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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44521/psn-pdf
    July 03, 2016 - Crib of horrors: one hospital's approach to promoting a culture of safety. July 3, 2016 Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843. https://psnet.ahrq.gov/issue/crib-horrors-one-hospitals-app…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38241/psn-pdf
    January 15, 2009 - In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008. January 15, 2009 Schoen C, Osborn R, How SKH, et al. In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008. Health Aff (Millwood). 2009;28(1):w1-16. doi:10.1377/hl…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36789/psn-pdf
    June 16, 2008 - Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. June 16, 2008 Clayman MA, Clayman SM, Steele MH, et al. Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46348/psn-pdf
    June 13, 2018 - The nexus of nursing leadership and a culture of safer patient care. June 13, 2018 Murray M, Sundin D, Cope V. The nexus of nursing leadership and a culture of safer patient care. J Clin Nurs. 2018;27(5-6):1287-1293. doi:10.1111/jocn.13980. https://psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-pa…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35736/psn-pdf
    May 27, 2011 - Video capture of clinical care to enhance patient safety. May 27, 2011 Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual Saf Health Care. 2004;13(2):136-44. https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety This study describes th…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859353/psn-pdf
    December 20, 2023 - Global State of Patient Safety 2023. December 20, 2023 Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023. https://psnet.ahrq.gov/issue/global-state-patient-safety-2023 Patient safety data can support learning health systems and worldwide improvement. This report discusses a set of in…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35417/psn-pdf
    February 15, 2010 - Errors in laboratory medicine: practical lessons to improve patient safety. February 15, 2010 Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patie…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60564/psn-pdf
    June 03, 2020 - Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? June 3, 2020 ISMP Medication Safety Alert! Acute Care Edition. May 22, 2020;25(10). https://psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low- dose-alerts Smart infusion …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47424/psn-pdf
    November 21, 2018 - Creating a culture of accountability promotes safe medical care. November 21, 2018 Canadian Medical Protective Association; CMPA. https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50423/psn-pdf
    September 04, 2019 - When a vital sign leads a country astray—the opioid epidemic. September 4, 2019 Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104. https://psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opio…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47355/psn-pdf
    September 05, 2018 - Preventing medication errors in the information age. September 5, 2018 Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56- 58. doi:10.1097/01.NURSE.0000544230.51598.38. https://psnet.ahrq.gov/issue/preventing-medication-errors-information-age Failure to consider…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48102/psn-pdf
    August 07, 2019 - The unmeasured quality metric: burn out and the second victim syndrome in healthcare. August 7, 2019 Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare. Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.04.011. https://psnet.ahrq.gov/issue/u…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45403/psn-pdf
    September 21, 2016 - 'Superbug' scourge spreads as U.S. fails to track rising human toll. September 21, 2016 McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 2016. https://psnet.ahrq.gov/issue/superbug-scourge-spreads-us-fails-track-rising-human-toll Antimicrobial resistance is a pervasive threat to patient safety…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44759/psn-pdf
    March 02, 2016 - Using the medication error prioritization system to improve patient safety. March 2, 2016 Polnariev A. Using the Medication Error Prioritization System To Improve Patient Safety. P T. 2016;41(1):54-9. https://psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety The use of incid…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45073/psn-pdf
    May 11, 2016 - Promoting patient safety: results of a TeamSTEPPS initiative. May 11, 2016 Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs Adm. 2016;46(4):201-207. doi:10.1097/nna.0000000000000333. https://psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-ini…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865980/psn-pdf
    May 29, 2024 - Patient Safety and Artificial Intelligence: Opportunities and Challenges for Care Delivery. May 29, 2024 Lucian Leape Institute. Boston: Institute for Healthcare Improvement; 2024. https://psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligence-opportunities-and-challenges-care- delivery The use of g…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45794/psn-pdf
    February 15, 2017 - Teaching the diagnostic process as a model to improve medical education. February 15, 2017 Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med. 2017;92(1):1-4. doi:10.1097/ACM.0000000000001481. https://psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-ed…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842422/psn-pdf
    January 11, 2023 - The REPAIR Project: a prospectus for change toward racial justice in medical education and health sciences research: REPAIR project steering committee. January 11, 2023 REPAIR Project Steering Committee. Acad Med. 2022;97(12):1753-1759.  https://psnet.ahrq.gov/issue/repair-project-prospectus-change-toward-rac…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34780/psn-pdf
    March 28, 2005 - Disseminating innovations in health care. March 28, 2005 Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. https://psnet.ahrq.gov/issue/disseminating-innovations-health-care This commentary and review discusses the ability to adopt growing numbers of …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47222/psn-pdf
    October 03, 2018 - Decision support tools, systems, and artificial intelligence in cardiac imaging. October 3, 2018 Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04.032. https://psnet.ahrq.gov/issu…