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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37312/psn-pdf
    January 05, 2012 - Delineation of risk through the exploration of a culture of safety in community home health. January 5, 2012 Stevenson L, McRae C, Mughal WA. Delineation of Risk Through the Exploration of a Culture of Safety in Community Home Health. Home Health Care Manag Pract. 2007;19(6). doi:10.1177/1084822307304256. https://…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33693/psn-pdf
    February 01, 2010 - The Role of Graduate Medical Education (GME) in Improving Patient Safety February 1, 2010 Baron RB, Vidyarthi A. The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety Perspec…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846770/psn-pdf
    March 29, 2023 - Procedure Complications – Who is Responsible for Follow up? March 29, 2023 Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up? PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow The Case A 74-year-old man with newly diagnose…

  4. CVC Removal: A Procedure Like Any Other | PSNet

    psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
    October 01, 2018 - CVC Removal: A Procedure Like Any Other Citation Text: Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

  5. Preventing PICC Complications: Whose Line Is It? | PSNet

    psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
    October 01, 2017 - Preventing PICC Complications: Whose Line Is It? Citation Text: Moureau N. Preventing PICC Complications: Whose Line Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibT…

  6. Medical Devices in the "Wild" | PSNet

    psnet.ahrq.gov/web-mm/medical-devices-wild
    March 27, 2024 - Medical Devices in the "Wild" Citation Text: Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

  7. Inflicting Confusion | PSNet

    psnet.ahrq.gov/web-mm/inflicting-confusion
    August 04, 2021 - Inflicting Confusion Citation Text: Scott FI, Lichtenstein GR. Inflicting Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  8. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet

    psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
    September 01, 2012 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization Citation Text: Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Ci…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60706/psn-pdf
    July 22, 2020 - Painting a picture of nurse presenteeism: a multi-country integrative review. July 22, 2020 Freeling M, Rainbow JG, Chamberlain D. Painting a picture of nurse presenteeism: a multi-country integrative review. Int J Nurs Stud. 2020;109:103659. doi:10.1016/j.ijnurstu.2020.103659. https://psnet.ahrq.gov/issue/paintin…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60965/psn-pdf
    September 30, 2020 - Data collection for adverse events reporting by US dental schools. September 30, 2020 Rooney D, Barrett K, Bufford B, et al. Data collection for adverse events reporting by US dental schools. J Patient Saf. 2020;16(3):e126-e130. doi:10.1097/pts.0000000000000281. https://psnet.ahrq.gov/issue/data-collection-adverse…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60997/psn-pdf
    October 07, 2020 - ‘You’re going to release him when he was hurting himself?’ October 7, 2020 Dahlberg B. Kaiser Health News. September 29, 2020. https://psnet.ahrq.gov/issue/youre-going-release-him-when-he-was-hurting-himself This story discusses failures related emergency psychiatric assessment, including premature discharge, imp…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867347/psn-pdf
    December 11, 2024 - Recommendations to ensure safety of AI in real-world clinical care. December 11, 2024 Sittig DF, Singh H. Recommendations to ensure safety of AI in real-world clinical care. JAMA. 2025;333(6):457-458. doi:10.1001/jama.2024.24598. https://psnet.ahrq.gov/issue/recommendations-ensure-safety-ai-real-world-clinical-car…

  13. 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…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39749/psn-pdf
    August 11, 2010 - An evaluation of information transfer through the continuum of surgical care: a feasibility study. August 11, 2010 Nagpal K, Vats A, Ahmed K, et al. An evaluation of information transfer through the continuum of surgical care: a feasibility study. Ann Surg. 2010;252(2):402-7. doi:10.1097/SLA.0b013e3181e986df. http…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44126/psn-pdf
    May 13, 2015 - SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience. May 13, 2015 Sittig DF, Singh H, eds. Waretown, NJ: Apple Academic Press; 2015. ISBN: 9781771881173. https://psnet.ahrq.gov/issue/safer-electronic-health-records-safety-assurance-factors-ehr-resilience Implementation of electronic health…

  16. 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…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35022/psn-pdf
    June 22, 2009 - The investigation and analysis of critical incidents and adverse events in healthcare. June 22, 2009 Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents and adverse events in healthcare. Health Technol Assess. 2005;9(19):1-143, iii. https://psnet.ahrq.gov/issue/in…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50374/psn-pdf
    September 25, 2019 - Explainable artificial intelligence for safe intraoperative decision support. September 25, 2019 Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821. https://psnet.ahrq.gov/issue/explainable-artificial-int…

  19. 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…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41738/psn-pdf
    June 10, 2018 - Inappropriate use of pharmacy bulk packages of IV contrast media increases risk of infections. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 20, 2012;17:1,3-4. https://psnet.ahrq.gov/issue/inappropriate-use-pharmacy-bulk-packages-iv-contrast-media-increases-risk- infections This articl…
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