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2021. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73354/psn-pdf
      June 02, 2021 - Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. June 2, 2021 National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021. https://psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop Maternal safety is challenged by clinical, equity…

2022. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50594/psn-pdf
      October 30, 2019 - Pharmacist linkage in care transitions: from academic medical center to community. October 30, 2019 Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j.japh.2019.08.011. https://psne…

2023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72667/psn-pdf
      January 20, 2021 - Virtual urgent care quality and safety in the time of Coronavirus. January 20, 2021 Smith SW, Tiu J, Caspers CG, et al. Virtual Urgent Care Quality and Safety in the Time of Coronavirus. Jt Comm J Qual Patient Saf. 2021;47(2):86-98. doi:10.1016/j.jcjq.2020.10.001. https://psnet.ahrq.gov/issue/virtual-urgent-care-q…

2024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866935/psn-pdf
      October 09, 2024 - The Economics of Diagnostic Safety. October 9, 2024 de Bienassis K, Slawomirski L, Kelly D, et al. The Economics Of Diagnostic Safety. Paris, France: OECD Publishing; 2023. https://psnet.ahrq.gov/issue/economics-diagnostic-safety Ineffective diagnostic processes are common, wasteful, and harmful. This analysis exa…

2025. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35485/psn-pdf
      May 27, 2011 - Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. May 27, 2011 Koshy R. Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. Transfusion (Paris). 2005;45(4 Suppl):189S-205S. https://psnet.ahrq.go…

2026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47492/psn-pdf
      August 07, 2019 - Pediatric clinician perspectives on communicating diagnostic uncertainty. August 7, 2019 Meyer AND, Giardina TD, Khanna A, et al. Pediatric clinician perspectives on communicating diagnostic uncertainty. Int J Health Care Qual. 2019;31(9):g107-g112. doi:10.1093/intqhc/mzz061. https://psnet.ahrq.gov/issue/pediatric…

2027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39898/psn-pdf
      February 01, 2011 - Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative. February 1, 2011 Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative.…

2028. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60935/psn-pdf
      September 23, 2020 - Resilience from a stakeholder perspective: the role of next of kin in cancer care. September 23, 2020 Bergerød IJ, Braut GS, Wiig S. Resilience from a stakeholder perspective: the role of next of kin in cancer care. J Patient Saf. 2020;16(3):e205-e210. doi:10.1097/pts.0000000000000532. https://psnet.ahrq.gov/issue…

2029. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45910/psn-pdf
      March 08, 2017 - Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. March 8, 2017 Ottawa, ON: Canadian Agency for Drugs and Technologies in Health; 2016. https://psnet.ahrq.gov/issue…

2030. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43334/psn-pdf
      July 16, 2014 - Changing our culture: adopting the military aviation safety system. July 16, 2014 Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070. https://psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-sa…

2031. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43852/psn-pdf
      December 02, 2015 - Narrativizing nursing students' experiences with medical errors during clinicals. December 2, 2015 Noland CM, Carmack HJ. Narrativizing Nursing Students' Experiences With Medical Errors During Clinicals. Qual Health Res. 2015;25(10):1423-34. doi:10.1177/1049732314562892. https://psnet.ahrq.gov/issue/narrativizing-…

2032. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60554/psn-pdf
      June 03, 2020 - Artificial intelligence in health care: accountability and safety. June 3, 2020 Habli I, Lawton T, Porter Z. Artificial intelligence in health care: accountability and safety. Bull World Health Organ. 2020;98(4):251-256. doi:10.2471/blt.19.237487. https://psnet.ahrq.gov/issue/artificial-intelligence-health-care-ac…

2033. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60041/psn-pdf
      March 11, 2020 - Supplement on Deepening our Understanding of Quality in Australia (DUQuA). March 11, 2020 Int J Qual Health Care. 2020;32(Supp1):1-105. https://psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua Quality and safety are often intertwined in large improvement efforts. This special iss…

2034. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40064/psn-pdf
      July 08, 2013 - Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project. July 8, 2013 Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010. https://psnet.ahrq.gov/issue/hand-hygiene-project-best-practices-hospitals-part…

2035. 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…

2036. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836864/psn-pdf
      April 06, 2022 - Improving the specificity of drug-drug interaction alerts: can it be done? April 6, 2022 Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045. https://psnet.ahrq.gov/issue/improving-specif…

2037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43123/psn-pdf
      August 04, 2015 - Redesigning surgical decision making for high-risk patients. August 4, 2015 Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538. https://psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patient…

2038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44495/psn-pdf
      September 30, 2015 - Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. September 30, 2015 Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.1136/bmjqs-2014- 003921. htt…

2039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45139/psn-pdf
      May 25, 2016 - Alarm management: promoting safety and establishing guidelines. May 25, 2016 Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518- 21. doi:10.1016/j.aorn.2016.03.008. https://psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines Alarms…

2040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848829/psn-pdf
      May 10, 2023 - Lessons from the Covid War: An Investigative Report. May 10, 2023 Covid Crisis Group. New York: Public Affairs; 2023. ISBN?: ?9781541703803. https://psnet.ahrq.gov/issue/lessons-covid-war-investigative-report The transfer of failure experiences to generate learning and improve service is a complicated responsibilit…