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2101. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72762/psn-pdf
      February 17, 2021 - Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. February 17, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care Effective integration of hea…

2102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44630/psn-pdf
      February 15, 2017 - Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. February 15, 2017 Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Health Informati…

2103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44385/psn-pdf
      October 13, 2015 - Same-hospital readmission rates as a measure of pediatric quality of care. October 13, 2015 Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric Quality of Care. JAMA Pediatr. 2015;169(10):905-12. doi:10.1001/jamapediatrics.2015.1129. https://psnet.ahrq.gov/issue/same…

2104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47018/psn-pdf
      June 13, 2018 - Opportunities to improve informed consent with AHRQ training modules. June 13, 2018 Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010. https://psnet.ahrq.gov/issue/opportuniti…

2105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45881/psn-pdf
      March 15, 2017 - CE: nursing's evolving role in patient safety. March 15, 2017 Kowalski SL, Anthony M. CE: Nursing's Evolving Role in Patient Safety. Am J Nurs. 2017;117(2):34-48. doi:10.1097/01.NAJ.0000512274.79629.3c. https://psnet.ahrq.gov/issue/ce-nursings-evolving-role-patient-safety Nursing is a key component of patient care…

2106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47414/psn-pdf
      May 01, 2019 - Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. May 1, 2019 Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 2019;3…

2107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45150/psn-pdf
      October 13, 2018 - Pain as the neglected patient safety concern: five years on. October 13, 2018 Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. https://psnet.ahrq.gov/issue/pain-neglected-patient-safety-conce…

2108. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73536/psn-pdf
      July 28, 2021 - Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study. July 28, 2021 doi:http://doi.org/10.1136/bmjopen-2020-048316. https://psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective- records-review-study In this retrospective stud…

2109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47918/psn-pdf
      April 03, 2019 - AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). April 3, 2019 Agency for Healthcare Research and Quality, US Department of Health and Human Services. Program Announcement No. RFA-HS-19-003. https://psnet.ahrq.gov/issue/ahrq-health-services-research-project-partners-enabling-di…

2110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47358/psn-pdf
      August 29, 2018 - Double reading in breast cancer screening: cohort evaluation in the CO-OPS trial. August 29, 2018 Taylor-Phillips S, Jenkinson D, Stinton C, et al. Double Reading in Breast Cancer Screening: Cohort Evaluation in the CO-OPS Trial. Radiology. 2018;287(3):749-757. doi:10.1148/radiol.2018171010. https://psnet.ahrq.gov…

2111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50644/psn-pdf
      November 06, 2019 - Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. November 6, 2019 US House of Representatives Committee on Veterans Affairs Subcommittee on Oversight and Investigations. 116th Cong, 1st Sess (2019). https://psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-syste…

2112. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42353/psn-pdf
      September 19, 2016 - Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. September 19, 2016 Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Gen Hosp Psych. 2013;35(5):528-536. doi:10.…

2113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43743/psn-pdf
      December 03, 2014 - Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. December 3, 2014 Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144. https://psnet.ahrq.gov/issue/conflict-int…

2114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40913/psn-pdf
      December 31, 2014 - Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. December 31, 2014 Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic heal…

2115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47362/psn-pdf
      January 27, 2019 - Effective approaches to control non-actionable alarms and alarm fatigue. January 27, 2019 Winters BD. Effective approaches to control non-actionable alarms and alarm fatigue. J Electrocardiol. 2018;51(6S):S49-S51. doi:10.1016/j.jelectrocard.2018.07.007. https://psnet.ahrq.gov/issue/effective-approaches-control-non…

2116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42404/psn-pdf
      October 08, 2013 - How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. October 8, 2013 George J, Long SJ, Vincent CA. How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. J R Soc Med. 2013;106(9):355-61. doi:10.1177/014107681347…

2117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41596/psn-pdf
      August 15, 2012 - Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. August 15, 2012 Kohn LT. Washington, DC: United States Government Accountability Office; July 2012. Publication GAO- 12-712. https://psnet.ahrq.gov/issue/patient-safety-hhs-has-taken-steps-address-unsafe-injection…

2118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837155/psn-pdf
      November 15, 2022 - Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. November 15, 2022  National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022. ISBN 9780309696333.  https://psnet.ahrq.gov/issue/advancing-diagnostic-excellence-ol…

2119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73925/psn-pdf
      January 01, 2022 - Patient safety and mental health-a growing quality gap in Canada. October 6, 2021 Waddell AE, Gratzer D. Patient safety and mental health-a growing quality gap in Canada. Can J Psychiatry. 2022;67(4):246-249. doi:10.1177/07067437211036596. https://psnet.ahrq.gov/issue/patient-safety-and-mental-health-growing-quali…

2120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47669/psn-pdf
      July 17, 2019 - Evaluating a handheld decision support device in pediatric intensive care settings. July 17, 2019 Reynolds TL, DeLucia PR, Esquibel KA, et al. JAMIA Open. 2019;2:49-61. https://psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings This pre–post mixed-methods implementat…