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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60883/psn-pdf
    September 02, 2020 - When the misdiagnosis is child abuse. September 2, 2020 Clifford S. When the misdiagnosis is child abuse. The Atlantic. 2020;August 20. https://psnet.ahrq.gov/issue/when-misdiagnosis-child-abuse Diagnostic decision-making is susceptible to cognitive biases and error in stressful situations. This feature article il…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36383/psn-pdf
    March 03, 2011 - Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. March 3, 2011 Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. doi:10.1097/01.sla.0000234655.83517.5…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42214/psn-pdf
    April 17, 2013 - This isn't my information! The impact of accurate identity management on patient safety. April 17, 2013 Garcia R. This isn't my information! The impact of accurate identity management on patient safety. Health management technology. 2013;34(3):10-1. https://psnet.ahrq.gov/issue/isnt-my-information-impact-accurate-…
  4. psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
    April 01, 2010 - The first was documentation error on the medical records from Hospital A (identifying the tumor on the
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49863/psn-pdf
    May 01, 2019 - people-focused approaches.(9,10) Concise, structured communication is essential in this process of identifying
  6. psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
    March 15, 2023 - Identifying symptoms and effects early and reacting to them is a core component. … the continued advancement in available technology and the innovations by the healthcare community in identifying … When designing the program, organizations must develop clear protocols for identifying appropriate patients
  7. psnet.ahrq.gov/web-mm/duplicate-insulin-order
    May 04, 2012 - orders following optimization interventions.( 10 ) These included drug-related interventions such as identifying
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42869/psn-pdf
    January 28, 2017 - Exploring Alternatives To Malpractice Litigation. January 28, 2017 Improved safety, eliminating errors top policy agenda. Health Aff (Millwood). 2014;33(1):6-66. https://psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation Articles in this special issue cover findings from a federally-funded initiativ…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37014/psn-pdf
    September 15, 2011 - Medication safety messages for patients via the web portal: the MedCheck intervention. September 15, 2011 Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168. https://psnet.ahrq.gov/issue/medication-s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34934/psn-pdf
    March 11, 2011 - Exploring barriers and facilitators to the use of computerized clinical reminders. March 11, 2011 Saleem JJ, Patterson ES, Militello LG, et al. Exploring barriers and facilitators to the use of computerized clinical reminders. J Am Med Inform Assoc. 2005;12(4):438-47. https://psnet.ahrq.gov/issue/exploring-barrier…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35625/psn-pdf
    June 22, 2010 - Improving the safety of medication administration using an interactive CD-ROM program. June 22, 2010 Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-64. https://psnet.ahrq.gov/issue/improving…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42814/psn-pdf
    February 06, 2014 - Twelve tips on engaging learners in checking health care decisions. February 6, 2014 Sibbald M, de Bruin A, van Merrienboer JJG. Twelve tips on engaging learners in checking health care decisions. Med Teach. 2014;36(2):111-5. doi:10.3109/0142159X.2013.847910. https://psnet.ahrq.gov/issue/twelve-tips-engaging-learn…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44109/psn-pdf
    November 06, 2015 - Safer Clinical Systems. November 6, 2015 London, UK: Health Foundation. https://psnet.ahrq.gov/issue/safer-clinical-systems This Web site highlights the work of a United Kingdom initiative launched in 2008 to apply safety improvement tactics from high-risk industries to care services. The program engages teams to …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42291/psn-pdf
    September 12, 2016 - Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. September 12, 2016 Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009. https://psnet.ahrq.gov/issue/huma…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39609/psn-pdf
    June 27, 2010 - Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. June 27, 2010 Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(suppl 6):S83-S264.   https://psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit This supplem…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45721/psn-pdf
    June 28, 2017 - Rude providers jeopardize patient safety. So stop it. June 28, 2017 Thew J. HealthLeaders Media. June 14, 2017. https://psnet.ahrq.gov/issue/rude-providers-jeopardize-patient-safety-so-stop-it Rudeness can affect teamwork and hinder safe, transparent care. This news article reports on one hospital's approach to ma…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39324/psn-pdf
    April 07, 2010 - Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. April 7, 2010 McDonnell C, Laxer RM, Roy L. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Jt Comm J Qual Patient Saf. 2010;36(3):117-125. https://psn…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36828/psn-pdf
    August 29, 2011 - Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. August 29, 2011 Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4. https://psnet.ahrq.gov/issue/pediatric-medicati…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39350/psn-pdf
    March 10, 2010 - If only...: failed, missed and absent error recovery opportunities in medication errors. March 10, 2010 Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qshc.2007.026187. https://psnet.ahrq.g…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41254/psn-pdf
    April 11, 2012 - The Daily Plan: including patients for safety's sake. April 11, 2012 King BJ, Mills PD, Fore AM, et al. The Daily Plan®: Including patients for safety's sake. Nurs Manage. 2012;43(3):15-8. doi:10.1097/01.NUMA.0000412229.53136.3e. https://psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake This study re…

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