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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38060/psn-pdf
    April 11, 2011 - Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. April 11, 2011 Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. Pediatrics. 2008;122(3):55…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72582/psn-pdf
    December 16, 2020 - Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. December 16, 2020 Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Report No 19-08542-11. https://psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died I…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73185/psn-pdf
    April 28, 2021 - Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. April 28, 2021 Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-55.1.21. https://psnet.ahrq.gov/issue/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855099/psn-pdf
    November 08, 2023 - Doctors wrestle with A.I. in patient care, citing lax oversight. November 8, 2023 Jewett C. New York Times. October 30, 2023 https://psnet.ahrq.gov/issue/doctors-wrestle-ai-patient-care-citing-lax-oversight US Food and Drug Administration regulation and review is noted as having gaps in process that can affect pa…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46254/psn-pdf
    October 09, 2017 - Using risk stratification to reduce medical errors in cervical cancer prevention. October 9, 2017 Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed.2017.3999. https://psnet.ahrq.gov/is…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46735/psn-pdf
    January 31, 2018 - Influence of perceived difficulty of cases on student osteopaths' diagnostic reasoning: a cross sectional study. January 31, 2018 Noyer AL, Esteves JE, Thomson OP. Influence of perceived difficulty of cases on student osteopaths' diagnostic reasoning: a cross sectional study. Chiropr Man Therap. 2017;25:32. doi:10…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37993/psn-pdf
    August 20, 2008 - Peer support: healthcare professionals supporting each other after adverse medical events. August 20, 2008 van Pelt F. Peer support: healthcare professionals supporting each other after adverse medical events. Qual Saf Health Care. 2008;17(4):249-52. doi:10.1136/qshc.2007.025536. https://psnet.ahrq.gov/issue/peer-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48075/psn-pdf
    June 19, 2019 - A mismatch made in America. June 19, 2019 Butcher L. Managed Care. June 2019;28:37-39. https://psnet.ahrq.gov/issue/mismatch-made-america Inconsistent patient name entry practices in electronic health records can contribute to wrong-patient errors. This magazine article reports on the complex nature of addressing …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33936/psn-pdf
    May 27, 2011 - Computer physician order entry: benefits, costs, and issues. May 27, 2011 Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9. https://psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues Using existing research, this revie…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837212/psn-pdf
    June 08, 2022 - Engaging Physicians in Teamwork Training for Quality and Safety - Or Why Don’t Your Physicians Get Engaged? May 25, 2022 AHA Team Training. June 8, 2022. https://psnet.ahrq.gov/issue/engaging-physicians-teamwork-training-quality-and-safety-or-why-dont-your- physicians-get Physicians are instrumental to the succes…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46138/psn-pdf
    May 31, 2017 - An innovative collaborative model of care for undiagnosed complex medical conditions. May 31, 2017 Nageswaran S, Donoghue N, Mitchell A, et al. An Innovative Collaborative Model of Care for Undiagnosed Complex Medical Conditions. Pediatrics. 2017;139(5):e20163373. doi:10.1542/peds.2016-3373. https://psnet.ahrq.gov…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34592/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. January 4, 2017 Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;28(12):646-50. https://psnet.ahrq.gov…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838086/psn-pdf
    September 14, 2022 - Addressing Burnout in the Behavioral Health Workforce through Organizational Strategies. September 14, 2022 Rockville, MD: Substance Abuse and Mental Health Services Administration; 2022.  SAMHSA Publication No. PEP22-06-02-005. https://psnet.ahrq.gov/issue/addressing-burnout-behavioral-health-workforce-throu…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46946/psn-pdf
    January 01, 2019 - Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up. December 31, 2018 Alingh CW, van Wijngaarden JDH, van de Voorde K, et al. Speaking up about patient safety concerns: the influence of safety management approaches and climate on …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41701/psn-pdf
    September 26, 2019 - The CUSP Method September 26, 2019 The CUSP Method. https://psnet.ahrq.gov/issue/cusp-method The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in several landmark pat…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44821/psn-pdf
    December 05, 2022 - Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. December 5, 2022 Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication No. 23-0011. https://psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture Im…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34771/psn-pdf
    May 06, 2016 - Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. May 6, 2016 Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. ISBN-13: 9781118862414. https://psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition According to Weick and Sutcliffe, high…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46749/psn-pdf
    April 04, 2018 - Toolkit for Improving Perinatal Safety. April 4, 2018 Rockville, MD: Agency for Healthcare Research and Quality. June 2017. https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from comprehensive unit-based safe…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867348/psn-pdf
    December 11, 2024 - Mind the sentinel - applying patient-safety paradigms to clinician well-being. December 11, 2024 Humikowski CA. Mind the sentinel - applying patient-safety paradigms to clinician well-being. N Engl J Med. 2024;391(20):1870-1872. doi:10.1056/nejmp2406074. https://psnet.ahrq.gov/issue/mind-sentinel-applying-patient-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867094/psn-pdf
    January 01, 2025 - Maximizing the ability of health IT and AI to improve patient safety. November 6, 2024 Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343. https://psnet.ahrq.gov/issue/maximizing-ability-healt…

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