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psnet.ahrq.gov/node/35454/psn-pdf
January 05, 2017 - An interview with Peter Pronovost
January 5, 2017
Pronovost P. An interview with Peter Pronovost. Jt Comm J Qual Saf. 2004;30(12):659-64.
https://psnet.ahrq.gov/issue/interview-peter-pronovost
This interview with Dr. Peter Pronovost, the 2004 Eisenberg research award winner, discusses his work
in intensive care un…
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psnet.ahrq.gov/node/40415/psn-pdf
March 08, 2015 - Driving out errors.
March 8, 2015
Weinstock M. Driving out errors,. Hospitals & health networks. 2011;85(4):46-9, 2.
https://psnet.ahrq.gov/issue/driving-out-errors
This article discusses one hospital system's effort to hardwire safety into daily work by having providers
look at each patient as a loved one.
https…
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psnet.ahrq.gov/node/36250/psn-pdf
February 06, 2019 - Resilience Engineering: Concepts and Precepts.
February 6, 2019
Hollnagel E, Woods DD, Leveson N. Burlington, VT: Ashgate; 2006. ISBN: 978-0754649045.
https://psnet.ahrq.gov/issue/resilience-engineering-concepts-and-precepts
This book explores how organizations and individuals must anticipate risk and continuously …
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psnet.ahrq.gov/perspective/patient-engagement-safety
January 01, 2018 - Annual Perspective
Patient Engagement in Safety
Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2017
View more articles from the same authors.
Citation Text:
Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. Rockville (MD): Agency…
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psnet.ahrq.gov/node/33827/psn-pdf
February 01, 2017 - New Insights About Team Training From a Decade of
TeamSTEPPS
February 1, 2017
Baker DP, King HB, Battles J. New Insights About Team Training From a Decade of TeamSTEPPS. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
Perspective
Ten years ago, the Ag…
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - Geisinger’s Outpatient Addiction Medicine Specialty
Program Uses Data-Driven Decision Making and MAT to
Reduce Mortality Rates
February 9, 2021
https://psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-
driven-decision
Summary
The team at Geisinger sought to develop a…
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - Rescue Improvement Conference Innovation Summary
July 23, 2024
https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
Summary
The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure
to rescue with a particular focus on communication and com…
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psnet.ahrq.gov/node/38300/psn-pdf
December 17, 2008 - Strategies for Addressing Health Care Worker Fatigue.
December 17, 2008
Oakbrook Terrace, IL: Joint Commission Resources; 2008. ISBN: 9781599402291.
https://psnet.ahrq.gov/issue/strategies-addressing-health-care-worker-fatigue
This handbook describes characteristics of the health care work environment that c…
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psnet.ahrq.gov/node/40864/psn-pdf
October 19, 2011 - Pressing for better quality across healthcare.
October 19, 2011
Levey NN.
https://psnet.ahrq.gov/issue/pressing-better-quality-across-healthcare
This newspaper article reports on improving US health care and profiles Dr. Donald Berwick, highlighting
his commitment and contributions to patient safety and quality wo…
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psnet.ahrq.gov/issue/what-has-airbus-a380-captain-got-do-omfs-lessons-aviation-improve-patient-safety
October 04, 2023 - Commentary
What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety.
Citation Text:
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 Maxillo…
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psnet.ahrq.gov/issue/alliance-innovation-maternal-health-consensus-bundle-sepsis-obstetric-care
August 21, 2024 - Organizational Policy/Guidelines
Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care.
Citation Text:
Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol. 2023;…
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psnet.ahrq.gov/issue/assessment-physician-sleep-and-wellness-burnout-and-clinically-significant-medical-errors
January 27, 2021 - Study
Classic
Assessment of physician sleep and wellness, burnout, and clinically significant medical errors.
Citation Text:
Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors. JAM…
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psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-ambulatory-surgery-center-survey-user-database-report
February 28, 2024 - Book/Report
Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: User Database Report.
Citation Text:
Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: User Database Report. Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthc…
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psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care
April 13, 2017 - Study
Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care.
Citation Text:
Al-Mutairi A, Meyer AND, Thomas EJ, et al. Accuracy of the Safer Dx Instrument to Identify Diagnostic Errors in Primary Care. J Gen Intern Care. 2016;31(6):602-608. doi:10.1007/s11606-…
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psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting
August 31, 2011 - Study
Improving medication reconciliation in the outpatient setting.
Citation Text:
Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92.
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Format:
Google Scholar PubMed B…
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psnet.ahrq.gov/issue/resilience-and-regulation-odd-couple-consequences-safety-ii-governmental-regulation
October 06, 2021 - Commentary
Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality.
Citation Text:
Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Q…
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psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
July 05, 2013 - Commentary
Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance.
Citation Text:
Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…
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psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
November 28, 2012 - Study
Blink or think: can further reflection improve initial diagnostic impressions?
Citation Text:
Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550.
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psnet.ahrq.gov/issue/medication-errors-school-nurse-second-victim
October 19, 2022 - Commentary
Medication errors: the school nurse as second victim.
Citation Text:
Stillwater AR. Medication Errors: The School Nurse as Second Victim. NASN School Nurse. 2018;33(3):163-166. doi:10.1177/1942602x17747294.
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DOI Google Scholar BibTeX EndNote …
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psnet.ahrq.gov/issue/clean-care-safer-care-global-patient-safety-challenge-2005-2006
November 13, 2024 - Commentary
'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006.
Citation Text:
Pittet D, Allegranzi B, Storr J, et al. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. Int J Infect Dis. 2006;10(6):419-24.
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