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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34730/psn-pdf
    October 29, 2013 - Medication Errors. 2nd ed. October 29, 2013 Cohen MR, ed. Washington DC: American Pharmacists Association; 2007. https://psnet.ahrq.gov/issue/medication-errors-2nd-ed Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of experience as a leader in medication safety wi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47546/psn-pdf
    November 14, 2018 - Why doctors hate their computers. November 14, 2018 Gawande A. New Yorker. November 12, 2018. https://psnet.ahrq.gov/issue/why-doctors-hate-their-computers In this magazine article, Atul Gawande describes a range of frustrations physicians experience as digitization becomes more widespread in health care. He elabo…
  3. 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…
  4. 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867749/psn-pdf
    March 12, 2025 - How unprofessional behaviours between healthcare staff threaten patient care and safety. March 12, 2025 Aunger J, Maben J, Westbrook JI. How unprofessional behaviours between healthcare staff threaten patient care and safety. Expert Rev Pharmacoecon Outcomes Res. 2025;Epub Jan 30. doi:10.1080/14737167.2025.2460518…
  6. 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. …
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45188/psn-pdf
    June 01, 2016 - Reporting and second-order problem solving can turn short-term fixes into long-term remedies. June 1, 2016 ISMP Medication Safety Alert! Acute Care Edition. May 19, 2016;21:1-4. https://psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long- term-remedies Workarounds are pr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837300/psn-pdf
    June 01, 2022 - Surgery is in itself a risk factor for the patient. June 1, 2022 Aranaz-Ostáriz V, Gea-Velázquez De Castro MT, López-Rodríguez-Arias F, et al. Surgery is in itself a risk factor for the patient. Int J Environ Res Public Health. 2022;19(8):4761. doi:10.3390/ijerph19084761. https://psnet.ahrq.gov/issue/surgery-itself…
  10. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-ahrq-program.pdf
    June 02, 2025 - Introducing the Child HCAHPS® Survey Database webcast-Ginsberg WELCOME FROM AHRQ Caren Ginsberg, PhD Director, CAHPS & SOPS Programs Center for Quality Improvement & Patient Safety, AHRQ AHRQ and the CAHPS Program • AHRQ is: ► A research and science-based agency of the US Department of Health and Human Servi…
  11. www.ahrq.gov/sdm/index.html
    Shared Decision Making Professional Education and Training in Shared Decision Making Programs to increase shared decision making skills Implementation Tools and Resources…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46936/psn-pdf
    April 11, 2018 - You've detailed your last wishes, but doctors may not see them. April 11, 2018 Lamas D. https://psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread. Reporting on a physician's experienc…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44425/psn-pdf
    February 24, 2016 - Dangerous doses. February 24, 2016 Roe S, King K. Chicago Tribune. February 10–13, 2016. https://psnet.ahrq.gov/issue/dangerous-doses Drug interactions can be hazardous to patients, particularly when combined with risk factors such as age and use of medications for chronic conditions. This series of news reports d…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37993/psn-pdf
    August 20, 2008 - Peer support: healthcare professionals supporting each other after adverse medical events. August 20, 2008 van Pelt F. Peer support: healthcare professionals supporting each other after adverse medical events. Qual Saf Health Care. 2008;17(4):249-52. doi:10.1136/qshc.2007.025536. https://psnet.ahrq.gov/issue/peer-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43620/psn-pdf
    October 29, 2014 - Error in intensive care: psychological repercussions and defense mechanisms among health professionals. October 29, 2014 Laurent A, Aubert L, Chahraoui K, et al. Error in intensive care: psychological repercussions and defense mechanisms among health professionals. Crit Care Med. 2014;42(11):2370-8. doi:10.1097/CC…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47843/psn-pdf
    March 06, 2019 - Structural iatrogenesis—a 43-year-old man with "opioid misuse." March 6, 2019 Stonington S, Coffa D. Structural Iatrogenesis - A 43-Year-Old Man with "Opioid Misuse". N Engl J Med. 2019;380(8):701-704. doi:10.1056/NEJMp1811473. https://psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse The…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34786/psn-pdf
    March 28, 2005 - Errors in drug computations during newborn intensive care. March 28, 2005 Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. https://psnet.ahrq.gov/issue/errors-drug-computatio…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44627/psn-pdf
    May 30, 2016 - Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews. May 30, 2016 Lloyd M, Watmough SD, O'Brien S, et al. Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: A qualitative case …
  19. www.ahrq.gov/cahps/surveys-guidance/hp/about/survey-measures.html
    September 01, 2020 - CAHPS Health Plan Survey 5.0 Measures For more information: Patient Experience Measures from the CAHPS Health Plan Survey (PDF, 308 KB) Getting Needed Care Q9          Easy for respondent to get necessary care, tests, or treatment Q18        Respondent got appointment with specialists as soon as needed …
  20. Slide 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_introduction.pdf
    April 19, 2012 - Slide 1 Community Forum Community Forum Agency for Healthcare Research and Quality Community Forum April 19, 2012 Using Deliberative Methods to Engage the Public: How to design and implement an effective deliberative session Community Forum Community Forum Community Forum 2 Purpose …