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  1. 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…
  2. 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.…
  3. 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…
  4. 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-…
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34744/psn-pdf
    January 07, 2019 - Judgment under Uncertainty: Heuristics and Biases. January 7, 2019 Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press; 1982. ISBN: 0521284147. https://psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases Judgement is an inherently human activity tha…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854639/psn-pdf
    October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. October 18, 2023 Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive Despite the harm that failure can cause, its value as a learning opportunity, if exam…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43846/psn-pdf
    January 21, 2015 - Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. January 21, 2015 Carter JL, Coletti RJ, Harris RP. Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. BMJ. 2015;350:g7773. doi:10.1136/bmj.g7773. https://psnet.ahrq.gov/issue/qua…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
    January 01, 2024 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care Title of Project: Improving Medication Safety in Nursing Home Dementia Care Principal Investigator: Stephen Crystal, Ph.D. Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell, Sharon Cook, Shere…
  20. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary25/folic-acid-to-prevent-neural-tube-defects-preventive-medication-2009
    May 15, 2009 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Evidence Summary Folic Acid to Prevent Neural Tube Defects: Preventive Medication May 15, 2009 Recommendations made by the USPSTF are independent of the …