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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45503/psn-pdf
    October 29, 2017 - All CLEAR? Preparing for IT downtime. October 29, 2017 Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546. https://psnet.ahrq.gov/issue/all-clear-preparing-it-downtime Due to the increasing integration of health care proc…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73971/psn-pdf
    October 13, 2021 - Safety culture as a patient safety practice for alarm fatigue. October 13, 2021 Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47700/psn-pdf
    January 16, 2019 - Current challenges in health information technology–related patient safety. January 16, 2019 Sittig DF, Wright A, Coiera E, et al. Current challenges in health information technology–related patient safety. Health Inform J. 2020;26(1):181-189. doi:10.1177/1460458218814893. https://psnet.ahrq.gov/issue/current-chal…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43008/psn-pdf
    November 21, 2014 - Understanding safety culture in long-term care: a case study. November 21, 2014 Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. https://psnet.ahrq.gov/issue/understanding-safety-culture-lon…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45801/psn-pdf
    August 03, 2017 - Overcoming diagnostic errors in medical practice. August 3, 2017 Bordini BJ, Stephany A, Kliegman RM. Overcoming Diagnostic Errors in Medical Practice. J Pediatr. 2017;185. doi:10.1016/j.jpeds.2017.02.065. https://psnet.ahrq.gov/issue/overcoming-diagnostic-errors-medical-practice This commentary describes a progra…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45885/psn-pdf
    May 03, 2017 - E-collection: Safety and Error Prevention in Health. May 3, 2017 https://psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health The increasing implementation of health information technology has introduced both benefits and challenges to patient safety. Articles in this series explore the impacts of t…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60945/psn-pdf
    September 23, 2020 - Safety in pediatric hospice and palliative care: a qualitative study. September 23, 2020 Pestian T, Thienprayoon R, Grossoehme D, et al. Safety in pediatric hospice and palliative care: a qualitative study. Pediatr Qual Saf. 2020;5(4):e328. doi:10.1097/pq9.0000000000000328. https://psnet.ahrq.gov/issue/safety-pedi…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38055/psn-pdf
    January 12, 2009 - Improving patient safety: patient-focused, high-reliability team training. January 12, 2009 McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595. https://psnet.ahrq.gov/issue/improving-p…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45549/psn-pdf
    October 12, 2016 - Preventing diagnostic errors in primary care. October 12, 2016 Ely JW, Graber ML. Preventing Diagnostic Errors in Primary Care. Am Fam Physician. 2016;94(6):426-32. https://psnet.ahrq.gov/issue/preventing-diagnostic-errors-primary-care The Improving Diagnosis in Health Care report advocated for enhancing patient en…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72601/psn-pdf
    January 01, 2021 - Increasing physician reporting of diagnostic learning opportunities. December 23, 2020 Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. https://psnet.ahrq.gov/issue/increasing-physician-reporting…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46367/psn-pdf
    August 30, 2017 - Why are so many women being misdiagnosed? August 30, 2017 Mickle K. Glamour. August 11, 2017. https://psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed Implicit bias and differences in communication style can affect patient care. This magazine article reports on factors that contribute to misdiagnosis …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45071/psn-pdf
    April 27, 2016 - Using simulation to identify sources of medical diagnostic error in child physical abuse. April 27, 2016 Anderst J, Nielsen-Parker M, Moffatt M, et al. Using simulation to identify sources of medical diagnostic error in child physical abuse. Child Abuse Negl. 2016;52:62-69. doi:10.1016/j.chiabu.2015.12.015. https:…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41012/psn-pdf
    December 29, 2014 - The impact of patient and public involvement on UK NHS health care: a systematic review. December 29, 2014 Mockford C, Staniszewska S, Griffiths F, et al. The impact of patient and public involvement on UK NHS health care: a systematic review. Int J Qual Health Care. 2012;24(1):28-38. doi:10.1093/intqhc/mzr066. ht…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43839/psn-pdf
    January 28, 2015 - Patient Safety. January 28, 2015 J Health Serv Res Policy. 2015;20(suppl 1):S1-S60. https://psnet.ahrq.gov/issue/patient-safety-11 Articles in this special supplement explore research commissioned by National Institute for Health Research in the United Kingdom to address four patient safety research gaps: how orga…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44718/psn-pdf
    November 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient Safety. November 25, 2015 Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015. https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety The 2004 Canadian Adverse Events Study helpe…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40527/psn-pdf
    June 15, 2011 - Online medication error graphic reports: a pilot in North Carolina nursing homes. June 15, 2011 Greene SB, Williams CE, Pierson S, et al. Online medication error graphic reports: a pilot in North Carolina nursing homes. J Patient Saf. 2011;7(2):92-8. doi:10.1097/PTS.0b013e31821b4eab. https://psnet.ahrq.gov/issue/o…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44274/psn-pdf
    February 18, 2019 - Concepts for the development of a customizable checklist for use by patients. February 18, 2019 Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the Development of a Customizable Checklist for Use by Patients. J Patient Saf. 2019;15(1):18-23. doi:10.1097/PTS.0000000000000203. https://psnet.ahrq.gov/issue…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45363/psn-pdf
    September 14, 2016 - Effective perioperative communication to enhance patient care. September 14, 2016 Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20. doi:10.1016/j.aorn.2016.06.001. https://psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care Poor team …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43825/psn-pdf
    January 28, 2015 - A systematic review of adult admissions to ICUs related to adverse drug events. January 28, 2015 Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5. https://psnet.ahrq.gov/issue/systema…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44999/psn-pdf
    August 03, 2017 - An analysis of electronic health record–related patient safety incidents. August 3, 2017 Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072. https://psnet.ahrq.gov/issue/analysis-e…
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