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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852448/psn-pdf
    January 01, 2024 - A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. August 16, 2023 Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. J Interp…
  2. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42536/psn-pdf
    August 13, 2014 - Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning in a single cohort over a 5 year curriculum. August 13, 2014 Ambrose LJ, Ker J. Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning i…
  4. 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-…
  5. 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44791/psn-pdf
    January 13, 2016 - FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. January 13, 2016 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…
  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/46216/psn-pdf
    July 12, 2017 - Physician satisfaction with transition from CPOE to paper-based prescription. July 12, 2017 Griffon N, Schuers M, Joulakian M, et al. Physician satisfaction with transition from CPOE to paper-based prescription. Int J Med Inform. 2017;103:42-48. doi:10.1016/j.ijmedinf.2017.04.007. https://psnet.ahrq.gov/issue/phys…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43142/psn-pdf
    June 15, 2014 - Development and sustainability of an inpatient-to- outpatient discharge handoff tool: a quality improvement project. June 15, 2014 Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt Comm J Qual Patient Saf. 2014;40(5…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867136/psn-pdf
    November 13, 2024 - Detecting clinical medication errors with AI enabled wearable cameras. November 13, 2024 Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2. https://psnet.ahrq.gov/issue/detecting-clinical-medication…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47724/psn-pdf
    March 20, 2019 - Understanding patient safety and quality outcome data. March 20, 2019 Easter K, Tamburri LM. Understanding Patient Safety and Quality Outcome Data. Crit Care Nurse. 2018;38(6):58-66. doi:10.4037/ccn2018979. https://psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data Public reporting of safet…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43931/psn-pdf
    March 04, 2015 - Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. March 4, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; February 23, 2015. https://psnet.ahrq.gov/issue/design-endoscopic-retrograde-cholangiopancreatography-ercp- duode…
  14. 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…
  15. 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/…
  16. 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. …
  17. 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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72584/psn-pdf
    December 16, 2020 - Hidden medication loss when using a primary administration set for small-volume intermittent infusions. December 16, 2020 ISMP Medication Safety Alert! Acute care edition. December 3, 2020;25(24). https://psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume- intermittent …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44872/psn-pdf
    February 12, 2016 - Reducing preventable harm in hospitals. February 12, 2016 Bornstein D. New York Times. January 26, and February 2, 2016. https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals Discussing the importance of designing safeguards to prevent system failures that can result in patient harm, this two-part newsp…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45520/psn-pdf
    October 05, 2016 - Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. October 5, 2016 Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):31994. doi:10.3402/jchimp.v6.31994. http…