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7101. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45908/psn-pdf
      April 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…

7102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35990/psn-pdf
      September 17, 2010 - Misunderstanding of prescription drug warning labels among patients with low literacy. September 17, 2010 Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55. https://psnet.ahrq.gov/issue/misundersta…

7103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45162/psn-pdf
      August 15, 2016 - Partial codes—when "less" may not be "more." August 15, 2016 Rousseau P. Partial Codes-When "Less" May Not Be "More". JAMA Intern Med. 2016;176(8):1057-8. doi:10.1001/jamainternmed.2016.2522. https://psnet.ahrq.gov/issue/partial-codes-when-less-may-not-be-more The complexity around end-of-life care increases risks…

7104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45657/psn-pdf
      March 08, 2017 - The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. March 8, 2017 Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. Acad Med. 2017;92(1):23-30. doi:10.1097/…

7105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45228/psn-pdf
      June 29, 2016 - An innovative approach to the surgical time out: a patient- focused model. June 29, 2016 Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient- Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. https://psnet.ahrq.gov/issue/innovative-approach-su…

7106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35312/psn-pdf
      January 02, 2017 - Medication errors involving wrong administration technique. January 2, 2017 Santell JP, Cousins DD. Medication Errors Involving Wrong Administration Technique. The Joint Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(05)31068-3. https://psnet.ahrq.gov/issue/medication-errors-i…

7107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73222/psn-pdf
      May 05, 2021 - Fatal mistakes: why do ten-fold medication errors in children keep happening? May 5, 2021 Parry C. The Pharmaceutical Journal.  April 22 2021. https://psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening Weight-based prescribing in children harbors challenges to accura…

7108. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861294/psn-pdf
      January 24, 2024 - Shining a glaring light on surgery: technology that records every move aims to improve safety. January 24, 2024 Freyer FJ. Boston Globe. January 13, 2024. https://psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve- safety The surgical black box uses cameras and microphon…

7109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46292/psn-pdf
      August 02, 2017 - Clinical alerts to decrease high-risk medication use in older adults. August 2, 2017 Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…

7110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47786/psn-pdf
      June 26, 2019 - Creating a Safe Space: Psychological Health and Safety of Healthcare Workers. June 26, 2019 Canadian Patient Safety Institute: 2019. https://psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers Structured approaches to managing negative psychological consequences of medical e…

7111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46403/psn-pdf
      September 06, 2017 - Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program. September 6, 2017 Quality and Safety Education for Nurses. https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program Patient safety and quality improvement competencies are developed through interprof…

7112. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47217/psn-pdf
      June 27, 2018 - Drug shortages roundtable: minimizing the impact on patient care. June 27, 2018 Drug shortages roundtable: Minimizing the impact on patient care. Am J Health Syst Pharm. 2018;75(11):816-820. doi:10.2146/ajhp180048. https://psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care This commenta…

7113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45841/psn-pdf
      March 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…

7114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45812/psn-pdf
      June 22, 2017 - A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. June 22, 2017 Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245. https://psnet.ahrq.gov/issue/primer-pdsa-execu…

7115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47800/psn-pdf
      June 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…

7116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60286/psn-pdf
      April 29, 2020 - With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications. April 29, 2020 Brodwin E. STAT. April 14, 2020. https://psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew- complications Patients with cancer and other chronic disorder treatment …

7117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852801/psn-pdf
      August 23, 2023 - Nearly all hospital pharmacists say drug shortages are negatively impacting care; a third say impacts are ‘critical.’ August 23, 2023 McPhillips D. CNN. August 10, 2023. https://psnet.ahrq.gov/issue/nearly-all-hospital-pharmacists-say-drug-shortages-are-negatively-impacting- care-third-say Drug shortages present…

7118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43980/psn-pdf
      March 18, 2015 - Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. March 18, 2015 Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/NHH.0000000000000195. https://psnet.ahr…

7119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854982/psn-pdf
      November 01, 2023 - Adverse drug event prevention and detection in older emergency department patients. November 1, 2023 Koehl JL. Adverse drug event prevention and detection in older emergency department patients. Clin Geriatr Med. 2023;39(4):635-645. doi:10.1016/j.cger.2023.04.008. https://psnet.ahrq.gov/issue/adverse-drug-event-pr…

7120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37444/psn-pdf
      January 02, 2008 - My brother's keeper: must a physician disclose another's medical error and potential negligence? January 2, 2008 Liang BA, Smith C by DS. My brother's keeper: must a physician disclose another's medical error and potential negligence? J Clin Anesth. 2007;19(7):558-562. doi:10.1016/j.jclinane.2007.05.005. https://p…