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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866073/psn-pdf
    June 05, 2024 - Improving communication of diagnostic uncertainty to families of hospitalized children. June 5, 2024 Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088. https://psnet.ahrq.gov/iss…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40256/psn-pdf
    March 02, 2011 - Development of a core drug list towards improving prescribing education and reducing errors in the UK. March 2, 2011 Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing education and reducing errors in the UK. Br J Clin Pharmacol. 2010;71(2):190-198. doi:10.1111/j…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851052/psn-pdf
    June 28, 2023 - Opportunities for diagnostic improvement among pediatric hospital readmissions. June 28, 2023 Congdon M, Rauch B, Carroll B, et al. Opportunities for diagnostic improvement among pediatric hospital readmissions. Hosp Pediatr. 2023;13(7):563-571. doi:10.1542/hpeds.2023-007157. https://psnet.ahrq.gov/issue/opportuni…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46651/psn-pdf
    January 17, 2018 - Piloting a patient safety and quality improvement co- curriculum. January 17, 2018 Kroker-Bode C, Whicker SA, Pline ER, et al. Piloting a patient safety and quality improvement co- curriculum. J Community Hosp Intern Med Perspect. 2017;7(6):351-357. doi:10.1080/20009666.2017.1403830. https://psnet.ahrq.gov/issue/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60712/psn-pdf
    July 22, 2020 - Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning. July 22, 2020 McCradden MD, Joshi S, Anderson JA, et al. Patient safety and quality improvement: Ethical principles for a regulatory approach to bias in healthcare machine learning. J Am Med…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866824/psn-pdf
    September 25, 2024 - 'Failing wisely' can promote a safer healthcare system. September 25, 2024 Fleisher LA, Edmondson AC. 'Failing wisely' can promote a safer healthcare system. MedPage Today. September 17, 2024; https://psnet.ahrq.gov/issue/failing-wisely-can-promote-safer-healthcare-system The ability to learn-by-doing in an enviro…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843094/psn-pdf
    January 25, 2023 - Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. January 25, 2023 Collaborative for Accountability and Improvement Policy Committee. Seattle, WA: University of Washington; 2022 https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-c…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73481/psn-pdf
    July 07, 2021 - Leadership To Improve Diagnosis: A Call to Action. July 7, 2021 Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2021. AHRQ Publication No. 20(21)-0040-5-EF. https://psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action The mindset on diagnostic error…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42489/psn-pdf
    May 19, 2014 - Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. May 19, 2014 Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. A…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45053/psn-pdf
    May 19, 2019 - Five topics health care simulation can address to improve patient safety: results from a consensus process. May 19, 2019 Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Saf. 2019;15(2):111-120. doi:10.1097/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861294/psn-pdf
    January 24, 2024 - Shining a glaring light on surgery: technology that records every move aims to improve safety. January 24, 2024 Freyer FJ. Boston Globe. January 13, 2024. https://psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve- safety The surgical black box uses cameras and microphon…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46632/psn-pdf
    May 11, 2019 - Higher accuracy of complex medication reconciliation through improved design of electronic tools. May 11, 2019 Horsky J, Drucker EA, Ramelson HZ. Higher accuracy of complex medication reconciliation through improved design of electronic tools. J Am Med Inform Assoc. 2018;25(5):465-475. doi:10.1093/jamia/ocx127. h…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42459/psn-pdf
    July 31, 2013 - Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries. July 31, 2013 Anthes AM, Harinstein LM, Smithburger PL, et al. Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries. Phar…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850348/psn-pdf
    June 14, 2023 - Approaches to improving patient safety in integrated care: a scoping review. June 14, 2023 Lalani M, Wytrykowski S, Hogan H. Approaches to improving patient safety in integrated care: a scoping review. BMJ Open. 2023;13(4):e067441. doi:10.1136/bmjopen-2022-067441. https://psnet.ahrq.gov/issue/approaches-improving-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44924/psn-pdf
    April 15, 2016 - Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. April 15, 2016 Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(5):567-75…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42672/psn-pdf
    October 23, 2013 - SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. October 23, 2013 De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Resuscitation. 2013;84(9):1192-6. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44061/psn-pdf
    November 16, 2015 - Quality improvement and patient safety organizations in anesthesiology. November 16, 2015 Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics. 2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503. https://psnet.ahrq.gov/issue/quality-improvement-and-patien…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44662/psn-pdf
    January 25, 2016 - The stories clinicians tell: achieving high reliability and improving patient safety. January 25, 2016 Cohen DL, Stewart KO. The Stories Clinicians Tell: Achieving High Reliability and Improving Patient Safety. Perm J. 2016;20(1):85-90. doi:10.7812/TPP/15-039. https://psnet.ahrq.gov/issue/stories-clinicians-tell-a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46354/psn-pdf
    November 21, 2017 - Controlled trial to improve resident sign-out in a medical intensive care unit. November 21, 2017 Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657. https://psnet.ahrq.gov/issue/contr…
  20. psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review
    April 27, 2022 - Review The value of learning from near misses to improve patient safety: a scoping review. Citation Text: Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078…

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