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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46901/psn-pdf
    May 30, 2018 - Physician resiliency and wellness for transforming a health system. May 30, 2018 Armato CS, Jenike TE. NEJM Catalyst. May 2, 2018. https://psnet.ahrq.gov/issue/physician-resiliency-and-wellness-transforming-health-system Physician burnout can contribute to medical errors. This article discusses an organizational e…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73579/psn-pdf
    August 11, 2021 - A systematic review on pediatric medication errors by parents or caregivers at home. August 11, 2021 Lopez-Pineda A, Gonzalez de Dios J, Guilabert Mora M, et al. A systematic review on pediatric medication errors by parents or caregivers at home. Expert Opin Drug Saf. 2021:1-11. doi:10.1080/14740338.2021.1950138. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35340/psn-pdf
    July 10, 2008 - Posthospital medication discrepancies: prevalence and contributing factors. July 10, 2008 Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med. 2005;165(16):1842-1847. https://psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prev…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846460/psn-pdf
    March 22, 2023 - I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. March 22, 2023 Tamayo-Sarver J. Fast Company. March 13, 2023. https://psnet.ahrq.gov/issue/im-er-doctor-heres-what-i-found-when-i-asked-chatgpt-diagnose-my-patients Artificial intelligence (AI) harbors risks and biases that can mis…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38996/psn-pdf
    March 04, 2011 - Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study. March 4, 2011 Nanji KC, Cina J, Patel N, et al. Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study. J Am Med Inform Assoc. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35440/psn-pdf
    May 27, 2011 - Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care. May 27, 2011 Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the long-term care setting: insights from the …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837517/psn-pdf
    June 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post- pandemic NHS. June 22, 2022 Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224. https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47473/psn-pdf
    December 05, 2018 - Holding out for an apology. December 5, 2018 Holding out for an apology. BMJ. 2018;363:k3033. doi:10.1136/bmj.k3033. https://psnet.ahrq.gov/issue/holding-out-apology Patients who experience care complications are vulnerable to psychological consequences that can affect their relationship with their clinical teams.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47641/psn-pdf
    March 20, 2019 - Guided reflection interventions show no effect on diagnostic accuracy in medical students. March 20, 2019 Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297. https://psnet.ahrq.gov/issue/gu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45219/psn-pdf
    November 21, 2016 - Patient and Family Engagement in Primary Care: Case Studies. November 21, 2016 Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16- 0035-2-EF. https://psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies Patient safety in ambulatory care is re…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60626/psn-pdf
    June 24, 2020 - A nursing home’s 64-day Covid siege: ‘They’re all going to die’. June 24, 2020 Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. https://psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die This feature story describes the COVID-19 experi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47958/psn-pdf
    June 26, 2019 - Patient safety professionals as the third victims of adverse events. June 26, 2019 Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914. https://psnet.ahrq.gov/issue/patient-safety-professionals-third-vict…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840163/psn-pdf
    November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44712/psn-pdf
    December 09, 2015 - The effect of contact precautions on frequency of hospital adverse events. December 9, 2015 Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192. https://psnet.ahrq.gov/issue/effec…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74836/psn-pdf
    February 16, 2022 - Outcomes-based nurse staffing during times of crisis and beyond. February 16, 2022 Dempsey C, Batten P. Outcomes-based nurse staffing during times of crisis and beyond. J Nurs Adm. 2022;52(2):91-98. doi:10.1097/nna.0000000000001114. https://psnet.ahrq.gov/issue/outcomes-based-nurse-staffing-during-times-crisis-and…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74204/psn-pdf
    January 01, 2022 - Perceptions of nurses who are second victims in a hospital setting. December 22, 2021 Draus C, Mianecki TB, Musgrove H, et al. Perceptions of nurses who are second victims in a hospital setting. J Nurs Care Qual. 2022;37(2):110-116. doi:10.1097/ncq.0000000000000603. https://psnet.ahrq.gov/issue/perceptions-nurses-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866255/psn-pdf
    July 10, 2024 - Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. July 10, 2024 Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024. https://psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say Cybersecurity is increasingly see…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851646/psn-pdf
    January 01, 2024 - Burden of serious harms from diagnostic error in the USA. July 28, 2023 Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130. https://psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40101/psn-pdf
    January 17, 2012 - Lessons learned from implementation of a computerized application for pending tests at hospital discharge. January 17, 2012 Dalal A, Poon EG, Karson A, et al. Lessons learned from implementation of a computerized application for pending tests at hospital discharge. J Hosp Med. 2011;6(1):16-21. doi:10.1002/jhm.794. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44918/psn-pdf
    April 13, 2016 - National Reporting and Learning System Research and Development. April 13, 2016 Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development Incident reporting has a…

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