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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47018/psn-pdf
    June 13, 2018 - Opportunities to improve informed consent with AHRQ training modules. June 13, 2018 Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010. https://psnet.ahrq.gov/issue/opportuniti…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41006/psn-pdf
    December 21, 2011 - Failure to notify reportable test results: significance in medical malpractice. December 21, 2011 Gale BD, Bissett-Siegel DP, Davidson SJ, et al. Failure to notify reportable test results: significance in medical malpractice. J Am Coll Radiol. 2011;8(11):776-9. doi:10.1016/j.jacr.2011.06.023. https://psnet.ahrq.go…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45364/psn-pdf
    September 04, 2016 - A piece of my mind. Changing the narrative. September 4, 2016 Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. https://psnet.ahrq.gov/issue/piece-my-mind-changing-narrative Storytelling can share knowledge and build community among physicians. However, if clinicians communicat…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74244/psn-pdf
    May 30, 2019 - Racial and ethnic differences in the experience and treatment of noncancer pain. May 30, 2019 Meints SM, Cortes A, Morais CA, et al. Racial and ethnic differences in the experience and treatment of noncancer pain. Pain Manag. 2019;9(3):317-334. doi:10.2217/pmt-2018-0030. https://psnet.ahrq.gov/issue/racial-and-eth…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46628/psn-pdf
    December 18, 2017 - Residency evaluations—where is the patient voice? December 18, 2017 Tummalapalli SL. Residency Evaluations-Where Is the Patient Voice? JAMA Intern Med. 2017;177(12):1722-1723. doi:10.1001/jamainternmed.2017.6029. https://psnet.ahrq.gov/issue/residency-evaluations-where-patient-voice Residents rarely receive feedba…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60555/psn-pdf
    January 01, 2021 - Putting the patient in patient safety investigations: barriers and strategies for involvement. June 3, 2020 Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pts.0000000000000699. https://psnet.ah…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50409/psn-pdf
    October 02, 2019 - Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture October 2, 2019 Anderson AD, Floegel TA, Hofler L, et al. Exploring the Relationship Between Contact Frequency, Leader- Member Relationships, and Patient Safety Culture. J Nurs Adm. 2019;49(9):441-446. doi…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46401/psn-pdf
    September 13, 2017 - Understanding middle managers' influence in implementing patient safety culture. September 13, 2017 Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4. https://psnet.ahrq.gov/issue/understanding-mid…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39832/psn-pdf
    September 08, 2010 - Unintended transplantation of three organs from an HIV- positive donor: report of the analysis of an adverse event in a regional health care service in Italy. September 8, 2010 Bellandi T, Albolino S, Tartaglia R, et al. Unintended transplantation of three organs from an HIV-positive donor: report of the analysis …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73249/psn-pdf
    May 12, 2021 - I-PASS handover system: a decade of evidence demands action. May 12, 2021 Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314. https://psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action The I-PASS structu…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46231/psn-pdf
    December 20, 2017 - Patient preferences for participation in patient care and safety activities in hospitals. December 20, 2017 Ringdal M, Chaboyer W, Ulin K, et al. Patient preferences for participation in patient care and safety activities in hospitals. BMC Nurs. 2017;16:69. doi:10.1186/s12912-017-0266-7. https://psnet.ahrq.gov/iss…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38736/psn-pdf
    June 24, 2009 - Improving patient safety by understanding past experiences in day surgery and PACU. June 24, 2009 Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. https://psnet.ahrq.gov/issue/improving-patien…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34697/psn-pdf
    December 08, 2010 - Sentinel events. In memory of Ben—a case study. December 8, 2010 Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. https://psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study Written from the perspective of a risk manager, the author tells the story of a medication a…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43758/psn-pdf
    March 17, 2015 - A patient safety checklist for the cardiac catheterisation laboratory. March 17, 2015 Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory. Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927. https://psnet.ahrq.gov/issue/patient-safety-checklist-card…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37056/psn-pdf
    February 24, 2011 - Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. February 24, 2011 O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of …

  16. Building a Foundation for Health Information Exchange to Improve Poison Control | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/success-stories/building-foundation-health-information-exchange-improve-poison-control
    January 01, 2023 - Building a Foundation for Health Information Exchange to Improve Poison Control Your browser does not support inline frames. Please go to http://youtu.be/lH_i5qRflPM to view the video. Principal Investigator: Mollie Cummins (Grant No. R21 HS018773) [6 min., 03 sec.] This project illustrated…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73189/psn-pdf
    April 28, 2021 - Time out! Rethinking surgical safety: more than just a checklist. April 28, 2021 Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600. https://psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist Check…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44396/psn-pdf
    January 22, 2016 - Bedside shift-to-shift handoffs: a systematic review of the literature. January 22, 2016 Mardis T, Mardis M, Davis JJ, et al. Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature. J Nurs Care Qual. 2016;31(1):54-60. doi:10.1097/NCQ.0000000000000142. https://psnet.ahrq.gov/issue/bedside-shift-shif…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42580/psn-pdf
    September 11, 2013 - To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? September 11, 2013 Berlin L. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self- interest? Radiology. 2013;268(1):4-7. doi:10.1148/radiol.13130193. https://…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844757/psn-pdf
    September 11, 2019 - Diagnostic overshadowing in dentistry. September 11, 2019 Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x. https://psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry Assumptions, communication barriers, and implicit biases can compromis…
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