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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48138/psn-pdf
    July 17, 2019 - Beyond the clinical team: evaluating the human factors- oriented training of non-clinical professionals working in healthcare contexts. July 17, 2019 Lavelle M, Reedy GB, Attoe C, et al. Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare con…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866447/psn-pdf
    August 07, 2024 - Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. August 7, 2024 Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; https://psnet.ahrq.gov/issue/older-adults-are-often-misdiagnos…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47761/psn-pdf
    May 22, 2019 - Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. May 22, 2019 Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualitative study. Palliat Med. 2019;33(4…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60955/psn-pdf
    September 30, 2020 - The emergency department trigger tool: a novel approach to screening for quality and safety events. September 30, 2020 Griffey RT, Schneider RM, Todorov AA. The emergency department trigger tool: a novel approach to screening for quality and safety events. Ann Emerg Med. 2020;76(2):230-240. doi:10.1016/j.annemergm…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866529/psn-pdf
    October 08, 2024 - HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. October 8, 2024 HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Agency for Healthcare Quality and Research. Fed Register. October 02, 2024;89:80247-80249. https://…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46146/psn-pdf
    June 07, 2017 - Increasing patient safety event reporting in an emergency medicine residency. June 7, 2017 Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716. https://psnet.ahrq.gov/issue/increasing-p…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44028/psn-pdf
    April 01, 2015 - Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. April 1, 2015 Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. BMJ Qual Saf. 2015;24(…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46485/psn-pdf
    October 18, 2017 - Medical team training improves team performance: AOA critical issues. October 18, 2017 Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290. https://psnet.ahrq.gov/issue/medical-team-t…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45218/psn-pdf
    June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. June 15, 2016 Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46719/psn-pdf
    December 20, 2017 - Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. December 20, 2017 Singh H, Sittig DF. NEJM Catalyst. December 7, 2017. https://psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility The promise of health information technology has yet to be…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853073/psn-pdf
    August 30, 2023 - Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. August 30, 2023 Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197. https://psnet.ahrq.gov/issue/mind-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44356/psn-pdf
    October 03, 2017 - Breaking the silence of the switch—increasing transparency about trainee participation in surgery. October 3, 2017 McAlister C. Breaking the Silence of the Switch--Increasing Transparency about Trainee Participation in Surgery. N Engl J Med. 2015;372(26):2477-9. doi:10.1056/NEJMp1502901. https://psnet.ahrq.gov/iss…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42722/psn-pdf
    November 13, 2013 - Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. November 13, 2013 Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853611/psn-pdf
    September 20, 2023 - Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. September 20, 2023 Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. J Patient Saf. 2023;19…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44430/psn-pdf
    October 28, 2015 - The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. October 28, 2015 Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emergency care. Reliab Eng Syst Saf.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44202/psn-pdf
    June 10, 2015 - Medication reconciliation to facilitate transitions of care after hospitalization. June 10, 2015 Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133. https://psnet.ahrq.gov/issue/medication-reconci…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47604/psn-pdf
    December 21, 2018 - Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. December 21, 2018 Nickel WK, Weinberger SE, Guze PA, et al. Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. Ann Intern Med. 2018;169(11):796-799. doi:10.7…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45346/psn-pdf
    November 18, 2016 - How do simulated error experiences impact attitudes related to error prevention? November 18, 2016 Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to Error Prevention? Simul Healthc. 2016;11(5):323-333. https://psnet.ahrq.gov/issue/how-do-simulated-error-experiences…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46421/psn-pdf
    November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient room. November 8, 2017 Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45239/psn-pdf
    August 24, 2016 - Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. August 24, 2016 Atayee RS, Awdishu L, Namba J. Using Simulation to Improve First-Year Pharmacy Students' Ability to Identify Medication Errors Involving the Top 100 Prescr…
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