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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852278/psn-pdf
    August 09, 2023 - Identifying failure modes in telemedicine: an instructional needs assessment. August 9, 2023 Monkman H, Kuziemsky C, Homco J, et al. Identifying failure modes in telemedicine: an instructional needs assessment. Stud Health Technol Inform. 2023;304:39-43. doi:10.3233/shti230365. https://psnet.ahrq.gov/issue/identif…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852284/psn-pdf
    August 09, 2023 - ‘Medical errors are the third leading cause of death’ and other statistics you should question. August 9, 2023 Jaklevic MC. HealthJournalism.org. July 27, 2023. https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should- question Published rates of medical errors con…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60020/psn-pdf
    March 04, 2020 - The eNOTSS platform for surgeons’ nontechnical skills performance improvement. March 4, 2020 Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880. https://psnet.ahrq.gov/issue/enotss-platform-s…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842434/psn-pdf
    June 01, 2024 - AHRQ Safety Program for Telemedicine. January 22, 2024 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-safety-program-telemedicine Telemedicine efforts harbor both risk and reward to patients and clinicians. The AHRQ Safety Program for Telemedicine is a national effort to develop and …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72828/psn-pdf
    March 10, 2021 - A recurring call to action: every healthcare organization needs a medication safety officer! March 10, 2021 ISMP Medication Safety Alert! Acute care edition. February 25, 2021;26(4);1-4. https://psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety- officer Leadership ro…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60929/psn-pdf
    September 16, 2020 - Safer Together: A National Action Plan to Advance Patient Safety. September 16, 2020 Boston, MA: Institute for Healthcare Improvement: September 2020.   https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety This National Action Plan developed by the National Steering Committee for Pati…
  7. psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
    November 27, 2023 - We establish quality standards for nursing education and assist schools in implementing those standards … Students also may participate in the change process of a quality improvement committee, or in implementing
  8. psnet.ahrq.gov/issue/evaluation-association-between-nursing-home-survey-patient-safety-culture-nhsops-measures-and
    April 05, 2017 - Study Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative. Citation Text: Smith SN, Greene MT, Mody L, et al. Evaluation of the association between Nurs…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33562/psn-pdf
    September 15, 2024 - Rapid Response Systems September 15, 2024 Rapid Response Systems. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/rapid-response-systems PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33576/psn-pdf
    December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editoria…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845472/psn-pdf
    March 15, 2023 - We spoke with them about their experience implementing remote patient monitoring (RPM) programs, GW’
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73575/psn-pdf
    August 04, 2021 - Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. August 4, 2021 Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.  https://psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs Lack of appropriate follow up o…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47119/psn-pdf
    September 19, 2018 - A usability and safety analysis of electronic health records: a multi-center study. September 19, 2018 Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi- center study. J Am Med Inform Assoc. 2018;25(9):1197-1201. doi:10.1093/jamia/ocy088. https://psnet.ahrq.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41456/psn-pdf
    September 26, 2016 - Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. September 26, 2016 Tomietto M, Sartor A, Mazzocoli E, et al. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36734/psn-pdf
    March 10, 2011 - Integrating incident reporting into an electronic patient record system. March 10, 2011 Haller G, Myles PS, Stoelwinder J, et al. Integrating incident reporting into an electronic patient record system. J Am Med Inform Assoc. 2007;14(2):175-81. https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850353/psn-pdf
    June 14, 2023 - Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review. June 14, 2023 Sparling J, Hong Mershon B, Abraham J. Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review. Jt Comm J Qual Patient Saf. 20…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74704/psn-pdf
    January 26, 2022 - Improving self-reported empathy and communication skills through harm in healthcare response training. January 26, 2022 Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk Manage. 2021;26(6):251-260. doi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867643/psn-pdf
    February 26, 2025 - Psychology insights on apologizing to patients. February 26, 2025 Redelmeier DA, Roach J. Psychology insights on apologizing to patients. J Hosp Med. 2024;Epub Dec 30. doi:10.1002/jhm.13585. https://psnet.ahrq.gov/issue/psychology-insights-apologizing-patients Apologizing to the patient and family after a harmful …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867094/psn-pdf
    January 01, 2025 - Maximizing the ability of health IT and AI to improve patient safety. November 6, 2024 Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343. https://psnet.ahrq.gov/issue/maximizing-ability-healt…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73654/psn-pdf
    September 01, 2021 - CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. September 1, 2021 Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi:10.1093/jamia/ocab038. https:…

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