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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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 …
  4. 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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. 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…
  11. 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;…
  12. 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…
  13. 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…
  14. 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-…
  15. 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. Copy Citation Format: Google Scholar PubMed B…
  16. 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…
  17. 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…
  18. 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. Copy…
  19. 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. Copy Citation Format: DOI Google Scholar BibTeX EndNote …
  20. 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. Copy Citation Format: …

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