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  1. 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…
  2. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836757/psn-pdf
    March 16, 2022 - Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. March 16, 2022 Weiseth A, Plough A, Aggarwal R, et al. Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. Birth. 2022;49(4):637-647. doi:10.1111/birt.12630. https://psn…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46808/psn-pdf
    February 14, 2018 - Anesthesia medication handling needs a new vision. February 14, 2018 Grigg EB, Roesler A. Anesthesia Medication Handling Needs a New Vision. Anesth Analg. 2018;126(1):346-350. doi:10.1213/ANE.0000000000002521. https://psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision Anesthesiology has been a le…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50408/psn-pdf
    October 02, 2019 - Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management October 2, 2019 Czolgosz T, Cashen K, Farooqi A, et al. Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management. Pediatr …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60876/psn-pdf
    September 02, 2020 - Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. September 2, 2020 Librov S, Shavit I. Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. J Pain Res. 2020;13:1797-1802. doi:…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73504/psn-pdf
    July 21, 2021 - Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: a mixed- methods study. July 21, 2021 Arvidsson L, Lindberg M, Skytt B, et al. Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: A mixed?methods study. J Clin Nurs. …
  8. 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 …
  9. 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…
  10. 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-…
  11. 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…
  12. 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. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73858/psn-pdf
    September 22, 2021 - Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. September 22, 2021 D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. Surgery. 2021;170(2):440-44…
  14. 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…
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35130/psn-pdf
    March 11, 2011 - A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. March 11, 2011 Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. J Am Med Inform Assoc…
  17. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex7.html
    July 01, 2018 - Guide to Patient and Family Engagement Exhibit 7. Strength of Evidence for Organizational Culture Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Step…
  18. 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…
  19. www.ahrq.gov/hai/cauti-tools/phys-championsgd/section9.html
    October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Plan To Help Incorporate the Role of Champions for Resident Physicians Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiolo…
  20. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex6.html
    December 01, 2017 - Guide to Patient and Family Engagement Exhibit 6. Strength of Evidence for Individual Characteristics of Target Audiences Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary an…