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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45232/psn-pdf
    August 10, 2016 - Promoting patient safety with perioperative hand-off communication. August 10, 2016 Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs. 2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144. https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-commun…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46936/psn-pdf
    April 11, 2018 - You've detailed your last wishes, but doctors may not see them. April 11, 2018 Lamas D. https://psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread. Reporting on a physician's experienc…
  3. psnet.ahrq.gov/web-mm/wrong-channel
    February 01, 2003 - Document shelf number 1497. 7. Graham MJ, Kubose TK, Jordan D, Zhang J, Johnson TR, Patel VL. … Technical Document: Universal Usability Requirements for Infusion Pumps. … Engineering Can Teach You How to Be Surprised Again November 1, 2006 ACR guidance document
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38797/psn-pdf
    July 22, 2009 - Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. July 22, 2009 Gordon JRS, Wahls TL, Carlos RC, et al. Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. Ann Intern Med.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38679/psn-pdf
    March 01, 2011 - Improving alarm performance in the medical intensive care unit using delays and clinical context. March 1, 2011 Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546-52. doi:10.1213/ane.0b013e31819bdfb…
  6. psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
    January 13, 2010 - SPOTLIGHT CASE A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis Citation Text: Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health an…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44517/psn-pdf
    October 21, 2015 - Electronic health record challenges, workarounds, and solutions observed in practices integrating behavioral health and primary care. October 21, 2015 Cifuentes M, Davis M, Fernald D, et al. Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Prim…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45848/psn-pdf
    November 19, 2018 - New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. November 19, 2018 Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014. https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies- physicians Poor c…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45811/psn-pdf
    May 08, 2017 - A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accuracy of EHR Documentation. May 8, 2017 Agency for Healthcare Research and Quality. February 7, 2017. https://psnet.ahrq.gov/issue/national-web-conference-improving-health-it-safety-through-use-natu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46566/psn-pdf
    June 25, 2018 - A systematic review of interventions to follow-up test results pending at discharge. June 25, 2018 Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.1007/s11606-017-4290-9. https://psnet.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43124/psn-pdf
    August 02, 2015 - Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. August 2, 2015 Swary JH, Stratman EJ. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. JAMA Dermatol. 2014;150(7):738-42. …
  12. psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations
    November 16, 2015 - February 3, 2021 NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document
  13. psnet.ahrq.gov/issue/opioids-and-dentistry
    November 12, 2014 - November 4, 2020 Finding the right balance: an evidence-informed guidance document to
  14. psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator-and-ppe-1-30
    December 24, 2008 - November 25, 2020 Finding the right balance: an evidence-informed guidance document to
  15. psnet.ahrq.gov/issue/older-adults-perceptions-feeling-safe-urban-and-rural-acute-care
    October 17, 2018 - reporting safety concerns October 2, 2019 Intersystem medical error discovery: a document
  16. psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-ambulatory-care-settings
    April 19, 2013 - Download Citation Related Resources From the Same Author(s) ACR guidance document
  17. psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities
    November 08, 2017 - December 9, 2020 Finding the right balance: an evidence-informed guidance document to
  18. psnet.ahrq.gov/issue/do-professional-interpreters-improve-clinical-care-patients-limited-english-proficiency
    November 30, 2016 - A position statement and resource document from NAEMSP.
  19. psnet.ahrq.gov/issue/opioids-chronic-noncancer-pain-position-paper-american-academy-neurology
    November 19, 2018 - March 25, 2020 ACR guidance document on MR safe practices: updates and critical information
  20. psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer
    December 22, 2018 - July 21, 2021 A retrospective analysis demonstrates that a failure to document key comorbid

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