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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37332/psn-pdf
    November 14, 2007 - Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. November 14, 2007 Jacobson KL, Gazmararian JA, Kripalani S, et al. Rockville, MD: Agency for Healthcare Research and Quality. October 2007. AHRQ Publication No. 07-0051. https://psnet.ahrq.gov/issue/our-pharmacy-meeti…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40163/psn-pdf
    December 21, 2014 - Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. December 21, 2014 Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. https://psnet.ahrq.gov/issue/integ…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41056/psn-pdf
    January 11, 2012 - Beyond communication: the role of standardized protocols in a changing health care environment. January 11, 2012 Vardaman JM, Cornell P, Gondo MB, et al. Beyond communication: the role of standardized protocols in a changing health care environment.  Health Care Manage Rev. 2012;37(1):88-97. doi:10.1097/HMR.0b013e…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73926/psn-pdf
    October 06, 2021 - Good for You, Good for Us, Good for Everybody. October 6, 2021 Ridge K. London, England: Crown Copyright; 2021. September 22, 2021. https://psnet.ahrq.gov/issue/good-you-good-us-good-everybody Overprescribing has attained prominence as a safety issue due to the current opioid epidemic, but it has long reduced medi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50643/psn-pdf
    November 06, 2019 - Same Day Surgery in the US; Findings of Two Inaugural Leapfrog Surveys 2019. November 6, 2019 Washington DC: Leapfrog Group; 2019. https://psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019 Ambulatory surgery centers (ASC) are established venues for surgical care despite lack of …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867698/psn-pdf
    October 01, 2024 - Toolkit for MRSA Prevention in ICU & Non-ICU Settings. October 1, 2024 Agency for Healthcare Research and Quality. Toolkit for MRSA Prevention in ICU & Non-ICU Settings. October 2024. https://psnet.ahrq.gov/issue/toolkit-mrsa-prevention-icu-non-icu-settings Methicillin-resistant Staphylococcus aureus (MRSA) infect…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39023/psn-pdf
    November 19, 2018 - Pediatric Readiness in the Emergency Department. November 19, 2018 Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department. Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459. https://psnet.ahrq.gov/issue/pediatric-readiness-emergency-department This revised set of gu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851662/psn-pdf
    July 26, 2023 - Mitigating bias in AI at the point of care. July 26, 2023 Decamp M, Lindvall C. Science. 2023;381(6654):150-152. https://psnet.ahrq.gov/issue/mitigating-bias-ai-point-care Computerized clinical support is vulnerable to bias due to widespread health care inequalities that feed into the systems. This article di…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852458/psn-pdf
    June 01, 2019 - The patient's role in patient safety. June 1, 2019 Corina I, Abram M, Halperin D. The patient's role in patient safety. Obstet Gynecol Clin North Am. 2019;46(2):215-225. doi:10.1016/j.ogc.2019.01.004. https://psnet.ahrq.gov/issue/patients-role-patient-safety Patients and their families can play an important role i…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838027/psn-pdf
    September 07, 2022 - Advancing Anticoagulation Stewardship: A Playbook. September 7, 2022 Washington DC; National Quality Forum and Anticoagulation Forum; 2022. https://psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook Warfarin and other anticoagulants are high-alert medications that, if errors occur in their use, can…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37412/psn-pdf
    December 12, 2007 - The checklist. December 12, 2007 Gawande A. New Yorker. December 10, 2007:86-95. https://psnet.ahrq.gov/issue/checklist This article by bestselling author and surgeon Atul Gawande illustrates the complexity of intensive care and profiles Peter Pronovost, the Johns Hopkins intensivist and safety leader whose effort…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838221/psn-pdf
    September 28, 2022 - In Conversation With... Freya Spielberg, MD, MPH September 28, 2022 In Conversation With.. Freya Spielberg, MD, MPH. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph Editor’s Note: Freya Spielberg, MD, MPH, is the Founder and CEO of Urgent Wellness LLC, a social enterp…
  13. psnet.ahrq.gov/print/pdf/node/845971
    January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Value and Patient Safety Curated Library Foundations Safety is the preservation of value. Vandeskog B. J Safety Res. 2024;89:105-115. Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among safety resea…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50825/psn-pdf
    January 22, 2020 - Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth. January 22, 2020 Farnborough, UK; Healthcare Safety Investigation Branch; December 18, 2019. https://psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following- childbirth Maternal care during a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38225/psn-pdf
    February 16, 2011 - Changing conversations: teaching safety and quality in residency training. February 16, 2011 Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8. https://psnet.ahrq.gov/issue/changing-convers…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46767/psn-pdf
    January 17, 2018 - What this computer needs is a physician: humanism and artificial intelligence. January 17, 2018 Verghese A, Shah NH, Harrington RA. What This Computer Needs Is a Physician: Humanism and Artificial Intelligence. JAMA. 2018;319(1):19-20. doi:10.1001/jama.2017.19198. https://psnet.ahrq.gov/issue/what-computer-needs-p…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867347/psn-pdf
    December 11, 2024 - Recommendations to ensure safety of AI in real-world clinical care. December 11, 2024 Sittig DF, Singh H. Recommendations to ensure safety of AI in real-world clinical care. JAMA. 2025;333(6):457-458. doi:10.1001/jama.2024.24598. https://psnet.ahrq.gov/issue/recommendations-ensure-safety-ai-real-world-clinical-car…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47739/psn-pdf
    February 20, 2019 - Artificial intelligence, bias and clinical safety. February 20, 2019 Challen R, Denny J, Pitt M, et al. Artificial intelligence, bias and clinical safety. BMJ Qual Saf. 2019;28(3):231-237. doi:10.1136/bmjqs-2018-008370. https://psnet.ahrq.gov/issue/artificial-intelligence-bias-and-clinical-safety Artificial intell…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43569/psn-pdf
    April 25, 2016 - The safe day call: reducing silos in health care through frontline risk assessment. April 25, 2016 Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481. https://psnet.ahrq.gov/issue/safe-day-call-r…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33962/psn-pdf
    June 22, 2007 - Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements. June 22, 2007 HB 1602. Washington State Legislature. 2003-2004. https://psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hosp…

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