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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861770/psn-pdf
    January 31, 2024 - Understanding liability risk from using health care artificial intelligence tools. January 31, 2024 Mello MM, Guha N. Understanding liability risk from using health care artificial intelligence tools. N Engl J Med. 2024;390(3):271-278. doi:10.1056/nejmhle2308901. https://psnet.ahrq.gov/issue/understanding-liabilit…
  2. 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…
  3. 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-…
  4. www.ahrq.gov/topics/grants.html
    January 01, 2011 - Topic: Grants AHRQ grants support research to improve the quality, effectiveness, accessibility, and cost effectiveness of healthcare. AHRQ Grant Final Progress Report Template AHRQ Grantee Profiles AHRQ Infrastructure for Maintaining Primary Care Transformation…
  5. 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…
  6. 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…
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47274/psn-pdf
    November 21, 2018 - Developing a hospital-wide quality and safety dashboard: a qualitative research study. November 21, 2018 Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. doi:10.1136/bmjqs-2018- 007784. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44348/psn-pdf
    September 04, 2016 - Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. September 4, 2016 Williams SD, Phipps D, Ashcroft DM. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. Int J…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44597/psn-pdf
    October 28, 2015 - Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. October 28, 2015 Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352. https://psnet.ahrq.gov/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46430/psn-pdf
    September 27, 2017 - Can residents detect errors in technique while observing central line insertions? September 27, 2017 Pei K, Merola J, Davis KA, et al. Can residents detect errors in technique while observing central line insertions? Am J Surg. 2017;213(6):1166-1170.e1. doi:10.1016/j.amjsurg.2016.08.026. https://psnet.ahrq.gov/iss…
  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/47205/psn-pdf
    July 25, 2018 - Teamwork and Teamwork Training in Healthcare. July 25, 2018 Teamwork and Teamwork Training in Health care: An Integration and a Path Forward. Buljac-Samardzic M, Dekker-van Doorn C, Maynard MT, eds. Group Org Manag. 2018;43(3):351-527. doi:10.1177/1059601118774669. https://psnet.ahrq.gov/issue/teamwork-and-teamwor…
  14. 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…
  15. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship9.html
    August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Conclusion Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing Process Diagnostic …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48047/psn-pdf
    June 05, 2019 - Do safety briefings improve patient safety in the acute hospital setting? A systematic review. June 5, 2019 Ryan S, Ward M, Vaughan D, et al. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. J Adv Nurs. 2019;75(10):2085-2098. doi:10.1111/jan.13984. https://psnet.ahrq.g…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45378/psn-pdf
    January 23, 2017 - Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department. January 23, 2017 Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergency Department. Prehosp Emerg Ca…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46131/psn-pdf
    December 19, 2017 - Characteristics associated with requests by pathologists for second opinions on breast biopsies. December 19, 2017 Geller BM, Nelson HD, Weaver DL, et al. Characteristics associated with requests by pathologists for second opinions on breast biopsies. J Clin Pathol. 2017;70(11):947-953. doi:10.1136/jclinpath-2016- …
  19. 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/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44676/psn-pdf
    January 22, 2016 - Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. January 22, 2016 Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nurs. 2016;25(1-2):278-81. doi:10.…