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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35540/psn-pdf
    August 05, 2009 - Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. August 5, 2009 Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to- physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45365/psn-pdf
    August 03, 2016 - Workarounds and test results follow-up in electronic health record–based primary care. August 3, 2016 Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135. https://psnet.ahrq.g…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860722/psn-pdf
    January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? January 17, 2024 Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. https://psnet.ahrq.gov/issue/ten-y…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838321/psn-pdf
    October 12, 2022 - Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. October 12, 2022 Adler-Milstein J, Aggarwal N, Ahmed M, et al. NAM Perspectives. Washington DC: National Academy of Medicine; 2022. https://psnet.ahrq.gov/issue/meeting-moment-addressing-bar…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46765/psn-pdf
    April 04, 2018 - Advancing perinatal patient safety through application of safety science principles using health IT. April 4, 2018 Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Mak. 2017;17(1):176. doi:10.1186/s12…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47374/psn-pdf
    April 07, 2019 - Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. April 7, 2019 Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the literature. Int J Health Plann Manage. 20…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45851/psn-pdf
    February 22, 2017 - Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. February 22, 2017 Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus aureus health care-associated i…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72657/psn-pdf
    January 20, 2021 - Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. January 20, 2021 Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a commun…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44507/psn-pdf
    July 18, 2016 - Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. July 18, 2016 Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A discussion paper reviewing team mechanisms for improved patient outcomes. Aus…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47554/psn-pdf
    November 07, 2018 - Diagnostic Excellence Initiative. November 7, 2018 Gordon and Betty Moore Foundation. https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite an increasing focus on di…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45876/psn-pdf
    January 01, 2021 - Making residents part of the safety culture: improving error reporting and reducing harms. February 15, 2017 Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1097/PTS.0000000000000344. https://…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47910/psn-pdf
    August 21, 2019 - Cognitive Informatics: Reengineering Clinical Workflow for Safer and More Efficient Care. August 21, 2019 Zheng K, Westbrook J, Kannampallil TG, Patel VL, eds. Springer International Publishing; 2019. ISBN: 9783030169152. https://psnet.ahrq.gov/issue/cognitive-informatics-reengineering-clinical-workflow-safer-and-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837631/psn-pdf
    July 06, 2022 - The impact of an electronic alert to reduce the risk of co- prescription of low molecular weight heparins and direct oral anticoagulants. July 6, 2022 Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoag…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45510/psn-pdf
    October 19, 2016 - How to perform a root cause analysis for workup and future prevention of medical errors: a review. October 19, 2016 Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20. doi:10.1186/s13037-016-0107-8. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45605/psn-pdf
    November 30, 2016 - Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. November 30, 2016 Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. J Interprof Ca…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845348/psn-pdf
    February 02, 2012 - Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. February 2, 2012 Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Am…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866596/psn-pdf
    August 28, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act August 28, 2024 Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. AHRQ Publication No. 24-0010-3-EF …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72574/psn-pdf
    December 16, 2020 - Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. December 16, 2020 Huang C, Koppel R, McGreevey JD, et al. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Appl Clin Inform. 2020;11(05):742-754. doi:10.1055/s-004…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73632/psn-pdf
    January 01, 2022 - I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees. August 25, 2021 Prabhu V, Mikhly M, Chung R, et al. I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees. Am J Med Qual. 2022…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836919/psn-pdf
    April 13, 2022 - Psychological intervention to improve communication and patient safety in obstetrics: examination of the health action process approach. April 13, 2022 Derksen C, Kötting L, Keller FM, et al. Psychological intervention to improve communication and patient safety in obstetrics: examination of the health action proc…

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