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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60992/psn-pdf
    October 14, 2020 - Another medical malpractice crisis?: Try something different. October 14, 2020 Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. https://psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-d…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47601/psn-pdf
    December 21, 2018 - Clinical decision support in the era of artificial intelligence. December 21, 2018 Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA. 2018;320(21):2199-2200. doi:10.1001/jama.2018.17163. https://psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intellige…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50652/psn-pdf
    January 01, 2020 - Preventable adverse drug events: descriptive epidemiology. November 13, 2019 Woo SA, Cragg A, Wickham ME, et al. Preventable adverse drug events: Descriptive epidemiology. Br J Clin Pharmacol. 2020;86(2):291-302. doi:10.1111/bcp.14139. https://psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidem…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45564/psn-pdf
    October 03, 2017 - Fostering transparency in outcomes, quality, safety, and costs. October 3, 2017 Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs. JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039. https://psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-a…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837032/psn-pdf
    May 04, 2022 - The patient's "story": an examination of patient-reported safety incidents in general practice. May 4, 2022 Madden C, Lydon S, Murphy AW, et al. The patient’s “story”: an examination of patient-reported safety incidents in general practice. Fam Pract. 2022;39(6):1095-1102. doi:10.1093/fampra/cmac033. https://psnet…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43129/psn-pdf
    July 23, 2014 - Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. July 23, 2014 Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed- methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331. https://psnet.ahrq.gov/issue/use-d…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46517/psn-pdf
    November 01, 2017 - Joy in medical practice: clinician satisfaction in the Healthy Work Place trial. November 1, 2017 Linzer M, Sinsky CA, Poplau S, et al. Joy In Medical Practice: Clinician Satisfaction In The Healthy Work Place Trial. Health Aff (Millwood). 2017;36(10):1808-1814. doi:10.1377/hlthaff.2017.0790. https://psnet.ahrq.go…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47032/psn-pdf
    May 23, 2018 - Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them. May 23, 2018 Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.21815/JDE.018.037. https://psnet.ahrq.g…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837974/psn-pdf
    August 31, 2022 - Fostering a just culture in healthcare organizations: experiences in practice. August 31, 2022 van Baarle E, Hartman L, Rooijakkers S, et al. Fostering a just culture in healthcare organizations: experiences in practice. BMC Health Serv Res. 2022;22(1):1035. doi:10.1186/s12913-022-08418-z. https://psnet.ahrq.gov/i…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40132/psn-pdf
    May 25, 2011 - Information needs in operating room teams: what is right, what is wrong, and what is needed? May 25, 2011 Forrest D, Healey A, Shirafkan H, et al. Information needs in operating room teams: what is right, what is wrong, and what is needed? Surg Endosc. 2011;25(6):1913-20. doi:10.1007/s00464-010-1486-z. https://psn…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46449/psn-pdf
    September 27, 2017 - VA hospitals flooded with complaints about care. September 27, 2017 Estes A. Boston Globe. September 16, 2017. https://psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care Psychological safety can empower staff to communicate concerns that affect patient safety. This newspaper article reports on Veteran…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863221/psn-pdf
    February 28, 2024 - Using artificial intelligence to improve primary care for patients and clinicians. February 28, 2024 Sarkar U, Bates DW. Using artificial intelligence to improve primary care for patients and clinicians. JAMA Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965. https://psnet.ahrq.gov/issue/using-a…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40772/psn-pdf
    November 23, 2011 - Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. November 23, 2011 Carney BT, West P, Neily J, et al. Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. Am J Med Qual. 2011;26(6):480-4. do…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46352/psn-pdf
    October 15, 2018 - Optimal Resources for Surgical Quality and Safety. October 15, 2018 Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242. https://psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety Surgery is complex and involves a wide range of possibilities for error that can r…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46915/psn-pdf
    April 16, 2018 - Postoperative opioid prescribing: Getting it RIGHTT. April 16, 2018 Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707- 711. doi:10.1016/j.amjsurg.2018.02.001. https://psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt Use of mnemonics to rec…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47101/psn-pdf
    December 21, 2018 - Education and reporting of diagnostic errors among physicians in internal medicine training programs. December 21, 2018 Wijesekera TP, Sanders L, Windish DM. Education and Reporting of Diagnostic Errors Among Physicians in Internal Medicine Training Programs. JAMA Intern Med. 2018;178(11):1548-1549. doi:10.1001/ja…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44479/psn-pdf
    September 09, 2015 - Health literacy in primary care practice. September 9, 2015 Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician. 2015;92(2):118-124. https://psnet.ahrq.gov/issue/health-literacy-primary-care-practice Limited health literacy can lead to patients misunderstanding care instruct…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73429/psn-pdf
    June 23, 2021 - Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. June 23, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; June 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings Wrong site/wrong patent surgery is a persisten…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45270/psn-pdf
    June 29, 2016 - Using contemporary leadership skills in medication safety programs. June 29, 2016 Hertig JB, Hultgren KE, Weber RJ. Using Contemporary Leadership Skills in Medication Safety Programs. Hosp Pharm. 2016;51(4):338-44. doi:10.1310/hpj5104-338. https://psnet.ahrq.gov/issue/using-contemporary-leadership-skills-medicatio…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44161/psn-pdf
    December 19, 2018 - Among the elderly, many mental illnesses go undiagnosed. December 19, 2018 Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727- 31. doi:10.1377/hlthaff.2015.0314. https://psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed This commentary spot…
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