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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764403/psn-pdf
    March 02, 2022 - Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. March 2, 2022 Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Emerg Radiol. 2021;28(6):1135-1141. doi:10.1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866119/psn-pdf
    June 12, 2024 - Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. June 12, 2024 Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An American College of Physicians Policy Position Paper. Ann Intern Med. 2024;177(7):964…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47725/psn-pdf
    March 06, 2019 - Overcoming human barriers to safety event reporting in radiology. March 6, 2019 Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50622/psn-pdf
    November 06, 2019 - Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. November 6, 2019 Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J Thorac Cardiovasc Surg. 2019. d…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43927/psn-pdf
    December 04, 2015 - Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial. December 4, 2015 Parshuram CS, Amaral ACKB, Ferguson ND, et al. Patient safety, resident well-being and continuity of care with different resident duty schedules in the …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34085/psn-pdf
    February 09, 2011 - Discussion of medical errors in morbidity and mortality conferences. February 9, 2011 Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842. https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-confer…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60232/psn-pdf
    April 15, 2020 - Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. April 15, 2020 Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866693/psn-pdf
    September 11, 2024 - Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. September 11, 2024 Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48080/psn-pdf
    June 12, 2019 - Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. June 12, 2019 Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861289/psn-pdf
    January 01, 2025 - Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. January 24, 2024 Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72664/psn-pdf
    January 20, 2021 - Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. January 20, 2021 Pryce A, Unwin M, Kinsman L, et al. Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow. Int Emerg Nurs. 2020;54:100956. doi:10.1016/j.ienj.2020…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60203/psn-pdf
    April 08, 2020 - Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge. April 8, 2020 Sanson G, Marino C, Valenti A, et al. Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73637/psn-pdf
    August 25, 2021 - Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. August 25, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General.  July 29, 2021. Report No. 21-00657-197. https://psnet.ahrq.gov/issue/failures-care-coordination-and-re…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41359/psn-pdf
    November 21, 2016 - The relationship between organizational culture and family satisfaction in critical care. November 21, 2016 Dodek P, Wong H, Heyland DK, et al. The relationship between organizational culture and family satisfaction in critical care. Crit Care Med. 2012;40(5):1506-12. doi:10.1097/CCM.0b013e318241e368. https://psne…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43054/psn-pdf
    June 16, 2014 - We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. June 16, 2014 Taylor SP, Ledford R, Palmer V, et al. We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. BMJ Qual Saf…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44047/psn-pdf
    September 09, 2015 - Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. September 9, 2015 Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non- urgent, clinically significant test results in the elect…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45529/psn-pdf
    October 11, 2017 - Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. October 11, 2017 Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health system's experience. Am J Surg. 20…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44818/psn-pdf
    February 24, 2018 - Economic evaluation of interventions for prevention of hospital acquired infections: a systematic review. February 24, 2018 Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381. doi:10.1371/jour…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47489/psn-pdf
    November 21, 2018 - Impact of the Care Quality Commission on Provider Performance: Room for Improvement? November 21, 2018 Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business School; September 2018. ISBN: 9781909029880. https://psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performa…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47251/psn-pdf
    July 25, 2018 - Fail-safe patient ID matching remains just out of reach. July 25, 2018 Arndt RZ. Mod Healthc. July 14, 2018. https://psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach Similarities in patient names and clinical situations can result in medical errors. Discussing how digital technologies can …