST trial. July 26, 2017 Dahlke AR, Quinn CM, Chung JW, et al. Surgical Residents' Work Hours and Well-Being in Year 2 of the FIRST Trial. New Engl J Med. 2017;377(2):192-194. doi:10.1056/NEJMc1703812. https://psnet.ahrq.gov/issue/surgical-residents-…
  3. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-15.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.15. Major Factors that Inhibited Lean Success at Central Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healt…
  4. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-9.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.9. Lean Project Activities 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 2. Central Hospit…
  5. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
    July 01, 2023 - CEO/Senior Leader Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science of Safety training.     2. Assign a senior executive (C…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72709/psn-pdf
    February 03, 2021 - COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. February 3, 2021 Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to protect frail patients. An Italian observational cohort study. Int J…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847544/psn-pdf
    April 12, 2023 - A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. April 12, 2023 Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals acr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48187/psn-pdf
    August 21, 2019 - How medical error shapes physicians' perceptions of learning: an exploratory study. August 21, 2019 Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.0000000000002752. https://psnet.ahrq.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44812/psn-pdf
    February 15, 2017 - Combining systems and teamwork approaches to enhance the effectiveness of safety improvement interventions in surgery: the Safer Delivery of Surgical Services (S3) program. February 15, 2017 McCulloch P, Morgan L, New S, et al. Combining Systems and Teamwork Approaches to Enhance the Effectiveness of Safety Impro…
  10. www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
    August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 6: Categories of Medication Error Classification Previous Page   Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chap…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45109/psn-pdf
    May 11, 2016 - Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety. May 11, 2016 Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina Hospitals Is Associated with Improvement in Perceived P…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866248/psn-pdf
    July 10, 2024 - Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. July 10, 2024 Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? – an international…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39056/psn-pdf
    April 04, 2011 - Rate of undesirable events at beginning of academic year: retrospective cohort study. April 4, 2011 Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective cohort study. BMJ. 2009;339:b3974. doi:10.1136/bmj.b3974. https://psnet.ahrq.gov/issue/rate-undesirable-eve…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44710/psn-pdf
    May 09, 2017 - The vulnerabilities of computerized physician order entry systems: a qualitative study. May 9, 2017 Slight SP, Eguale T, Amato MG, et al. The vulnerabilities of computerized physician order entry systems: a qualitative study: Table 1. J Am Med Inform Assoc. 2015;23(2):311-316. doi:10.1093/jamia/ocv135. https://psn…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72467/psn-pdf
    November 18, 2020 - Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. November 18, 2020 Jiménez-Pericás F, Gea Velázquez de Castro MT, Pastor-Valero M, et al. Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. BMJ Open.…
  16. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals Key Subject Area Index Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37114/psn-pdf
    October 04, 2011 - A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. October 4, 2011 Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60320/psn-pdf
    May 13, 2020 - Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. May 13, 2020 Houghton C, Meskell P, Delaney H, et al. Barriers and facilitators to healthcare workers’ adherence with infec…
  19. www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
    August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 6: Categories of Medication Error Classification Previous Page   Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chap…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862137/psn-pdf
    February 07, 2024 - What do parents think about the quality and safety of care provided by hospitals to children and young people with an intellectual disability? A qualitative study using thematic analysis. February 7, 2024 Ong N, Lucien A, Long JC, et al. What do parents think about the quality and safety of care provided by hospi…