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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47167/psn-pdf
    May 30, 2018 - AHRQ Health Information Technology Division's 2017 Annual Report. May 30, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028- EF. https://psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report Health care has worked to enhance use…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47726/psn-pdf
    April 10, 2019 - Machine learning in medicine. April 10, 2019 Rajkomar A, Dean J, Kohane IS. Machine Learning in Medicine. New Engl J Med. 2019;380(14):1347- 1358. doi:10.1056/NEJMra1814259. https://psnet.ahrq.gov/issue/machine-learning-medicine Machine learning in health care is in the early stage of application. This review expl…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45298/psn-pdf
    April 22, 2017 - The problem with root cause analysis. April 22, 2017 Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417- 422. doi:10.1136/bmjqs-2016-005511. https://psnet.ahrq.gov/issue/problem-root-cause-analysis Root cause analysis (RCA) is a strategy to investigate incident…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866967/psn-pdf
    October 16, 2024 - Placing patient safety at the heart of value-based healthcare. October 16, 2024 La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087. https://psnet.ahrq.gov/issue/placing-patient-safety-heart-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60755/psn-pdf
    August 05, 2020 - Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation. August 5, 2020 Conner T, Unsworth J, Machin A. Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation. J Nurs Manag…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44725/psn-pdf
    February 24, 2016 - Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. February 24, 2016 ISMP Medication Safety Alert! Acute care edition. January 28, 2016;21:1-4; February 11, 2016;21:1-5. https://psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847056/psn-pdf
    April 05, 2023 - Early diagnosis of cancer: systems approach to support clinicians in primary care. April 5, 2023 Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225. https://psnet.ahrq.gov/issue/early-di…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838256/psn-pdf
    October 05, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. October 5, 2022 Tran AK, Calabrese M, Quatrara B, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2022. AHRQ Publication No. 22-0026-4-EF. https://psnet.ahrq.gov/i…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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. …
  17. 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…
  18. 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/…
  19. 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…
  20. 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…

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