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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852804/psn-pdf
    August 23, 2023 - Five new ways to advance diagnostic safety in your clinical practice. August 23, 2023 Bradford A, Goeschel C, Shofer M, et al. Am Fam Physician. 2023;108(1):14-16. https://psnet.ahrq.gov/issue/five-new-ways-advance-diagnostic-safety-your-clinical-practice Diagnostic errors are common in the ambulatory environment.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48167/psn-pdf
    August 28, 2019 - ASHP guidelines on perioperative pharmacy services. August 28, 2019 Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073. https://psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services Pharm…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46367/psn-pdf
    August 30, 2017 - Why are so many women being misdiagnosed? August 30, 2017 Mickle K. Glamour. August 11, 2017. https://psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed Implicit bias and differences in communication style can affect patient care. This magazine article reports on factors that contribute to misdiagnosis …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48041/psn-pdf
    July 10, 2019 - Accuracy of computer-aided diagnosis of melanoma: a meta-analysis. July 10, 2019 Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol. 2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1375. https://psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-m…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40199/psn-pdf
    March 03, 2011 - Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. March 3, 2011 Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Acad Med. 2011;86(3):365-8.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44718/psn-pdf
    November 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient Safety. November 25, 2015 Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015. https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety The 2004 Canadian Adverse Events Study helpe…
  7. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/index.html
    April 01, 2013 - References Tobacco reference materials and guides for health care providers General References for Guideline |  General References [ - 191.43 KB] General References for the 2008 Update References for Studies in Meta-analyses |  Studies in Meta-analyses - References [ - 230.99 KB] This Clinical P…
  8. Staffsafetyassess (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/staffsafetyassess.doc
    June 02, 2025 - Staff Safety Assessment Purpose of this form: This form is designed to tap into your experience at the front line of patient care to determine what risks are present in your unit that have jeopardized or could jeopardize patient safety. Who should us this tool? Health care providers. How to complete this form: Provi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46636/psn-pdf
    January 24, 2018 - Drug shortages continue to compromise patient care. January 24, 2018 ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. https://psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care Drug shortages are known to disrupt the safety of care. This newsletter article reports the res…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848825/psn-pdf
    May 10, 2023 - Laura Levis' death outside ER has changed hospital signage, lighting in Mass. May 10, 2023 Mullins L, Menard F. WBUR. April 27, 2023. https://psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass Incomplete information and building design problems can reduce access to care an…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44442/psn-pdf
    August 26, 2015 - How your hospital can make you sick. August 26, 2015 Consumer Reports. July 29, 2015. https://psnet.ahrq.gov/issue/how-your-hospital-can-make-you-sick This news article reports on health care–associated infections, particularly Clostridium difficile and methicillin-resistant Staphylococcus aureus, discusses ways h…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44243/psn-pdf
    November 09, 2015 - Concept analysis: wrong-site surgery. November 9, 2015 Watson DS. Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012. https://psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery Despite large-scale efforts to prevent wrong-site surgeries, they continue to occur. Th…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844771/psn-pdf
    September 11, 2019 - Raising and responding to frontline concerns in healthcare. September 11, 2019 Mannion R, Davies H. Raising and responding to frontline concerns in healthcare. BMJ. 2019;366:l4944. doi:10.1136/bmj.l4944. https://psnet.ahrq.gov/issue/raising-and-responding-frontline-concerns-healthcare Psychological safety empower…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41069/psn-pdf
    February 21, 2012 - Using the opportunity estimator tool to improve engagement in a quality and safety intervention. February 21, 2012 Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention. Jt Comm J Qual Patient Saf. 2012;38(1):41-47, 1. https://p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43700/psn-pdf
    November 19, 2014 - Appropriate use of medical interpreters. November 19, 2014 Juckett G, Unger K. Appropriate use of medical interpreters. Am Fam Physician. 2014;90(7):476-80. https://psnet.ahrq.gov/issue/appropriate-use-medical-interpreters Language barriers between patients and providers can contribute to misunderstandings and lead…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39251/psn-pdf
    September 24, 2016 - No interruptions please: impact of a no interruption zone on medication safety in intensive care units. September 24, 2016 Anthony K, Wiencek C, Bauer C, et al. No interruptions please: impact of a No Interruption Zone on medication safety in intensive care units. Crit Care Nurse. 2010;30(3):21-9. doi:10.4037/ccn20…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45607/psn-pdf
    July 14, 2019 - Duke Center for Healthcare Safety and Quality. July 14, 2019 Duke University Health System. https://psnet.ahrq.gov/issue/duke-center-healthcare-safety-and-quality This website provides resources to help individuals, hospitals, outpatient practices, and others improve quality and patient safety. The materials inclu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42555/psn-pdf
    January 15, 2014 - Patient Safety: Committing to Learn and Acting to Improve. January 15, 2014 Twigg D, Attree M, eds. Nurse Educ Today. 2014;34(2):159-284.    https://psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve This special issue highlights research exploring educational, learning, and leadersh…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845351/psn-pdf
    March 01, 2023 - Access to Clinical Information at the Bedside. March 1, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; February 2023. https://psnet.ahrq.gov/issue/access-clinical-information-bedside Patient misidentification in emergent situations can reduce the appropriateness of care delivery and safety. This rep…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47268/psn-pdf
    May 11, 2019 - Measuring shared mental models in healthcare. May 11, 2019 Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219. https://psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare Shared mental models are an important element of team collaboration. This review explores the current…