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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47311/psn-pdf
    October 10, 2018 - Cognitive error in an academic emergency department. October 10, 2018 Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis (Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011. https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department In 2015, the Nation…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44531/psn-pdf
    September 30, 2015 - Never Events for Hospital Care in Canada: Safer Care for Patients. September 30, 2015 Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180. https://psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients The never events list was dev…
  3. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-conclusion.html
    May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Conclusion Previous Page   Table of Contents Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensive Unit-based Safety Program (CUSP) Measurement…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40581/psn-pdf
    November 02, 2011 - Retractions in the medical literature: how many patients are put at risk by flawed research? November 2, 2011 Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133. https://psnet.ahrq.gov/issue/retractions…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50679/psn-pdf
    November 20, 2019 - Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. November 20, 2019 Cooper J. Anesthesiology 2019. October 19th, 2019; Orlando, FL. https://psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon This re…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44745/psn-pdf
    February 17, 2016 - Implications of case managers' perceptions and attitude on safety of home-delivered care. February 17, 2016 Jones S. Implications of case managers' perceptions and attitude on safety of home-delivered care. Br J Community Nurs. 2015;20(12):602-7. doi:10.12968/bjcn.2015.20.12.602. https://psnet.ahrq.gov/issue/impli…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46366/psn-pdf
    September 27, 2017 - Errors in diagnosis of spinal epidural abscesses in the era of electronic health records. September 27, 2017 Bhise V, Meyer AND, Singh H, et al. Errors in Diagnosis of Spinal Epidural Abscesses in the Era of Electronic Health Records. Am J Med. 2017;130(8). doi:10.1016/j.amjmed.2017.03.009. https://psnet.ahrq.gov/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43753/psn-pdf
    December 10, 2014 - Improving the quality and safety of patient care in cardiac anesthesia. December 10, 2014 Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018. https://psnet.ahrq.gov/issue/improving-qu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45489/psn-pdf
    October 24, 2018 - Tolerating uncertainty—the next medical revolution? October 24, 2018 Simpkin AL, Schwartzstein RM. Tolerating Uncertainty - The Next Medical Revolution? New Engl J Med. 2016;375(18):1713-1715. https://psnet.ahrq.gov/issue/tolerating-uncertainty-next-medical-revolution Uncertainty is a difficult concept to accept f…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50758/psn-pdf
    December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. December 18, 2019 Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268. https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine The modern patient safety movement …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44192/psn-pdf
    November 10, 2015 - Hospital ratings: a guide for the perplexed. November 10, 2015 Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2. doi:10.1001/jama.2015.5269. https://psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed Concerns have been raised about the variability of measures used to rate safety a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40290/psn-pdf
    May 25, 2011 - Fatigue, performance and the work environment: a survey of registered nurses. May 25, 2011 Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x. https://psnet.ahrq.gov/issue/fatigue-performance-and…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43430/psn-pdf
    October 20, 2014 - Positive deviance: a different approach to achieving patient safety. October 20, 2014 Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient safety. BMJ Qual Saf. 2014;23(11):880-3. doi:10.1136/bmjqs-2014-003115. https://psnet.ahrq.gov/issue/positive-deviance-diffe…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46630/psn-pdf
    November 15, 2017 - Patient Safety in the Office-Based Practice Setting. November 15, 2017 Philadelphia, PA: American College of Physicians; 2017. https://psnet.ahrq.gov/issue/patient-safety-office-based-practice-setting Patient safety in the ambulatory setting is gaining traction as a focus for research, intervention, and policy. Th…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44332/psn-pdf
    July 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838909/psn-pdf
    October 26, 2022 - Designing safety interventions for specific contexts: results from a literature review. October 26, 2022 Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.2022.105906. https://psnet.ahrq.go…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36783/psn-pdf
    August 23, 2011 - Doctors are more dangerous than gun owners: a rejoinder to error counting. August 23, 2011 Dekker SWA. Doctors are more dangerous than gun owners: a rejoinder to error counting. Hum Factors. 2007;49(2):177-84. https://psnet.ahrq.gov/issue/doctors-are-more-dangerous-gun-owners-rejoinder-error-counting The author a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47412/psn-pdf
    October 31, 2018 - The systems approach at the sharp end. October 31, 2018 Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176. https://psnet.ahrq.gov/issue/systems-approach-sharp-end Systems solutions are often focused on creating improvements at the organizational o…
  19. digital.ahrq.gov/ahrq-funded-projects/scalable-digital-communication-intervention-support-older-adults-and-care/citation/digital
    January 01, 2024 - A digital communication intervention to support older adults and their care partners transitioning home after major surgery: Protocol for a qualitative research study. Citation Campos BA, Cummins E, Sonnay Y, Brindle ME, Cauley CE. A digital communication intervention to support older adults and their…
  20. digital.ahrq.gov/ahrq-funded-projects/accessibility-and-beyond-designing-consumer-health-it-disabled-individuals/final-report
    January 01, 2023 - Accessibility and Beyond: Designing Consumer Health IT for Disabled Individuals - Final Report Citation Valdez, R. Accessibility and Beyond: Designing Consumer Health IT for Disabled Individuals - Final Report. (Prepared by University of Virginia under Grant No. R21 HS023849). Rockville, MD: Agency fo…