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  1. 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…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848825/psn-pdf
    May 10, 2023 - Laura Levis' death outside ER has changed hospital signage, lighting in Mass. May 10, 2023 Mullins L, Menard F. WBUR. April 27, 2023. https://psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass Incomplete information and building design problems can reduce access to care an…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33926/psn-pdf
    March 07, 2005 - The problems of detecting medication errors in hospitals. March 7, 2005 Barker KN, McConnell WE. The Problems of Detecting Medication Errors in Hospitals. Am J Health Syst Pharm. 1962;19(8):360-369. doi:10.1093/ajhp/19.8.360. https://psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals Perhaps the f…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35767/psn-pdf
    July 20, 2010 - An innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse medical event study. July 20, 2010 MacNab YC, Kmetic A, Gustafson P, et al. An innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse medical event study. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47320/psn-pdf
    September 05, 2018 - Patient safety climate: a study of Southern California healthcare organizations. September 5, 2018 Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004. https://psnet.ahrq.gov/issue/patient-safety…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37966/psn-pdf
    January 15, 2009 - Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries. January 15, 2009 Ludwick DA, Doucette J. Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35043/psn-pdf
    June 22, 2009 - Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. June 22, 2009 Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. https://psnet.ahrq.gov/issue/human-factors-e…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36671/psn-pdf
    January 18, 2011 - Increasing vigilance on the medical/surgical floor to improve patient safety. January 18, 2011 Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. https://psnet.ahrq.gov/issue/increasing-vigilance-m…

  9. 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…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44475/psn-pdf
    October 03, 2017 - Scoring no goal—further adventures in transparency. October 3, 2017 Rosenbaum L. Scoring No Goal--Further Adventures in Transparency. N Engl J Med. 2015;373(15):1385- 8. doi:10.1056/NEJMp1510094. https://psnet.ahrq.gov/issue/scoring-no-goal-further-adventures-transparency This commentary explores challenges to mon…

  11. 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…

  12. 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…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41453/psn-pdf
    November 26, 2014 - Judging whether a patient is actually improving: more pitfalls from the science of human perception. November 26, 2014 Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9. doi:10.1007/s11606-012-2097-2.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36087/psn-pdf
    September 28, 2010 - Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. September 28, 2010 Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory. Health Serv Res. 2006;41(4 Pt 2):1654-76. https://psnet.ah…

  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/45951/psn-pdf
    October 31, 2017 - A systematic review of team training in health care: ten questions. October 31, 2017 Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004. https://psnet.ahrq.gov/issue/systematic-rev…

  17. 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).…

  18. 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…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35235/psn-pdf
    September 27, 2017 - What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors. September 27, 2017 Grasso BC, Rothschild JM, Jordan CW, et al. What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors. J Psychiatr Pract. 20…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47268/psn-pdf
    May 11, 2019 - Measuring shared mental models in healthcare. May 11, 2019 Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219. https://psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare Shared mental models are an important element of team collaboration. This review explores the current…
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