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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43334/psn-pdf
    July 16, 2014 - Changing our culture: adopting the military aviation safety system. July 16, 2014 Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070. https://psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-sa…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74166/psn-pdf
    March 14, 2022 - Preventing home medication administration errors. March 14, 2022 Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics. 2021;148(6):e2021054666. doi:10.1542/peds.2021-054666. https://psnet.ahrq.gov/issue/preventing-home-medication-administration-errors Children with comp…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73971/psn-pdf
    October 13, 2021 - Safety culture as a patient safety practice for alarm fatigue. October 13, 2021 Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…
  4. www.ahrq.gov/funding/training-grants/kaward/evaluation-report.html
    August 01, 2016 - Agency for Healthcare Research and Quality Individual Career Development (K) Award Program Evaluation Report As part of its mission, the Agency for Healthcare Research and Quality (AHRQ) provides a variety of extramural funding opportunities designed to support and enhance the education and career…
  5. www.ahrq.gov/sites/default/files/2024-07/madison-report.pdf
    January 01, 2024 - be used in participant’s work: 4.41 • Agreement that discussions during the summit were helpful and enhanced … Discussions during the summit were helpful and enhanced the experience.
  6. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
    April 30, 2025 - HIOH enhanced self-efficacy primarily in participants with: (1) more depressive symptoms; (2) lower … with medical conditions: (1) Unit- based Physician Teams, (2) Unit Nurse-Physician Co-Leadership, (3) Enhanced … The enhanced curriculum puts patients at the center of communication and actively solicits participation
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867849/psn-pdf
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety February 26, 2025 Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety In To Err I…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41440/psn-pdf
    August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. August 17, 2016 Rockville, MD: Agency for Healthcare Research and Quality; July 2016. https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety This toolkit provides resou…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764413/psn-pdf
    March 02, 2022 - Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. March 2, 2022 Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.  https://psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care The emergence of telemedicine during…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47718/psn-pdf
    March 20, 2019 - Impact of patient safety culture on missed nursing care and adverse patient events. March 20, 2019 Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qual. 2019;34(4):287-294. doi:10.1097/NCQ.0000000000000378. https://psnet.ahrq.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74093/psn-pdf
    November 17, 2021 - Prevent errors during emergency use of hypertonic sodium chloride solutions. November 17, 2021 ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4. https://psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions Delays in diagnosis and treatment duri…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44670/psn-pdf
    January 23, 2017 - Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. January 23, 2017 Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923. https://psnet.ahrq.gov/issue/shift-shift-hand…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60604/psn-pdf
    June 17, 2020 - The limits of current A.I. in health care: patient safety policing in hospitals. June 17, 2020 Furrow BR. NE Univ Law Rev. 2020;12(1):1-55. https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals Artificial intelligence (AI) has the potential to improve the use of big data to e…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47085/psn-pdf
    June 06, 2018 - Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. June 6, 2018 Silver Spring, MD: US Food and Drug Administration; April 2018. https://psnet.ahrq.gov/issue/medical-device-safety-action-plan-protecting-patients-promoting-public-health Reliable use of medical devices is an important co…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47708/psn-pdf
    February 13, 2019 - The role of purple pens in learning to prescribe. February 13, 2019 Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991. https://psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe Interventions utilizing color as visual c…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854265/psn-pdf
    October 04, 2023 - Can AI help doctors come up with better diagnoses? October 4, 2023 Landro L. Wall Street Journal. September 24, 2023. https://psnet.ahrq.gov/issue/can-ai-help-doctors-come-better-diagnoses Artificial intelligence (AI) is being considered as a strong contender in the effort to reduce harmful diagnostic error, but c…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764410/psn-pdf
    March 02, 2022 - Five strategies for clinicians to advance diagnostic excellence. March 2, 2022 Singh H, Connor DM, Dhaliwal G. Five strategies for clinicians to advance diagnostic excellence. BMJ. 2022;376:e068044. doi:10.1136/bmj-2021-068044. https://psnet.ahrq.gov/issue/five-strategies-clinicians-advance-diagnostic-excellence …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45970/psn-pdf
    March 22, 2017 - A learning health care system using computer-aided diagnosis. March 22, 2017 Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet Res. 2017;19(3):e54. doi:10.2196/jmir.6663. https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis Although…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47632/psn-pdf
    April 10, 2019 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. April 10, 2019 Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42135/psn-pdf
    April 22, 2013 - Interprofessional education in team communication: working together to improve patient safety. April 22, 2013 Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi:10.1136/bmjqs-2012-000952. https:/…