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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43437/psn-pdf
    August 13, 2014 - Diagnostic error: untapped potential for improving patient safety? August 13, 2014 Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag. 2014;34(1):38-43. doi:10.1002/jhrm.21149. https://psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-saf…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44535/psn-pdf
    September 30, 2015 - Diagnostic experiences of children with attention- deficit/hyperactivity disorder. September 30, 2015 Visser SN, Zablotsky B, Holbrook JR, Danielson ML, Bitsko RH. Natl Health Stat Report. 2015;(81):1-8. https://psnet.ahrq.gov/issue/diagnostic-experiences-children-attention-deficithyperactivity-disorder This surve…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45026/psn-pdf
    April 19, 2016 - Managing the risks of concurrent surgeries. April 19, 2016 Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. doi:10.1001/jama.2016.2305. https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries Scheduling overlapping surgeries may improve operating room efficie…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47047/psn-pdf
    June 06, 2018 - MedStar Health Institute for Quality and Safety. June 6, 2018 MedStar Health. 10980 Grantchester Way, Columbia, MD 21044. https://psnet.ahrq.gov/issue/medstar-health-institute-quality-and-safety Health care has recognized the importance of designing systems solutions that reduce risks. Established within MedStar H…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34899/psn-pdf
    February 15, 2010 - Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. February 15, 2010 Raab SS, Nakhleh RE, Ruby SG. Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Arch Pathol Lab Med. 2005;129(4):459-466. https://psnet.ahrq.gov/issue/patient-safety-anatomic-path…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39126/psn-pdf
    November 25, 2009 - Challenges faced in providing safe care in rural perinatal settings. November 25, 2009 Jukkala AM, Kirby RS. Challenges faced in providing safe care in rural perinatal settings. MCN Am J Matern Child Nurs. 2009;34(6):365-371. doi:10.1097/01.NMC.0000363685.20315.0e. https://psnet.ahrq.gov/issue/challenges-faced-pro…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45478/psn-pdf
    October 26, 2016 - Core principles of quality improvement and patient safety. October 26, 2016 Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417. https://psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety This review discusses key patient safet…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42843/psn-pdf
    January 22, 2014 - Patient safety in the obstetric and gynecologic office setting. January 22, 2014 Keats JP. Patient safety in the obstetric and gynecologic office setting. Obstet Gynecol Clin North Am. 2013;40(4):611-23. doi:10.1016/j.ogc.2013.08.004. https://psnet.ahrq.gov/issue/patient-safety-obstetric-and-gynecologic-office-set…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43217/psn-pdf
    May 28, 2014 - Bullying: a hidden threat to patient safety. May 28, 2014 Longo J, Hain D. Bullying: a hidden threat to patient safety. Nephrol Nurs J. 2014;41(2):193-99; quiz 200. https://psnet.ahrq.gov/issue/bullying-hidden-threat-patient-safety This commentary relates how bullying and other disruptive behaviors remain a pervasi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73191/psn-pdf
    April 23, 2007 - The National Database of Nursing Quality Indicators(TM) (NDNQI®). April 23, 2007 Montalvo I. Online J Iss Nurs. 2007;12(3):Manuscript 2.  https://psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir The quality of nursing care can impact patient outcomes and safety culture…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47475/psn-pdf
    January 23, 2019 - Patient Safety and Quality Improvement. January 23, 2019 Shah RK, ed. Otolaryngol Clin North Am. 2019;52:1-194. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-0 Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology. The reviews highlight sy…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43495/psn-pdf
    December 15, 2014 - Disruptive behaviors among physicians. December 15, 2014 Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218. https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians This commentary spotlights concerns about physicians with disruptive behaviors an…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844060/psn-pdf
    June 01, 2016 - Developing a measure of value in health care. June 1, 2016 Ken Lee KH, Matthew Austin J, Pronovost PJ. Developing a measure of value in health care. Value Health. 2015;19(4):323-325. doi:10.1016/j.jval.2014.12.009. https://psnet.ahrq.gov/issue/developing-measure-value-health-care Value-based healthcare is emerging…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45747/psn-pdf
    December 21, 2016 - Implementing No Interruption Zones in the perioperative environment. December 21, 2016 Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536- 540. doi:10.1016/j.aorn.2016.09.018. https://psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environme…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46382/psn-pdf
    December 19, 2017 - Medication errors and trainees: advice for learners and organizations. December 19, 2017 Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092. https://psnet.ahrq.gov/issue/medication-errors-and…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42981/psn-pdf
    March 19, 2014 - Recognizing and managing errors of cognitive underspecification. March 19, 2014 Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1. https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification Inc…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47025/psn-pdf
    April 11, 2018 - Chemotherapy medication errors. April 11, 2018 Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol. 2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9. https://psnet.ahrq.gov/issue/chemotherapy-medication-errors Chemotherapy errors can result in serious patient harm. This revi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46417/psn-pdf
    October 11, 2017 - Center for Health Care Human Factors. October 11, 2017 Armstrong Institute for Patient Safety and Quality. https://psnet.ahrq.gov/issue/center-health-care-human-factors Human factors engineering has provided unique insights into designing solutions to address human error and system weaknesses that facilitate mista…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45661/psn-pdf
    November 09, 2016 - Center for Diagnostic Excellence. November 9, 2016 Armstrong Institute for Patient Safety and Quality https://psnet.ahrq.gov/issue/center-diagnostic-excellence Diagnostic error has recently been recognized as a serious patient safety concern. Established within the Armstrong Center for Patient Safety and Quality, …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37326/psn-pdf
    January 05, 2012 - Healthy work environments, nurse-physician communication, and patients' outcomes. January 5, 2012 Manojlovich M, DeCicco B. Healthy work environments, nurse-physician communication, and patients' outcomes. Am J Crit Care. 2007;16(6):536-43. https://psnet.ahrq.gov/issue/healthy-work-environments-nurse-physician-com…

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