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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837908/psn-pdf
    August 24, 2022 - Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. August 24, 2022 Integrated Health Services. Geneva, Switzerland: World Health Organization; 2022. ISBN: 9789240055094. https://psnet.ahrq.gov/issue/implication-covid-19-pandemic-patient-safety-rapid-review The COVID-19 pandemic created new r…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43879/psn-pdf
    February 04, 2015 - Complaints and Raising Concerns. February 4, 2015 Fourth Report of Session 2014–15. House of Commons Health Committee. London, England: The Stationery Office; January 13, 2015. Publication HC 350. https://psnet.ahrq.gov/issue/complaints-and-raising-concerns Complaints are a proactive way to monitor and address rec…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40201/psn-pdf
    February 09, 2011 - Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. February 9, 2011 Knight N, Aucar J. Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Perso…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47492/psn-pdf
    August 07, 2019 - Pediatric clinician perspectives on communicating diagnostic uncertainty. August 7, 2019 Meyer AND, Giardina TD, Khanna A, et al. Pediatric clinician perspectives on communicating diagnostic uncertainty. Int J Health Care Qual. 2019;31(9):g107-g112. doi:10.1093/intqhc/mzz061. https://psnet.ahrq.gov/issue/pediatric…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47936/psn-pdf
    June 14, 2019 - A team disclosure of error educational activity: objective outcomes. June 14, 2019 Krumwiede KH, Wagner JM, Kirk LM, et al. A Team Disclosure of Error Educational Activity: Objective Outcomes. J Am Geriatr Soc. 2019;67(6):1273-1277. doi:10.1111/jgs.15883. https://psnet.ahrq.gov/issue/team-disclosure-error-educatio…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38508/psn-pdf
    March 25, 2009 - Supporting structures for team situation awareness and decision making: insights from four delivery suites. March 25, 2009 Mackintosh N, Berridge E-J, Freeth D. Supporting structures for team situation awareness and decision making: insights from four delivery suites. J Eval Clin Pract. 2009;15(1):46-54. doi:10.111…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43018/psn-pdf
    March 19, 2014 - Improved obstetric safety through programmatic collaboration. March 19, 2014 Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131. https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36076/psn-pdf
    September 28, 2010 - Variation in caregiver perceptions of teamwork climate in labor and delivery units. September 28, 2010 Sexton JB, Holzmueller CG, Pronovost PJ, et al. Variation in caregiver perceptions of teamwork climate in labor and delivery units. J Perinatol. 2006;26(8):463-70. https://psnet.ahrq.gov/issue/variation-caregiver…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50781/psn-pdf
    January 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845352/psn-pdf
    September 06, 2023 - Understanding and Improving Diagnostic Safety in Ambulatory Care. September 6, 2023 Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023. https://psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care The articulation of diagnostic error in the ambulatory setting i…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836972/psn-pdf
    April 20, 2022 - Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). April 20, 2022 Rockville, MD: Agency for Healthcare Research and Quality; April 7, 2022. RFA-HS-22-008. https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and- quality-r18 …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866445/psn-pdf
    August 07, 2024 - Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop. August 7, 2024 Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop. https://psnet.ahrq.gov/issue/diagnosis-era-digital-health-and-artificial-intelligence-workshop Digital health is emerging as a primary techn…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73477/psn-pdf
    July 07, 2021 - Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. July 7, 2021 Saks M, Landsman S. New York, NY: Oxford University Press; 2021.  ISBN: 9780190667986. https://psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm A weave of systemic factors c…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837336/psn-pdf
    June 08, 2022 - Automated identification of diagnostic labelling errors in medicine. June 8, 2022 Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039. https://psnet.ahrq.gov/issue/automated-identification-diagnostic-labe…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38746/psn-pdf
    July 01, 2009 - Systematically improving physician assignment during in- hospital transitions of care by enhancing a preexisting hospital electronic health record. July 1, 2009 Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in- hospital transitions of care by enhancing a preexist…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47387/psn-pdf
    September 12, 2018 - Guideline implementation: team communication. September 12, 2018 Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300. https://psnet.ahrq.gov/issue/guideline-implementation-team-communication Although team development has rec…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37577/psn-pdf
    July 12, 2016 - Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. July 12, 2016 Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. 2009. Washington DC; Institute of Medicine: ISBN: 9781…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45381/psn-pdf
    July 01, 2017 - Incorporating quality and safety values into a CLABSI simulation experience. July 1, 2017 Liebrecht CM, Lieb MC. Incorporating Quality and Safety Values into a CLABSI Simulation Experience. Nurs Forum. 2017;52(2):118-123. doi:10.1111/nuf.12175. https://psnet.ahrq.gov/issue/incorporating-quality-and-safety-values-c…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60153/psn-pdf
    March 25, 2020 - A protocol for the safe use of hazardous drugs in the OR. March 25, 2020 Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN J. 2020;111(3). doi:10.1002/aorn.12960. https://psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or Perioperative personnel often ca…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38472/psn-pdf
    March 11, 2009 - Feedback from incident reporting: information and action to improve patient safety. March 11, 2009 Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2007.024166. https://psnet.ahrq.gov/…

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