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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47504/psn-pdf
    December 21, 2018 - Health apps and health policy: what is needed? December 21, 2018 Bates DW, Landman A, Levine DM. Health Apps and Health Policy: What Is Needed? JAMA. 2018;320(19):1975-1976. doi:10.1001/jama.2018.14378. https://psnet.ahrq.gov/issue/health-apps-and-health-policy-what-needed Mobile health care applications are incre…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38346/psn-pdf
    April 01, 2010 - Human factors engineering in healthcare systems: the problem of human error and accident management. April 1, 2010 Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17. doi:10.1016/j.ijmedinf.2008.10.005. http…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36664/psn-pdf
    May 27, 2011 - A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. May 27, 2011 Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. Saf Sci. 2006;45(4).…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46158/psn-pdf
    October 31, 2017 - Improving care teams' functioning: recommendations from team science. October 31, 2017 Fiscella K, Mauksch L, Bodenheimer T, et al. Improving Care Teams' Functioning: Recommendations from Team Science. Jt Comm J Qual Patient Saf. 2017;43(7):361-368. doi:10.1016/j.jcjq.2017.03.009. https://psnet.ahrq.gov/issue/impr…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838929/psn-pdf
    October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care. October 26, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858324/psn-pdf
    December 13, 2023 - Many people of color worry good health care is tied to their appearance. December 13, 2023 DeGuzman C. KFF Health News. December 5, 2023 https://psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance Racial and ethnic bias permeates medical interactions to detract from safe and effecti…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45285/psn-pdf
    September 14, 2016 - Improving pathologists' communication skills. September 14, 2016 Dintzis SM. Improving Pathologists' Communication Skills. AMA J Ethics. 2016;18(8):802-8. doi:10.1001/journalofethics.2016.18.8.medu1-1608. https://psnet.ahrq.gov/issue/improving-pathologists-communication-skills Despite increasing recognition that e…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850936/psn-pdf
    June 29, 2023 - After Roe: Challenges in the Provision of Lifesaving Care. June 21, 2023 Washington DC; National Academies of Science, Engineering and Medicine: June 29, 2023. https://psnet.ahrq.gov/issue/after-roe-challenges-provision-lifesaving-care Delay in access to obstetric care hinders safe treatment for patients experienci…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47955/psn-pdf
    April 17, 2019 - Will human factors restore faith in the GMC? April 17, 2019 Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037. https://psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc Investigations into medical mistakes that result in patient harm sh…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73447/psn-pdf
    June 30, 2021 - Errors in adult trauma resuscitation: a systematic review. June 30, 2021 Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7. https://psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review Trauma …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48072/psn-pdf
    June 19, 2019 - Independent double checks: worth the effort if used judiciously and properly. June 19, 2019 ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. https://psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly Independent double checks can reduce risk of human …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60041/psn-pdf
    March 11, 2020 - Supplement on Deepening our Understanding of Quality in Australia (DUQuA). March 11, 2020 Int J Qual Health Care. 2020;32(Supp1):1-105. https://psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua Quality and safety are often intertwined in large improvement efforts. This special iss…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45058/psn-pdf
    February 18, 2017 - Learning from incidents in healthcare: the journey, not the arrival, matters. February 18, 2017 Leistikow I, Mulder S, Vesseur J, et al. Learning from incidents in healthcare: the journey, not the arrival, matters. BMJ Qual Saf. 2017;26(3):252-256. doi:10.1136/bmjqs-2015-004853. https://psnet.ahrq.gov/issue/learni…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46882/psn-pdf
    May 23, 2018 - How health care changes when algorithms start making diagnoses. May 23, 2018 Burt A, Volchenboum S. Harv Bus Rev. May 8, 2018. https://psnet.ahrq.gov/issue/how-health-care-changes-when-algorithms-start-making-diagnoses Use of artificial intelligence and computer algorithms as tools to improve diagnosis have both r…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72583/psn-pdf
    December 16, 2020 - Wear face masks with no metal during MRI exams. December 16, 2020 FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020. https://psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams Magnetic resonance imaging (MRI) requires patient prep…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47342/psn-pdf
    August 22, 2018 - The doctor doesn't listen to her. But the media is starting to. August 22, 2018 Fetters A. The Atlantic. August 10, 2018. https://psnet.ahrq.gov/issue/doctor-doesnt-listen-her-media-starting Women face implicit bias that can affect the safety and effectiveness of their care. Reviewing several high- profile accoun…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849333/psn-pdf
    May 24, 2023 - Patient safety in home health care: a grounded theory study. May 24, 2023 Shahrestanaki SK, Rafii F, Najafi Ghezeljeh T, et al. Patient safety in home health care: a grounded theory study. BMC Health Serv Res. 2023;23(1):467. doi:10.1186/s12913-023-09458-9. https://psnet.ahrq.gov/issue/patient-safety-home-health-c…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60951/psn-pdf
    September 23, 2020 - A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. September 23, 2020 Edmonton, Alberta; Canadian Patient Safety Institute: 2020. ISBN: 9781926541846. https://psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality- im…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43458/psn-pdf
    August 27, 2014 - Validation of a teamwork perceptions measure to increase patient safety. August 27, 2014 Keebler JR, Dietz AS, Lazzara EH, et al. Validation of a teamwork perceptions measure to increase patient safety. BMJ Qual Saf. 2014;23(9):718-26. doi:10.1136/bmjqs-2013-001942. https://psnet.ahrq.gov/issue/validation-teamwork…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46331/psn-pdf
    September 14, 2018 - Health IT Patient Safety Supplemental Items for Hospitals. September 14, 2018 Agency for Healthcare Research and Quality. July 25, 2018.  https://psnet.ahrq.gov/issue/health-it-patient-safety-supplemental-items-hospitals Tracking the intersection of organizational culture with health information technology use can …
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