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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46945/psn-pdf
    August 29, 2018 - Patient safety initiatives in obstetrics: a rapid review. August 29, 2018 Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. https://psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review Variou…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73691/psn-pdf
    September 08, 2021 - Pump up the volume: tips for increasing error reporting and decreasing patient harm. September 8, 2021 ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5.  https://psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm Error reporting is an essen…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50915/psn-pdf
    February 19, 2020 - Malpractice liability and health care quality: a review February 19, 2020 Mello MM, Frakes MD, Blumenkranz E, et al. Malpractice liability and health care quality: A review . JAMA. 2020;323(4):352-366. doi:10.1001/jama.2019.21411. https://psnet.ahrq.gov/issue/malpractice-liability-and-health-care-quality-review Th…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47684/psn-pdf
    March 20, 2019 - The impact of mobile technology on teamwork and communication in hospitals: a systematic review. March 20, 2019 Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in hospitals: a systematic review. J Am Med Inform Assoc. 2019;26(4):339-355. doi:10.1093/jamia/ocy175. …

  5. 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…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47855/psn-pdf
    June 19, 2019 - Medication Overload: America's Other Drug Problem. June 19, 2019 Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019. https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem Overprescribing is a common problem that contributes to patient harm. This report examines financial, clinical, an…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73639/psn-pdf
    August 25, 2021 - The Safety of Maternity Services in England. August 25, 2021 Fourth Report of Session 2021–22. House of Commons Health Committee. London, England: The Stationery Office; July 6, 2021. Publication HC 19.  https://psnet.ahrq.gov/issue/safety-maternity-services-england High-profile failures motivate examination …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851461/psn-pdf
    July 19, 2023 - Patient safety 2.0: slaying dragons, not just investigating them. July 19, 2023 Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. https://psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48162/psn-pdf
    July 24, 2019 - Allowing failure for educational purposes in postgraduate clinical training: a narrative review. July 24, 2019 Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: A narrative review. Med Teach. 2019;41(11):1263-1269. doi:10.1080/0142159X.2019.1630728. https://psnet.a…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843318/psn-pdf
    February 01, 2023 - Bending the patient safety curve: how much can AI help? February 1, 2023 Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5. https://psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help Artificial…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38783/psn-pdf
    September 02, 2009 - Medical negligence in drug associated deaths. September 2, 2009 Madea B, Musshoff F, Preuss J. Medical negligence in drug associated deaths. Forensic Sci Int. 2009;190(1-3):67-73. doi:10.1016/j.forsciint.2009.05.014. https://psnet.ahrq.gov/issue/medical-negligence-drug-associated-deaths This study reports that acc…

  12. 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…

  13. 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…

  14. 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…

  15. University of California, Berkeley | Digital Healthcare Research

    digital.ahrq.gov/organization/university-california-berkeley
    January 01, 2023 - University of California, Berkeley Improving Diabetes and Depression Self-Management Via Adaptive Mobile Messaging Description This research used machine learning algorithms to customize and distribute health messages to people with low income through text messaging, finding t…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38177/psn-pdf
    March 02, 2011 - Violations of behavioral practices revealed in closed claims reviews. March 2, 2011 Griffen FD, Stephens LS, Alexander JB, et al. Violations of behavioral practices revealed in closed claims reviews. Ann Surg. 2008;248(3):468-474. doi:10.1097/sla.0b013e318185e196. https://psnet.ahrq.gov/issue/violations-behavioral…

  17. 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…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47597/psn-pdf
    August 07, 2019 - Intentional rounding—an integrative literature review. August 7, 2019 Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897. https://psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review This review exam…

  19. 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…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847058/psn-pdf
    April 05, 2023 - Care Delivery within Community Mental Health Teams. April 5, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; March 2023. https://psnet.ahrq.gov/issue/care-delivery-within-community-mental-health-teams Patient suicide is a sentinel event. This report examines a suicide incident that identified problems…
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