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9321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837515/psn-pdf
      June 22, 2022 - Mitigating racial bias in machine learning. June 22, 2022 Kostick-Quenet KM, Cohen IG, Gerke S, et al. Mitigating racial bias in machine learning. J Law Med Ethics. 2022;50(1):92-100. doi:10.1017/jme.2022.13. https://psnet.ahrq.gov/issue/mitigating-racial-bias-machine-learning Biases in decision support technologi…

9322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46483/psn-pdf
      October 04, 2017 - Fall Prevention in Hospitals Training Program. October 4, 2017 Rockville, MD: Agency for Healthcare Research and Quality; 2017. https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program Falls are a primary focus of quality and patient safety improvement efforts in hospitals. This training program pro…

9323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50705/psn-pdf
      January 01, 2020 - Closing the loop with ambulatory staff on safety reports. December 4, 2019 Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009. https://psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-repor…

9324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47131/psn-pdf
      July 18, 2018 - Good Catch Campaign: improving the perioperative culture of safety. July 18, 2018 Lozito M, Whiteman K, Swanson-Biearman B, et al. Good Catch Campaign: Improving the Perioperative Culture of Safety. AORN J. 2018;107(6):705-714. doi:10.1002/aorn.12148. https://psnet.ahrq.gov/issue/good-catch-campaign-improving-peri…

9325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50867/psn-pdf
      February 05, 2020 - Cognitive testing of older clinicians prior to recredentialing. February 5, 2020 Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. https://psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing In an…

9326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42961/psn-pdf
      February 19, 2014 - Healthcare-associated infections: a national patient safety problem and the coordinated response. February 19, 2014 Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.1097/MLR.0b013e3182a54581. https://psne…

9327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846162/psn-pdf
      July 01, 2020 - The effect of virtual nursing and missed nursing care. July 1, 2020 Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q. 2020;44(3):280-287. doi:10.1097/naq.0000000000000419. https://psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care The COVID-19…

9328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47414/psn-pdf
      May 01, 2019 - Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. May 1, 2019 Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 2019;3…

9329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47617/psn-pdf
      December 12, 2018 - Medicare cuts payments to nursing homes whose patients keep ending up in hospital. December 12, 2018 Rau J. Kaiser Health News. December 3, 2018. https://psnet.ahrq.gov/issue/medicare-cuts-payments-nursing-homes-whose-patients-keep-ending-hospital Long-term care environments harbor various challenges to patient sa…

9330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35556/psn-pdf
      May 27, 2011 - Improving patient safety using interactive, evidence- based decision support tools. May 27, 2011 Quinn MM, Mannion J. Improving patient safety using interactive, evidence-based decision support tools. Jt Comm J Qual Patient Saf. 2005;31(12):678-683. https://psnet.ahrq.gov/issue/improving-patient-safety-using-inter…

9331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35619/psn-pdf
      June 24, 2010 - Studying patient safety in health care organizations: accentuate the qualitative. June 24, 2010 Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organ…

9332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866651/psn-pdf
      September 04, 2024 - Diagnostic Stewardship as a Model to Improve the Quality and Safety of Diagnosis. September 4, 2024 Diagnostic Stewardship As A Model To Improve The Quality And Safety Of Diagnosis. Rockville, MD: Agency for Healthcare Research and Quality; May 2024. AHRQ report no. 24-0010-6-EF https://psnet.ahrq.gov/issue/diagno…

9333. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38387/psn-pdf
      February 04, 2009 - Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution? February 4, 2009 Stumpf PG, Anderson B, Lawrence H, et al. Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution…

9334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44889/psn-pdf
      April 13, 2017 - An organizational learning framework for patient safety. April 13, 2017 Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2016;32(2):148- 155. doi:10.1177/1062860616632295. https://psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety Organizations are encouraged t…

9335. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50927/psn-pdf
      February 21, 2020 - Patient Safety in Primary Care February 21, 2020 Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/patient-safety-primary-care Introduction A strong primary care system is foundational to achieving high-quality, accessible, efficient healthcare …

9336. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33673/psn-pdf
      September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety September 1, 2008 Rothschild JM, Keohane C. The Role of Bar Coding and Smart Pumps in Safety. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety Perspective Medication safety in hospitals depends on the successful execu…

9337. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-472
      February 26, 2025 - February 26, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, repor…

9338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49646/psn-pdf
      February 01, 2012 - Poorly Advanced Directives February 1, 2012 Anderson WG. Poorly Advanced Directives. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/poorly-advanced-directives The Case Cared for at home by his wife and family, an 82-year-old man with multiple chronic medical conditions described his overall health as decli…

9339. Handoffs and Transitions | PSNet
      psnet.ahrq.gov/perspective/handoffs-and-transitions
      February 01, 2007 - Annual Perspective Handoffs and Transitions Niraj Sehgal, MD, MPH | January 22, 2014  View more articles from the same authors. Citation Text: Sehgal NL. Handoffs and Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…

9340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867804/psn-pdf
      February 26, 2025 - Are We Safer Today? February 26, 2025 Bates DW, Lee M, Mossburg SE. Are We Safer Today? PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/are-we-safer-today In the 1999 report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (now the National Academy of Medicine) drew on two lar…