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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45693/psn-pdf
    February 22, 2017 - Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. February 22, 2017 Keebler JR, Lazzara EH, Patzer BS, et al. Meta-Analyses of the Effects of Standardized Handoff Protocols on Patient, Provider, and Organizational Outcomes. Hum Factors. 2016;58(8):118…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45465/psn-pdf
    September 07, 2016 - Improving patient safety culture in primary care: a systematic review. September 7, 2016 Verbakel NJ, Langelaan M, Verheij TJM, et al. Improving Patient Safety Culture in Primary Care: A Systematic Review. J Patient Saf. 2016;12(3):152-8. doi:10.1097/PTS.0000000000000075. https://psnet.ahrq.gov/issue/improving-pat…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836792/psn-pdf
    March 23, 2022 - Remote patient monitoring during COVID-19: an unexpected patient safety benefit. March 23, 2022 Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040. https://psnet.ahrq.gov/issue/remote-patient-mo…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42915/psn-pdf
    January 01, 2016 - Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. February 5, 2014 McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204, AP2. doi:10.1016/s1553- 7250(14)40026-6. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866555/psn-pdf
    August 21, 2024 - Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. August 21, 2024 Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. J Patient Saf. 2024;20(5…
  6. 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/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849615/psn-pdf
    May 31, 2023 - Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. May 31, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; April 2023. https://psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications- community-languages Gaps in patient…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866399/psn-pdf
    July 31, 2024 - Typology of solutions addressing diagnostic disparities: gaps and opportunities. July 31, 2024 Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. https://psnet.ahrq.gov/issue/typol…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44795/psn-pdf
    June 29, 2016 - Human factors in healthcare: welcome progress, but still scratching the surface. June 29, 2016 Waterson P, Catchpole K. Human factors in healthcare: welcome progress, but still scratching the surface. BMJ Qual Saf. 2016;25(7):480-4. doi:10.1136/bmjqs-2015-005074. https://psnet.ahrq.gov/issue/human-factors-healthca…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46938/psn-pdf
    April 25, 2018 - Diagnostic reasoning and cognitive biases of nurse practitioners. April 25, 2018 Lawson TN. Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. J Nurs Educ. 2018;57(4):203-208. doi:10.3928/01484834-20180322-03. https://psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47737/psn-pdf
    March 06, 2019 - Quality improvement and safety in pediatric emergency medicine. March 6, 2019 Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. https://psnet.ahrq.gov/issue/quality-improvement-and-safety-pedia…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44146/psn-pdf
    June 03, 2015 - Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. June 3, 2015 Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Obstet Gynecol. 2015;125(5):1049-55. doi:10.1097/AOG.000000000000…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44647/psn-pdf
    November 18, 2015 - An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. November 18, 2015 Sujan M. An organisation without a memory: A qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43645/psn-pdf
    November 12, 2014 - Health IT and Clinical Decision Support Systems. November 12, 2014 Ohno-Machado L, ed. J Am Med Inform Assoc. 2014;21:e180-e375. https://psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems A universal agreement on how to calculate the return on investment for health information technology (IT) and…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866824/psn-pdf
    September 25, 2024 - 'Failing wisely' can promote a safer healthcare system. September 25, 2024 Fleisher LA, Edmondson AC. 'Failing wisely' can promote a safer healthcare system. MedPage Today. September 17, 2024; https://psnet.ahrq.gov/issue/failing-wisely-can-promote-safer-healthcare-system The ability to learn-by-doing in an enviro…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44853/psn-pdf
    February 03, 2016 - Aviation and healthcare: a comparative review with implications for patient safety. February 3, 2016 Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/2054270415616548. https://psnet.ahrq.gov/is…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46548/psn-pdf
    April 16, 2018 - Nurses' communication of safety events to nursing home residents and families. April 16, 2018 Wagner LM, Driscoll L, Darlington JL, et al. Nurses' Communication of Safety Events to Nursing Home Residents and Families. J Gerontol Nurs. 2018;44(2):25-32. doi:10.3928/00989134-20171002-01. https://psnet.ahrq.gov/issue…
  19. 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46784/psn-pdf
    January 11, 2023 - Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional). January 11, 2023 Rockville, MD: Agency for Healthcare Research and Quality. PA-21-266. https://psnet.ahrq.gov/issue/patient-safety-learning-laboratories-ad…