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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853627/psn-pdf
    September 20, 2023 - Understanding And Addressing Pre-Hospital Diagnostic Delays. September 20, 2023 Health Affairs Forefront; May-September 2023. https://psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays Diagnostic delays stem from both human and process failures. This series of articles examines how s…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36204/psn-pdf
    September 30, 2010 - Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. September 30, 2010 Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. J Clin Epidemiol. 2006;59(9). doi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34941/psn-pdf
    June 23, 2009 - Team types, perceived efficiency and team climate in Swedish cross-professional teamwork. June 23, 2009 Thylefors I, Persson O, Hellström D. Team types, perceived efficiency and team climate in Swedish cross- professional teamwork. J Interprof Care. 2005;19(2):102-14. https://psnet.ahrq.gov/issue/team-types-percei…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840494/psn-pdf
    November 30, 2022 - Safety of anesthetic and perioperative medication practices. November 30, 2022 Meyer TA. Anesthesiology News. October 31, 2022. https://psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices Medication use in the surgical environment is complex and high-risk. This article describes steps tow…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37658/psn-pdf
    June 14, 2011 - Applying modern error theory to the problem of missed injuries in trauma. June 14, 2011 Clarke DL, Gouveia J, Thomson SR, et al. Applying modern error theory to the problem of missed injuries in trauma. World J Surg. 2008;32(6):1176-82. doi:10.1007/s00268-008-9543-7. https://psnet.ahrq.gov/issue/applying-modern-er…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73872/psn-pdf
    September 22, 2021 - Parenteral nutrition safety. September 22, 2021 Mirtallo JM, Ayers P. Pharmacy Practice News. September 7, 2021;48(9):17-20. https://psnet.ahrq.gov/issue/parenteral-nutrition-safety Parenteral nutrition (PN) processes contain various steps that are prone to errors resulting in patient harm. This article discusses …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45638/psn-pdf
    January 01, 2019 - Measures to improve diagnostic safety in clinical practice. November 2, 2016 Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2019;15(4):311-316. doi:10.1097/PTS.0000000000000338. https://psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practic…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836931/psn-pdf
    April 13, 2022 - Quality Special Issue. April 13, 2022 J Med Imaging Radiat Oncol. 2022;66(2):165-309. https://psnet.ahrq.gov/issue/quality-special-issue Improving patient safety related to radiology and radiation oncology is an ongoing priority. This special issue explores themes related to radiology and radiation oncology, inclu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41103/psn-pdf
    June 15, 2012 - Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. June 15, 2012 Timpka T, Nordqvist C, Festin K, et al. Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. Glob …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36260/psn-pdf
    May 27, 2011 - The effect of physicians' long-term use of CPOE on their test management work practices. May 27, 2011 Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test management work practices. J Am Med Inform Assoc. 2006;13(6):643-52. https://psnet.ahrq.gov/issue/effect-physic…
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36211/psn-pdf
    February 13, 2008 - AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span. February 13, 2008 AORN guidance statement: safe medication practices in perioperative settings across the life span. AORN J. 2006;84(2):276-283. https://psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-pr…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42858/psn-pdf
    January 15, 2014 - Early access to a neurologist reduces the rate of missed diagnosis in young strokes. January 15, 2014 Mohamed W, Bhattacharya P, Chaturvedi S. Early access to a neurologist reduces the rate of missed diagnosis in young strokes. J Stroke Cerebrovasc Dis. 2013;22(8):e332-7. doi:10.1016/j.jstrokecerebrovasdis.2013.01…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38936/psn-pdf
    September 09, 2009 - Therapeutic errors involving adults in the community setting: nature, causes and outcomes. September 9, 2009 Taylor D, Robinson J, MacLeod D, et al. Therapeutic errors involving adults in the community setting: nature, causes and outcomes. Aust N Z J Public Health. 2009;33(4):388-94. doi:10.1111/j.1753- 6405.2009.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43411/psn-pdf
    October 01, 2014 - Analysis of medication errors in simulated pediatric resuscitation by residents. October 1, 2014 Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922. https://psnet.ahrq.gov/issue/analysis…
  16. digital.ahrq.gov/ahrq-funded-projects/evaluation-impact-telemedicine-management-rheumatoid-arthritis/citation/outcomes
    January 01, 2023 - Outcomes and quality of care in rheumatoid arthritis with or without video telemedicine follow-up visits. Citation Ferucci ED, Day GM, Choromanski TL, Freeman SL. Outcomes and quality of care in rheumatoid arthritis with or without video telemedicine follow-up visits. Arthritis Care Res (Hoboken). 202…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33895/psn-pdf
    April 01, 2024 - The Leapfrog Hospital Survey. April 1, 2024 Leapfrog Group. https://psnet.ahrq.gov/issue/leapfrog-hospital-survey This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in implementing specific patient safety practices. Updates to the survey include increased time a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42422/psn-pdf
    November 18, 2013 - Resilient actions in the diagnostic process and system performance. November 18, 2013 Smith MW, Giardina TD, Murphy DR, et al. Resilient actions in the diagnostic process and system performance. BMJ Qual Saf. 2013;22(12):1006-13. doi:10.1136/bmjqs-2012-001661. https://psnet.ahrq.gov/issue/resilient-actions-diagnos…
  19. digital.ahrq.gov/ahrq-funded-projects/portals-inpatient-care-evaluating-usability-use-and-patient-experience/citation/understanding
    January 01, 2023 - Understanding secure messaging in the inpatient environment: a new avenue for communication and patient engagement. Citation Sieck CJ, Walker DM, Hefner JL, et al. Understanding secure messaging in the inpatient environment: a new avenue for communication and patient engagement. Appl Clin Inform. 201…
  20. digital.ahrq.gov/location/usa-ms-jackson
    January 01, 2023 - USA, MS, Jackson The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology Description This project looked at the ability of EHRs to facilitate patient outcomes tracking, improve provider com…