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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72611/psn-pdf
    December 23, 2020 - Improving Diagnosis in Medicine Act of 2020. December 23, 2020 116th Congress 2d session. December 10, 2020. https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020 The strengthening of diagnostic error research and processes can strategically ensure lasting diagnostic improvement. The ‘‘Improving Diagn…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41697/psn-pdf
    September 19, 2012 - From good to better: toward a patient safety initiative in dentistry. September 19, 2012 Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc. 2012;143(9):956-60. https://psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43948/psn-pdf
    May 20, 2015 - Human factors engineering: its place and potential in OR safety. May 20, 2015 Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. https://psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety Human fa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39432/psn-pdf
    April 08, 2011 - The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. April 8, 2011 Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. Pediatrics. 2010;125(4):786-790. doi:10.1542/peds.2009-2149. ht…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36811/psn-pdf
    August 26, 2011 - Expanded surgical time out: a key to real-time data collection and quality improvement. August 26, 2011 Altpeter T, Luckhardt K, Lewis JN, et al. Expanded surgical time out: a key to real-time data collection and quality improvement. J Am Coll Surg. 2007;204(4):527-32. https://psnet.ahrq.gov/issue/expanded-surgica…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837746/psn-pdf
    July 27, 2022 - Oxford Professional Practice: Handbook of Patient Safety. July 27, 2022 Lachman P, Runnacles J, Jayadev A et al, eds. London, England; Oxford University Press; 2022. ISBN: 9780192846877. https://psnet.ahrq.gov/issue/oxford-professional-practice-handbook-patient-safety Patient safety needs to routinely involve new …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44240/psn-pdf
    June 23, 2015 - Risks are high at low-volume hospitals. June 23, 2015 Sternberg S; Dougherty G. https://psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals This news article reports an independent analysis of patient risk at hospitals that provide surgeries they infrequently perform, highlighting how high procedure volume an…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47765/psn-pdf
    February 20, 2019 - Negative behaviours in health care: prevalence and strategies. February 20, 2019 Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660. https://psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-an…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44329/psn-pdf
    September 04, 2016 - Electronic medication reconciliation and medication errors. September 4, 2016 Hron JD, Manzi S, Dionne R, et al. Electronic medication reconciliation and medication errors. Int J Qual Health Care. 2015;27(4):314-9. doi:10.1093/intqhc/mzv046. https://psnet.ahrq.gov/issue/electronic-medication-reconciliation-and-med…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45401/psn-pdf
    August 17, 2016 - A better safety net for young doctors. August 17, 2016 Landro L. Wall Street Journal. August. 8, 2016. https://psnet.ahrq.gov/issue/better-safety-net-young-doctors First-year residents may be reluctant to ask for assistance due to factors such as peer pressure to demonstrate competency. This newspaper article repo…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39554/psn-pdf
    October 13, 2010 - Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. October 13, 2010 Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin Orthop Relat Res. 2010;468(10):2627-32.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44343/psn-pdf
    July 22, 2015 - Speaking up to reduce noise in the OR. July 22, 2015 Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019. https://psnet.ahrq.gov/issue/speaking-reduce-noise-or Noise in health care settings can hinder communication and contribute to distractions. This commentary…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47364/psn-pdf
    October 31, 2018 - AI can't replace doctors. But it can make them better. October 31, 2018 Parikh R. MIT Technol Rev. October 23, 2018. https://psnet.ahrq.gov/issue/ai-cant-replace-doctors-it-can-make-them-better Computerized decision support and artificial intelligence (AI) are being utilized to enhance decision-making in health ca…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836832/psn-pdf
    March 30, 2022 - Improving Education—A Key to Better Diagnostic Outcomes. March 30, 2022 Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0026-1-EF https://psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes Diagnostic skil…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47321/psn-pdf
    June 19, 2019 - Validation of a mobile app for reducing errors of administration of medications in an emergency. June 19, 2019 Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):531-539. doi:10.1007/s10877-018-018…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855435/psn-pdf
    November 15, 2023 - Technology, Education and Safety November 15, 2023 Arnal-Velasco, D, ed. Curr Opin Anaesthesiol. 2023;36(6):649-705. https://psnet.ahrq.gov/issue/technology-education-and-safety-2 Adoption of new ideas is necessary to create safety in the perioperative environment. This collection of reviews illustrates relationsh…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848828/psn-pdf
    May 10, 2023 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023. May 10, 2023 118th Cong (2023-2024). https://psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023 Nurse staffing and patient care outcomes are linked, yet variation exists in nursing covera…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43457/psn-pdf
    August 02, 2015 - A human factors subsystems approach to trauma care. August 2, 2015 Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA Surg. 2014;149(9):962-8. https://psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care Human factors analysis led to five system changes i…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44576/psn-pdf
    January 23, 2018 - Healthcare Quality and Patient Safety Award. January 23, 2018 Iowa Healthcare Collaborative. https://psnet.ahrq.gov/issue/healthcare-quality-and-patient-safety-award This award seeks to recognize health care organizations and professionals that have exhibited leadership and innovation in improving patient safety i…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45215/psn-pdf
    April 08, 2018 - Primary care pediatricians' interest in diagnostic error reduction. April 8, 2018 Rinke ML, Singh H, Ruberman S, et al. Primary care pediatricians' interest in diagnostic error reduction. Diagnosis (Berl). 2016;3(2):65-69. doi:10.1515/dx-2015-0033. https://psnet.ahrq.gov/issue/primary-care-pediatricians-interest-d…