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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851069/psn-pdf
    June 28, 2023 - Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. June 28, 2023 Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2022-015680. https://psnet.ahrq.gov/issu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46193/psn-pdf
    May 31, 2017 - Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief. May 31, 2017 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2017. https://psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop-brief Medication safety is a gl…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39065/psn-pdf
    January 03, 2017 - Family alert: implementing direct family activation of a pediatric rapid response team. January 3, 2017 Ray EM, Smith R, Massie S, et al. Family alert: implementing direct family activation of a pediatric rapid response team. Jt Comm J Qual Patient Saf. 2009;35(11):575-580. https://psnet.ahrq.gov/issue/family-aler…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50781/psn-pdf
    January 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47978/psn-pdf
    May 01, 2019 - Patient Safety. May 1, 2019 GMS J Med Educ. 2019;36:Doc11-Doc22. https://psnet.ahrq.gov/issue/patient-safety-16 Patient safety has been described as an unmet need in physician training. This special issue covers areas of focus for a patient safety curriculum drawn from experience in the German medical education sy…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34660/psn-pdf
    December 24, 2008 - Building a learning organization. December 24, 2008 Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. https://psnet.ahrq.gov/issue/building-learning-organization Garvin, a Harvard Business School professor, postulates that for organizations to truly improve over time and succeed, they ne…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45269/psn-pdf
    November 18, 2016 - Surgeons' disclosures of clinical adverse events. November 18, 2016 Elwy R, Itani KMF, Bokhour BG, et al. Surgeons' Disclosures of Clinical Adverse Events. JAMA Surg. 2016;151(11):1015-1021. doi:10.1001/jamasurg.2016.1787. https://psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events Even though disclo…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46767/psn-pdf
    January 17, 2018 - What this computer needs is a physician: humanism and artificial intelligence. January 17, 2018 Verghese A, Shah NH, Harrington RA. What This Computer Needs Is a Physician: Humanism and Artificial Intelligence. JAMA. 2018;319(1):19-20. doi:10.1001/jama.2017.19198. https://psnet.ahrq.gov/issue/what-computer-needs-p…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47114/psn-pdf
    October 13, 2018 - Focused ethnography of diagnosis in academic medical centers. October 13, 2018 Chopra V, Harrod M, Winter S, et al. Focused Ethnography of Diagnosis in Academic Medical Centers. J Hosp Med. 2018;13(10):668-672. doi:10.12788/jhm.2966. https://psnet.ahrq.gov/issue/focused-ethnography-diagnosis-academic-medical-cente…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43106/psn-pdf
    September 27, 2016 - The sterile cockpit: an effective approach to reducing medication errors? September 27, 2016 Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c. https://psnet.ahrq.gov/issue/sterile-cockpi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46731/psn-pdf
    July 25, 2018 - When bullying affects patient safety. July 25, 2018 When Bullying Affects Patient Safety. AORN J. 2018;108(1):78-80. doi:10.1002/aorn.12294. https://psnet.ahrq.gov/issue/when-bullying-affects-patient-safety Bullying has been recognized as an important factor to consider in health care work environments. Describing…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44617/psn-pdf
    January 22, 2016 - Pediatric prehospital medication dosing errors: a mixed- methods study. January 22, 2016 Hoyle JD, Sleight D, Henry R, et al. Pediatric prehospital medication dosing errors: a mixed-methods study. Prehosp Emerg Care. 2016;20(1):117-124. doi:10.3109/10903127.2015.1061625. https://psnet.ahrq.gov/issue/pediatric-preh…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44816/psn-pdf
    June 29, 2016 - Paralyzed by errors, this Xbox designer is taking on hospital safety. June 29, 2016 Aleccia J. https://psnet.ahrq.gov/issue/paralyzed-errors-xbox-designer-taking-hospital-safety Patients who experience harm while receiving medical care can serve as powerful advocates for patient safety. This news article reports …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865491/psn-pdf
    April 03, 2024 - Support and recovery strategies for second victims. April 3, 2024 Croke L. Support and recovery strategies for second victims. AORN J. 2024;119(2):7-10. doi:10.1002/aorn.14089. https://psnet.ahrq.gov/issue/support-and-recovery-strategies-second-victims Clinicians involved in medical errors can be psychologically a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48194/psn-pdf
    August 28, 2019 - Framing of clinical information affects physicians' diagnostic accuracy. August 28, 2019 Popovich I, Szecket N, Nahill A. Framing of clinical information affects physicians' diagnostic accuracy. Emerg Med J. 2019;36(10):589-594. doi:10.1136/emermed-2019-208409. https://psnet.ahrq.gov/issue/framing-clinical-informa…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866520/psn-pdf
    August 14, 2024 - People are more error-prone after committing an error. August 14, 2024 Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun. 2024;15(1):6422. doi:10.1038/s41467-024-50547-y. https://psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error In order to improve …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44649/psn-pdf
    November 11, 2015 - Seven (potentially) deadly prescribing errors. November 11, 2015 Graham LR, Scudder L, Stokowski L. Medscape. October 22, 2015. https://psnet.ahrq.gov/issue/seven-potentially-deadly-prescribing-errors Errors in the prescribing process can lead to adverse drug events. This slide set provides information about commo…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44090/psn-pdf
    November 21, 2016 - Insensible losses: when the medical community forgets the family. November 21, 2016 Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood). 2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536. https://psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-fami…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72667/psn-pdf
    January 20, 2021 - Virtual urgent care quality and safety in the time of Coronavirus. January 20, 2021 Smith SW, Tiu J, Caspers CG, et al. Virtual Urgent Care Quality and Safety in the Time of Coronavirus. Jt Comm J Qual Patient Saf. 2021;47(2):86-98. doi:10.1016/j.jcjq.2020.10.001. https://psnet.ahrq.gov/issue/virtual-urgent-care-q…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48135/psn-pdf
    August 28, 2019 - What causes prescribing errors in children? Scoping review. August 28, 2019 Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680. https://psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-rev…

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