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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46824/psn-pdf
    June 26, 2018 - Management reasoning: beyond the diagnosis. June 26, 2018 Cook DA, Sherbino J, Durning SJ. Management Reasoning: Beyond the Diagnosis. JAMA. 2018;319(22):2267-2268. doi:10.1001/jama.2018.4385. https://psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis This commentary reviews five differences between diagno…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39539/psn-pdf
    January 13, 2013 - We need leaders: the 48th Annual Rovenstine Lecture. January 13, 2013 Pronovost P. We need leaders: The 48th Annual Rovenstine Lecture. Anesthesiology. 2010;112(4):779- 785. doi:10.1097/ALN.0b013e3181d32047. https://psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture Dr. Pronovost provides a histor…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42691/psn-pdf
    October 23, 2013 - Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. October 23, 2013 Dublin, Ireland: Health Information and Quality Authority; October 2013. https://psnet.ahrq.gov/issue/patient-safety-investigation-report-services-uni…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42180/psn-pdf
    April 22, 2013 - Building collaborative teams in neonatal intensive care. April 22, 2013 Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf. 2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909. https://psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care An i…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39435/psn-pdf
    April 07, 2010 - Patient safety in surgery: non-technical aspects of safe surgical performance. April 7, 2010 Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance. Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4. https://psnet.ahrq.gov/issue/patient-safety-surgery-non-technica…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35386/psn-pdf
    January 02, 2017 - Lehigh Valley Hospital: engaging patients and families. January 2, 2017 Anthony R, Ritter M, Davis R, et al. Lehigh Valley Hospital: engaging patients and families. Jt Comm J Qual Patient Saf. 2005;31(10):566-72. https://psnet.ahrq.gov/issue/lehigh-valley-hospital-engaging-patients-and-families Authors from the 20…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39131/psn-pdf
    May 04, 2014 - Sleep deprivation, physician performance, and patient safety. May 4, 2014 Olson EJ, Drage LA, Auger R. Sleep deprivation, physician performance, and patient safety. Chest. 2009;136(5):1389-1396. doi:10.1378/chest.08-1952. https://psnet.ahrq.gov/issue/sleep-deprivation-physician-performance-and-patient-safety This…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73408/psn-pdf
    July 27, 2023 - Patient Safety/Quality Improvement Primer. July 27, 2023 Otolaryngol Head Neck Surg. 2018-2023. https://psnet.ahrq.gov/issue/patient-safetyquality-improvement-primer Otolaryngology-head and neck surgery is vulnerable to wrong site errors and other challenges present in surgical care. This series of articles highli…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44071/psn-pdf
    November 16, 2015 - Quality Improvement in Neurosurgery. November 16, 2015 Rolston JD, Han SJ, Parsa AT, eds. Neurosurg Clin N Am. 2015;26(2):143-322. https://psnet.ahrq.gov/issue/quality-improvement-neurosurgery This special issue covers elements of safe care delivery in neurosurgery and features articles exploring the use of simula…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43964/psn-pdf
    November 25, 2015 - Simulation-based Surgical Education. November 25, 2015 Surgery. 2015;158:1395-1440. https://psnet.ahrq.gov/issue/simulation-based-surgical-education Simulation training is widely accepted as a method to enhance operative techniques and nontechnical behaviors. Articles in this special issue cover topics in surgical…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43476/psn-pdf
    June 27, 2018 - Looking to the future of patient safety. June 27, 2018 Carr S. Patient Saf Qual Healthc. July/August 2014;11:30-35. https://psnet.ahrq.gov/issue/looking-future-patient-safety This magazine article summarizes experts' projections for the patient safety movement in the next 5 years. Areas discussed include expanding…
  12. digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results/citation/understanding
    January 01, 2023 - Toward a better understanding of task demands, workload, and performance during physician-computer interactions. Citation Mazur LM, Mosaly PR, Moore C, et al. Toward a better understanding of task demands, workload, and performance during physician-computer interactions. J Am Med Inform Assoc 2016 Mov…
  13. digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/effect
    January 01, 2023 - Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Grannis SJ, Xu H, Vest JR, Kasthurirathne S, Bo N, Moscovitch B, Torkzadeh R, Rising J. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. …
  14. digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/evaluation
    January 01, 2023 - Evaluation of real-world referential and probabilistic patient matching to advance patient identification strategy. Citation Grannis SJ, Williams JL, Kasthuri S, Murray M, Xu H. Evaluation of real-world referential and probabilistic patient matching to advance patient identification strategy. J Am Med…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39052/psn-pdf
    July 13, 2010 - Improving handoffs in the emergency department. July 13, 2010 Cheung DS, Kelly JJ, Beach C, et al. Improving handoffs in the emergency department. Ann Emerg Med. 2010;55(2):171-80. doi:10.1016/j.annemergmed.2009.07.016. https://psnet.ahrq.gov/issue/improving-handoffs-emergency-department Reviewing the conceptual f…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42550/psn-pdf
    June 27, 2018 - Using Six Sigma to improve patient safety in the perioperative process. June 27, 2018 Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41. https://psnet.ahrq.gov/issue/using-six-sigma-improve-patient-safety-perioperative-process This magazine article describes how…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44137/psn-pdf
    May 13, 2015 - AHRQ Patient Safety YouTube Channel. May 13, 2015 Rockville, MD: Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel This Web site hosts a collection of training videos to highlight two improvement strategies: the Comprehensive Unit-based Safety Program and …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841198/psn-pdf
    December 07, 2022 - Technology, Education and Safety. December 7, 2022 Arna D, ed. Curr Opin Anaesthesiol. 2022;35(6):710-737. https://psnet.ahrq.gov/issue/technology-education-and-safety-1 Safety challenges in anesthesiology and perioperative care are high-risk situations. This segment of a reoccurring special section covers strateg…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39380/psn-pdf
    August 29, 2021 - ASHP guidelines on the safe use of automated dispensing devices. August 29, 2021 Cello R, Conley M, Cooley TW, et al. ASHP Guidelines on the Safe Use of Automated Dispensing Cabinets. Am J Health Syst Pharm. 2021;79(1):e71-e82. doi:10.1093/ajhp/zxab325. https://psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automat…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45063/psn-pdf
    May 04, 2016 - Value of the pharmacist in the medication reconciliation process. May 4, 2016 Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8. https://psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process Medication reconciliation has been shown to r…