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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844057/psn-pdf
    February 08, 2023 - Impact of medical education on patient safety: finding the signal through the noise. February 8, 2023 Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054. https://psnet.ahrq.gov/issue/impact-medical-edu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866585/psn-pdf
    August 28, 2024 - Sex bias in pain management decisions. August 28, 2024 Guzikevits M, Gordon-Hecker T, Rekhtman D, et al. Sex bias in pain management decisions. Proc Natl Acad Sci U S A. 2024;121(33):e2401331121. doi:10.1073/pnas.2401331121. https://psnet.ahrq.gov/issue/sex-bias-pain-management-decisions Bias against women is, unf…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47964/psn-pdf
    May 15, 2019 - Deaths among opioid users: impact of potential inappropriate prescribing practices. May 15, 2019 Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103. https://psnet.ahrq.gov/issue/deaths-among-opioid-users-impa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40049/psn-pdf
    April 12, 2011 - Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. April 12, 2011 Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System--MEADERS. Ann Fam Med. 2010;8(6):517-25. doi:10.1370/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34814/psn-pdf
    January 01, 2015 - Prescribing for the elderly. Part I: Sensitivity of the elderly to adverse drug reactions. March 28, 2005 Nolan L, O'Malley K. Prescribing for the Elderly Part I: Sensitivity of the Elderly to Adverse Drug Reactions*. J Am Geriatr Soc. 2015;36(2):142-149. doi:10.1111/j.1532-5415.1988.tb01785.x. https://psnet.ahrq.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837191/psn-pdf
    May 25, 2022 - Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. May 25, 2022 Grimm CA. Washington DC: Office of the Inspector General; May 2022. Report no. OEI-06-18-00400. https://psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm- october-2018 …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44280/psn-pdf
    July 15, 2015 - Innovation in practice: a multidisciplinary medication safety initiative. July 15, 2015 Eid KA. Innovation in practice: A multidisciplinary medication safety initiative. Nursing. 2015;45(7):14-6. doi:10.1097/01.NURSE.0000466458.62870.99. https://psnet.ahrq.gov/issue/innovation-practice-multidisciplinary-medication…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46629/psn-pdf
    November 22, 2017 - A piece of my mind. Despite my best intentions. November 22, 2017 Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123. https://psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions End-of-life care can be difficult for patients, families, and the care team. This commentary of…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72609/psn-pdf
    December 23, 2020 - Covid-19 surge could lead to another drop in patient visits, doctors fear—and more missed pediatric cancers. December 23, 2020 Cooney E. StatNews. December 10, 2020. https://psnet.ahrq.gov/issue/covid-19-surge-could-lead-another-drop-patient-visits-doctors-fear-and-more- missed-pediatric Timely and proactive…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853235/psn-pdf
    September 06, 2023 - When the lights go down in the delivery room: lessons from a ransomware attack. September 6, 2023 Gabbay?Benziv R, Ben?Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002/ijgo.14687. https://psnet.ahrq.gov…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46355/psn-pdf
    October 09, 2017 - Diagnostic reasoning: an endangered competency in internal medicine training. October 9, 2017 Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163. https://psnet.ahrq.gov/issue/diagnostic-reasoning…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72580/psn-pdf
    December 16, 2020 - Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. December 16, 2020 Waller A, Hobden B, Bryant J, et al. Nurses’ perceptions of open disclosure processes in cancer care: a cross-sectional study. Collegian. 2020;27(5):506-511. doi:10.1016/j.colegn.2020.02.001. https://psnet.a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47520/psn-pdf
    February 06, 2019 - Improving patient safety in developing countries—moving towards an integrated approach. February 6, 2019 Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2054270418786112. https://psnet.a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47429/psn-pdf
    December 05, 2018 - The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. December 5, 2018 Edmondson AC. Hoboken, NJ: John Wiley & Sons, Inc.; 2019. ISBN: 9781119477266. https://psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning- innova…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842433/psn-pdf
    February 15, 2023 - New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes. February 15, 2023 Agency for Healthcare Research and Quality. January 24, 2023. https://psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes Workplace safety became more apparent during the COVID pandemic as …
  16. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication6.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Conclusions Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. D…
  17. www.ahrq.gov/talkingquality/explain/support/index.html
    July 01, 2016 - Supporting Consumers in Using Information on Health Care Quality The ultimate goal for comparative quality reports is for consumers and patients to use them. All of the recommendations in this Web site are intended to help you plan, design, and disseminate your report in a way that maximizes the likelihood th…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866642/psn-pdf
    September 04, 2024 - Learning from patient safety incidents: The Green Cross method. September 4, 2024 Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114. https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cro…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45670/psn-pdf
    November 16, 2016 - Not thinking clearly? Play a game, seriously! November 16, 2016 Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867- 1868. doi:10.1001/jama.2016.14174. https://psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously Heuristics enable experts to build off their …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35159/psn-pdf
    January 02, 2017 - Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. January 2, 2017 Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005;31(7):406-13. https://psnet.ahrq.gov…