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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865597/psn-pdf
    April 17, 2024 - Discharge from Mental Health Care: Making it Safe and Patient-centred. April 17, 2024 Manchester, UK: Parliamentary and Health Service Ombudsman; March 2024. https://psnet.ahrq.gov/issue/discharge-mental-health-care-making-it-safe-and-patient-centred The provision of safe mental health care is receiving increased …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43813/psn-pdf
    January 20, 2015 - Adverse events in patients with return emergency department visits. January 20, 2015 Calder LA, Pozgay A, Riff S, et al. Adverse events in patients with return emergency department visits. BMJ Qual Saf. 2015;24(2):142-148. doi:10.1136/bmjqs-2014-003194. https://psnet.ahrq.gov/issue/adverse-events-patients-return-e…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61124/psn-pdf
    November 11, 2020 - Using Twitter to assess patient takes on patient experience. November 11, 2020 Heath S. Patient Engagement HIT. October 29, 2020. https://psnet.ahrq.gov/issue/using-twitter-assess-patient-takes-patient-experience Twitter is evolving as a useful data source for patient safety. This news story discusses an examinati…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38889/psn-pdf
    April 01, 2010 - Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. April 1, 2010 Peute LW, Aarts J, Bakker PJM, et al. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Int J Med Inform. 2010;79(4):e58-70. doi:…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47826/psn-pdf
    March 27, 2019 - Office-based surgery and patient outcomes. March 27, 2019 Young S, Shapiro FE, Urman RD. Office-based surgery and patient outcomes. Curr Opin Anaesthesiol. 2018;31(6):707-712. doi:10.1097/ACO.0000000000000655. https://psnet.ahrq.gov/issue/office-based-surgery-and-patient-outcomes Office-based surgery is increasing…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39676/psn-pdf
    February 01, 2011 - Patient empowerment and multimodal hand hygiene promotion: a win–win strategy. February 1, 2011 McGuckin M, Storr J, Longtin Y, et al. Patient empowerment and multimodal hand hygiene promotion: a win-win strategy. Am J Med Qual. 2011;26(1):10-7. doi:10.1177/1062860610373138. https://psnet.ahrq.gov/issue/patient-em…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866445/psn-pdf
    August 07, 2024 - Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop. August 7, 2024 Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop. https://psnet.ahrq.gov/issue/diagnosis-era-digital-health-and-artificial-intelligence-workshop Digital health is emerging as a primary techn…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38488/psn-pdf
    March 18, 2009 - Intensive care units, communication between nurses and physicians, and patients' outcomes. March 18, 2009 Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.4037/ajcc2009353. https://psnet.ahrq.g…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43890/psn-pdf
    April 22, 2015 - Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. April 22, 2015 Al-Mutairi A, Meyer AND, Chang P, et al. Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. J Am Coll Radiol. 2015;12(4):385-389. doi:10.1016/j.jacr.2014.09.031. https://psnet…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73896/psn-pdf
    September 29, 2021 - Policies to promote shared responsibility for safer electronic health records. September 29, 2021 Sittig DF, Singh H. Policies to promote shared responsibility for safer electronic health records. JAMA. 2021;326(15):1477-1478. doi:10.1001/jama.2021.13945. https://psnet.ahrq.gov/issue/policies-promote-shared-respon…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847550/psn-pdf
    April 12, 2023 - What's changed 1 year after RaDonda Vaught's conviction? April 12, 2023 Bean M, Carbajal E. Becker's Hospital Review. March 29, 2023. https://psnet.ahrq.gov/issue/whats-changed-1-year-after-radonda-vaughts-conviction The RaDonda Vaught conviction reverberated throughout health care and marked weaknesses in systems…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855104/psn-pdf
    November 08, 2023 - Healthcare wants to fly as high as the aviation industry. Can it? November 8, 2023 Twenter P. Becker's Clinical Leadership. October 30, 2023. https://psnet.ahrq.gov/issue/healthcare-wants-fly-high-aviation-industry-can-it Health care has long held commercial aviation as a beacon to guide patient safety improv…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72686/psn-pdf
    January 27, 2021 - The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making. January 27, 2021 Croskerry P. New York, NY: Oxford University Press; 2020. ISBN: 9780190088743.  https://psnet.ahrq.gov/issue/cognitive-autopsy-root-cause-analysis-medical-decision-making Diagnostic error reduction methods are evolv…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42939/psn-pdf
    March 02, 2014 - Healthcare personnel attire in non–operating-room settings. March 2, 2014 Bearman G, Bryant K, Leekha S, et al. Healthcare personnel attire in non-operating-room settings. Infect Control Hosp Epidemiol. 2014;35(2):107-21. doi:10.1086/675066. https://psnet.ahrq.gov/issue/healthcare-personnel-attire-non-operating-ro…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73972/psn-pdf
    October 13, 2021 - The less-discussed consequence of healthcare's labor shortage. October 13, 2021 Bean M, Masson G. Becker's Hospital Review. October 4, 2021. https://psnet.ahrq.gov/issue/less-discussed-consequence-healthcares-labor-shortage Staffing shortages can impact the safety of care by enabling burnout, care omission, a…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50875/psn-pdf
    February 05, 2020 - Implementing Closing the Loop. Safe Practices for Diagnostic Results February 5, 2020 Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. https://psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results Health information technology (HIT) can improve record keepi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38925/psn-pdf
    September 16, 2009 - A literature review of the individual and systems factors that contribute to medication errors in nursing practice. September 16, 2009 Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice. J Nurs Manag. 2009;17(6):679-97…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44017/psn-pdf
    April 08, 2018 - Digitizing diagnosis: a review of mobile applications in the diagnostic process. April 8, 2018 Jutel A, Lupton D. Digitizing diagnosis: a review of mobile applications in the diagnostic process. Diagnosis (Berl). 2015;2(2):89-96. doi:10.1515/dx-2014-0068. https://psnet.ahrq.gov/issue/digitizing-diagnosis-review-mo…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60192/psn-pdf
    April 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic Health Records. April 1, 2020 Philadelphia, PA: Pew Charitable Trusts; March 2020. https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records Electronic health records both enhance and challenge the safety of care proce…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44793/psn-pdf
    February 17, 2016 - The Sociology of Healthcare Safety and Quality. February 17, 2016 Allen D, Braithwaite J, Sandall J, Waring J, eds. Sociol Health Illn. 2016;38(2):179-339. https://psnet.ahrq.gov/issue/sociology-healthcare-safety-and-quality The sociological approach to exploring safety has shown promise as a way to understand why …
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