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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73379/psn-pdf
    June 09, 2021 - How medical jargon can make COVID health disparities even worse. June 9, 2021 Kritz F. Health Shots. National Public Radio; May 24, 2021. https://psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse Health literacy efforts address challenges related to both language and effecti…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72651/psn-pdf
    January 20, 2021 - Racial disparities in maternal mortality. January 20, 2021 KM B. Racial disparities in maternal mortality. New York Univ Law Rev. 2020;95(5):1229-1318. https://psnet.ahrq.gov/issue/racial-disparities-maternal-mortality Maternal death or harm is disproportionately experienced by women of color in the United States. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38027/psn-pdf
    October 15, 2008 - Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. October 15, 2008 US Department of Health and Human Services; HHS; Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-eff…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47107/psn-pdf
    June 20, 2018 - Challenges in communication from referring clinicians to pathologists in the electronic health record era. June 20, 2018 Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists in the Electronic Health Record Era. J Pathol Inform. 2018;9:8. doi:10.4103/jpi.jpi_70_1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36046/psn-pdf
    June 21, 2006 - The Future of Emergency Care in the United States Health System. June 21, 2006 Institute of Medicine. Washington DC; National Academies Press: 2007. https://psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system In September 2003, an Institute of Medicine (IOM) committee began a detailed examinatio…
  6. psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relating-use-health-it-and-ehrs
    December 18, 2013 - Book/Report Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Citation Text: Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Washington, DC: Office of the National Coordinator for Heal…
  7. psnet.ahrq.gov/issue/va-pauses-16b-oracle-cerner-ehr-deployments-indefinitely-address-error-ridden-early-rollout
    September 14, 2022 - Newspaper/Magazine Article VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. Citation Text: VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. Muoio D. Fierce Healthcare. April 21, 2023. Copy…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46965/psn-pdf
    March 28, 2018 - The other opioid crisis: hospital shortages lead to patient pain, medical errors. March 28, 2018 Bartolone P. Kaiser Health News. March 16, 2018. https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors Drug shortages may require clinicians, pharmacists, and hospitals to…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36133/psn-pdf
    April 16, 2010 - Low literacy impairs comprehension of prescription drug warning labels. April 16, 2010 Davis TC, Wolf MS, Bass PF, et al. Low literacy impairs comprehension of prescription drug warning labels. J Gen Intern Med. 2006;21(8):847-51. https://psnet.ahrq.gov/issue/low-literacy-impairs-comprehension-prescription-drug-wa…
  10. psnet.ahrq.gov/issue/overcoming-diagnostic-errors-medical-practice
    March 15, 2017 - Commentary Overcoming diagnostic errors in medical practice. Citation Text: Bordini BJ, Stephany A, Kliegman RM. Overcoming Diagnostic Errors in Medical Practice. J Pediatr. 2017;185. doi:10.1016/j.jpeds.2017.02.065. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…
  11. psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent-public-health-challenge
    May 04, 2016 - Book/Report Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Citation Text: Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Washington, DC: United States Government Accountability O…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60243/psn-pdf
    April 22, 2020 - COVID-19: peer support and crisis communication strategies to promote institutional resilience. April 22, 2020 Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience. Ann Intern Med. 2020;172(12):822-823. doi:10.7326/m20-1236. https://psnet.ahrq.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46595/psn-pdf
    November 01, 2017 - Randomised controlled trial to assess the effect of a Just- in-Time training on procedural performance: a proof-of- concept study to address procedural skill decay. November 1, 2017 Branzetti JB, Adedipe AA, Gittinger MJ, et al. Randomised controlled trial to assess the effect of a Just-in- Time training on proced…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50852/psn-pdf
    January 29, 2020 - Failure mode and effects analysis to reduce risk of heparin use. January 29, 2020 Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229. https://psnet.ahrq.gov/issue/failure-mode-and-effect…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40816/psn-pdf
    March 21, 2017 - Professionalism: a necessary ingredient in a culture of safety. March 21, 2017 Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-55. https://psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety Di…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867590/psn-pdf
    January 22, 2025 - Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. January 22, 2025 Bradford A, Tran A, Ali KJ, et al. Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. J Gen Intern Med. . 2024;Epub Oct 22. doi:10.1007/s11606-024-09132-8. htt…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60576/psn-pdf
    June 10, 2020 - Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. June 10, 2020 Kim S, Appelbaum NP, Baker N, et al. Patient Safety Over Power Hierarchy: A Scoping Review of Healthcare Professionals' Speaking-up Skills Training. J Healthc Qual. 2020;42(5):249-263. doi:…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37292/psn-pdf
    May 24, 2015 - Guilty, afraid, and alone — struggling with medical error. May 24, 2015 Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error Disclosure of medical errors remains an important a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46598/psn-pdf
    March 20, 2018 - Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures. March 20, 2018 Wong LR, Flynn-Evans E, Ruskin KJ. Fatigue Risk Management: The Impact of Anesthesiology Residents' Work Schedules on Job Performance and a Review of Potentia…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45244/psn-pdf
    August 01, 2016 - Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. August 1, 2016 Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. Pediatr Clin North Am. 2012;59(6):1317-28. doi:10.1016/j.pcl.2012.09.00…

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