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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846761/psn-pdf
    September 29, 2018 - Using clinical simulation to study how to improve quality and safety in healthcare. September 29, 2018 Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370. https://psnet.ahrq.gov/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39819/psn-pdf
    April 04, 2011 - Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. April 4, 2011 Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Health Serv Res. 2011;46(2):654-78. doi:10.111…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46912/psn-pdf
    March 28, 2018 - Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients. March 28, 2018 London, UK: Parliamentary and Health Service Ombudsman; 2017. ISBN: 9781528601344. https://psnet.ahrq.gov/issue/ignoring-alarms-how-nhs-eating-disorder-services-are-failing-patients Patients with mental health conditions fac…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843082/psn-pdf
    January 25, 2023 - Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. January 25, 2023 Jadwin DF, Fenderson PG, Friedman MT, et al. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Jt Comm J Qual Patient Saf. 2023;49(1):42-52. doi:10.1016/j.jcjq.2022.1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72778/psn-pdf
    February 24, 2021 - Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. February 24, 2021 Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:10.1136/openhrt-2020-001260. h…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844763/psn-pdf
    September 11, 2019 - Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. September 11, 2019 Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient safety and interprofessional …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46947/psn-pdf
    March 21, 2018 - Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. March 21, 2018 Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics. 2018;19(1):18. doi:10.1186/s12910-018-0255-8. https://psnet.ahrq.gov/issue/leav…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72470/psn-pdf
    January 01, 2021 - Safe use of the EHR by medical scribes: a qualitative study. November 18, 2020 Ash JS, Corby S, Mohan V, et al. Safe use of the EHR by medical scribes: a qualitative study. J Amer Med Inform Assoc. 2021;28(2):294-302. doi:10.1093/jamia/ocaa199. https://psnet.ahrq.gov/issue/safe-use-ehr-medical-scribes-qualitative-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843325/psn-pdf
    February 01, 2023 - Untenable expectations: nurses' work in the context of medication administration, error, and the organization. February 1, 2023 Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Glob Qual Nurs Res. 2022;9:233339362211317. doi:10.117…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47155/psn-pdf
    October 17, 2018 - Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. October 17, 2018 Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packaging Improvements. Acad Pediatr. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37631/psn-pdf
    May 18, 2015 - The science of improvement. May 18, 2015 Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182. https://psnet.ahrq.gov/issue/science-improvement This commentary by Dr. Donald Berwick, president of the Institute for Healthcare Improvement, addresses the growing tension betw…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46934/psn-pdf
    March 14, 2018 - Engaging the front line: tapping into hospital-wide quality and safety initiatives. March 14, 2018 Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038. https://psn…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836758/psn-pdf
    March 16, 2022 - Internet of things in healthcare for patient safety: an empirical study. March 16, 2022 Yesmin T, Carter MW, Gladman AS. Internet of things in healthcare for patient safety: an empirical study. BMC Health Serv Res. 2022;22(1):278. doi:10.1186/s12913-022-07620-3. https://psnet.ahrq.gov/issue/internet-things-healthc…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48035/psn-pdf
    May 29, 2019 - Is the future of medical diagnosis in computer algorithms? May 29, 2019 Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15- e16. doi:10.1016/s2589-7500(19)30011-1. https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms Artificial intelligence…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42421/psn-pdf
    May 19, 2014 - Do drug interaction alerts between a chemotherapy order- entry system and an electronic medical record affect clinician behavior? May 19, 2014 Weingart SN, Zhu J, Young-Hong J, et al. Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior? J …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42862/psn-pdf
    January 15, 2014 - VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. January 15, 2014 Draper D. Washington, DC: United States Government Accountability Office; December 3, 2013. Publication GAO-14-55. https://psnet.ahrq.gov/issue/va-health-care-improvements-needed…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44183/psn-pdf
    November 03, 2015 - The absence of a drug–disease interaction alert leads to a child's death. November 3, 2015 ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4. https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death The disabling of alerts due to alarm fatigue can hinder the abilit…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73701/psn-pdf
    September 15, 2021 - Simulation-based education enhances patient safety behaviors during central venous catheter placement. September 15, 2021 Jagneaux T, Caffery TS, Musso MW, et al. Simulation-based education enhances patient safety behaviors during central venous catheter placement. J Patient Saf. 2021;17(6):425-429. doi:10.1097/pt…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73417/psn-pdf
    June 23, 2021 - Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. June 23, 2021 Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Stud Health Technol Inform. 2021;281:…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43932/psn-pdf
    March 04, 2015 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications. March 4, 2015 Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February 11, 2015. https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks…

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