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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44651/psn-pdfDecember 09, 2015 - Measurement of diagnostic errors is a key first step to their reduction. December 9, 2015 Singh H. National Quality Measures Expert Commentaries. November 23, 2015. https://psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction Recently, diagnostic error has garnered much discussion and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45908/psn-pdfApril 05, 2017 - Towards a framework for managing risk associated with technology-induced error. April 5, 2017 Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45053/psn-pdfMay 19, 2019 - Five topics health care simulation can address to improve patient safety: results from a consensus process. May 19, 2019 Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Saf. 2019;15(2):111-120. doi:10.1097/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837146/psn-pdfMay 18, 2022 - Applying requisite imagination to safeguard electronic health record transitions. May 18, 2022 Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab291. https://psnet.ahrq.gov/issue/applyi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47314/psn-pdfNovember 24, 2018 - Adverse effects of computers during bedside rounds in a critical care unit. November 24, 2018 Dhillon NK, Francis SE, Tatum JM, et al. Adverse Effects of Computers During Bedside Rounds in a Critical Care Unit. JAMA Surg. 2018;153(11):1052-1053. doi:10.1001/jamasurg.2018.1752. https://psnet.ahrq.gov/issue/adverse-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50659/psn-pdfNovember 13, 2019 - Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. November 13, 2019 Archer S, Thibaut BI, Dewa LH, et al. Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. J Psychiatr Ment Health Nurs. 2019;27(3):211-223. doi:10.111… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73589/psn-pdfAugust 11, 2021 - Suicide and suicide attempts on hospital grounds and clinic areas. August 11, 2021 Mills PD, Watts BV, Hemphill RR. Suicide and suicide attempts on hospital grounds and clinic areas. J Patient Saf. 2021;17(5):e423-e428. doi:10.1097/pts.0000000000000356. https://psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855438/psn-pdfNovember 15, 2023 - Intravenous (IV) push medications – bridging the gap between education and clinical practice. November 15, 2023 ISMP Medication Safety Alert! Acute Care. November 2, 2023;28(22):1-4. https://psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical- practice Intravenous… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43414/psn-pdfSeptember 17, 2014 - Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns. September 17, 2014 Schwappach DLB, Gehring K. Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns. BMC Health … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45841/psn-pdfMarch 01, 2017 - Monitoring the anaesthetist in the operating theatre—professional competence and patient safety. March 1, 2017 Larsson J. Monitoring the anaesthetist in the operating theatre - professional competence and patient safety. Anaesthesia. 2017;72 Suppl 1:76-83. doi:10.1111/anae.13743. https://psnet.ahrq.gov/issue/monit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47154/psn-pdfMay 23, 2018 - Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. May 23, 2018 Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JAMA Surg. 2018;153(4):367-375. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47271/psn-pdfAugust 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid Epidemic. August 8, 2018 National Academy of Medicine; Aspen Institute. https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the Un… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47800/psn-pdfJune 26, 2019 - Error and Uncertainty in Diagnostic Radiology. June 26, 2019 Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395. https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to uncer… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846761/psn-pdfSeptember 29, 2018 - Using clinical simulation to study how to improve quality and safety in healthcare. September 29, 2018 Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43053/psn-pdfMay 26, 2014 - Evidence-based organization and patient safety strategies in European hospitals. May 26, 2014 Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu016. https://psnet.ahrq.gov/issue/ev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46947/psn-pdfMarch 21, 2018 - Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. March 21, 2018 Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics. 2018;19(1):18. doi:10.1186/s12910-018-0255-8. https://psnet.ahrq.gov/issue/leav… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43149/psn-pdfJuly 23, 2014 - FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. July 23, 2014 Washington, DC: Office of the National Coordinator for Health Information Technology, Federal Communications Commission. Silver Spring, MD: Food and Drug Administration. April 2014. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50936/psn-pdfFebruary 26, 2020 - Sitters as a patient safety strategy to reduce hospital falls: a systematic review. February 26, 2020 Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628. https://psnet.ahrq.gov/issue/sitters-patient-safety-st… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46934/psn-pdfMarch 14, 2018 - Engaging the front line: tapping into hospital-wide quality and safety initiatives. March 14, 2018 Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43524/psn-pdfOctober 29, 2014 - Validating administrative data for the detection of adverse events in older hospitalized patients. October 29, 2014 Ackroyd-Stolarz S, Bowles SK, Giffin L. Validating administrative data for the detection of adverse events in older hospitalized patients. Drug Healthc Patient Saf. 2014;6:101-8. doi:10.2147/DHPS.S643…
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