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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44839/psn-pdf
    February 03, 2016 - Engaging frontline staff in performance improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside collaborative. February 3, 2016 Needleman J, Pearson ML, Upenieks V, et al. Engaging Frontline Staff in Performance Improvement: The American Organization of Nurse …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838930/psn-pdf
    October 26, 2022 - Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. October 26, 2022 Washington DC: United States Government Accountability Office and National Academy of Medicine;  September 2022. Report no. GAO-22-104629. https://psnet.ahrq.gov/issue/ar…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841760/psn-pdf
    December 21, 2022 - Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure. December 21, 2022 Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to avoid premature diagnostic closure. Diagnosis (Berl). 2022;9(4):421-429. doi:10.1515/dx-202…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34700/psn-pdf
    January 04, 2017 - Reducing adverse drug events: lessons from a breakthrough series collaborative. January 4, 2017 Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31. https://psnet.ahrq.gov/issue/reducing-adverse-drug-event…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47816/psn-pdf
    June 26, 2019 - Clinical reasoning assessment methods: a scoping review and practical guidance. June 26, 2019 Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. Acad Med. 2019;94(6):902-912. doi:10.1097/ACM.0000000000002618. https://psnet.ahrq.gov/issue/clinical-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41305/psn-pdf
    April 18, 2012 - Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. April 18, 2012 Meer A, Gwerder T, Duembgen L, et al. Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threaten…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45819/psn-pdf
    March 15, 2017 - How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program. March 15, 2017 Kliegman RM, Bordini BJ, Basel D, et al. How Doctors Think: Common Diagnostic Errors in Clinical Judgment-Lessons from an Undiagnosed and Rare Disease Program. Pediatr Clin North A…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73568/psn-pdf
    August 04, 2021 - Coping strategies in health care providers as second victims: a systematic review. August 4, 2021 Kappes M, Romero?García M, Delgado?Hito P. Coping strategies in health care providers as second victims: a systematic review. Int Nurs Rev. 2021;68(4):471-481. doi:10.1111/inr.12694. https://psnet.ahrq.gov/issue/copin…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36496/psn-pdf
    February 28, 2011 - Literacy and misunderstanding prescription drug labels. February 28, 2011 Davis TC, Wolf MS, Bass PF, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med. 2006;145(12):887-94. https://psnet.ahrq.gov/issue/literacy-and-misunderstanding-prescription-drug-labels Poor health literacy has been…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47012/psn-pdf
    August 01, 2018 - Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. August 1, 2018 Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on identifying potentially preventable ad…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47638/psn-pdf
    February 06, 2019 - Decreasing surgical site infections by developing a high reliability culture. February 6, 2019 Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. https://psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-hi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73611/psn-pdf
    August 18, 2021 - Racial disparities in diagnostic delay among women with breast cancer. August 18, 2021 Miller-Kleinhenz JM, Collin LJ, Seidel R, et al. Racial disparities in diagnostic delay among women with breast cancer. J Am Coll Radiol. 2021;18(10):1384-1393. doi:10.1016/j.jacr.2021.06.019. https://psnet.ahrq.gov/issue/racial…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44130/psn-pdf
    May 13, 2015 - Recent Evidence That Health IT Improves Patient Safety: Issue Brief. May 13, 2015 Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. https://psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief Rapid implementatio…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39298/psn-pdf
    June 11, 2010 - Medication error reporting in nursing homes: identifying targets for patient safety improvement. June 11, 2010 Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19(3):218-22. doi:10.1136/qshc.2008.031…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73164/psn-pdf
    April 21, 2021 - Effectiveness of communication interventions in obstetrics--a systematic review. April 21, 2021 Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616. https://psnet.ahrq.go…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73345/psn-pdf
    June 02, 2021 - An estimate of missed pediatric sepsis in the emergency department. June 2, 2021 Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023. https://psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867046/psn-pdf
    October 30, 2024 - The future of safety and quality in radiation oncology. October 30, 2024 Talcott W, Covington E, Bazan J, et al. The future of safety and quality in radiation oncology. Semin Radiat Oncol. 2024;34(4):433-440. doi:10.1016/j.semradonc.2024.07.008. https://psnet.ahrq.gov/issue/future-safety-and-quality-radiation-oncol…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42362/psn-pdf
    July 10, 2013 - How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. July 10, 2013 Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding and what role does the electronic p…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74097/psn-pdf
    November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. November 24, 2021 De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508. https://psnet.ahrq.gov/iss…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847051/psn-pdf
    April 05, 2023 - Distractions in the operating room: a survey of the healthcare team. April 5, 2023 Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8. https://psnet.ahrq.gov/issue/distractions-operating-ro…