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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73898/psn-pdf
    September 29, 2021 - A Thematic Analysis of HSIB's First 22 Investigations.  September 29, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. https://psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations In-depth failure investigations provide improvement insights for individuals and or…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866964/psn-pdf
    October 16, 2024 - Pediatric perioperative medication errors. October 16, 2024 Lu-Boettcher YE, Koka R. Pediatric perioperative medication errors. APSF Newsletter. 39(3):84-86. https://psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors Medication safety is a primary concern during surgery, particularly when treating child…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40152/psn-pdf
    January 19, 2011 - Reducing clinical errors in cancer education: interpreter training. January 19, 2011 Gany FM, Gonzalez CJ, Basu G, et al. Reducing clinical errors in cancer education: interpreter training. J Cancer Educ. 2010;25(4):560-4. doi:10.1007/s13187-010-0107-9. https://psnet.ahrq.gov/issue/reducing-clinical-errors-cancer-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47364/psn-pdf
    October 31, 2018 - AI can't replace doctors. But it can make them better. October 31, 2018 Parikh R. MIT Technol Rev. October 23, 2018. https://psnet.ahrq.gov/issue/ai-cant-replace-doctors-it-can-make-them-better Computerized decision support and artificial intelligence (AI) are being utilized to enhance decision-making in health ca…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40274/psn-pdf
    December 29, 2014 - Predictors of the perceived impact of a patient safety collaborative: an exploratory study. December 29, 2014 Pinto A, Benn J, Burnett S, et al. Predictors of the perceived impact of a patient safety collaborative: an exploratory study. Int J Qual Health Care. 2011;23(2):173-81. doi:10.1093/intqhc/mzq089. https://…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764408/psn-pdf
    March 02, 2022 - Ensuring critical instruments and devices are appropriate for reuse. March 2, 2022 Quick Safety. February 14, 2022;(64):1-3. https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854249/psn-pdf
    January 01, 2014 - What is safety science? August 19, 2013 Aven T. What is safety science? Safety Sci. 2014;67:15-20. doi:10.1016/j.ssci.2013.07.026. https://psnet.ahrq.gov/issue/what-safety-science Safety is seen as the absence of accidents and safety science research can be used to improve many industries, including healthcare. Th…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844060/psn-pdf
    June 01, 2016 - Developing a measure of value in health care. June 1, 2016 Ken Lee KH, Matthew Austin J, Pronovost PJ. Developing a measure of value in health care. Value Health. 2015;19(4):323-325. doi:10.1016/j.jval.2014.12.009. https://psnet.ahrq.gov/issue/developing-measure-value-health-care Value-based healthcare is emerging…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43601/psn-pdf
    December 09, 2015 - Special Focus Issue: Patient Safety. December 9, 2015 Wagner VD, ed. AORN J. 2014;100:351-456. https://psnet.ahrq.gov/issue/special-focus-issue-patient-safety Articles in this special issue explore strategies to establish a culture of safety in health care settings, including coaching to improve team briefing and …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867695/psn-pdf
    March 05, 2025 - The Future of Patient and Family Engagement in Quality and Patient Safety. March 5, 2025 The Future of Patient and Family Engagement in Quality and Patient Safety. Front Health Serv. 2024. https://psnet.ahrq.gov/issue/future-patient-and-family-engagement-quality-and-patient-safety Patient and family engagement in …
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862607/psn-pdf
    February 14, 2024 - Assessing diagnostic performance. February 14, 2024 Cosby K, Yang D, Fineberg HV. Assessing diagnostic performance. NEJM Evid. 2024;3(2):EVIDra2300232. doi:10.1056/evidra2300232. https://psnet.ahrq.gov/issue/assessing-diagnostic-performance Assessing diagnostic performance to reduce diagnostic errors requires a sh…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49532/psn-pdf
    March 15, 2007 - Back to Basics March 1, 2007 Hellman R. Back to Basics. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/back-basics The Case A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…
  14. Spotlight (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
    May 01, 2018 - Spotlight Spotlight Out of Sight, Out of Mind: Out-of-Office Test Result Management 1 Source and Credits This presentation is based on the May 2018 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Eric Poon, MD, MPH, Duke University School o…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33876/psn-pdf
    August 01, 2018 - Building a Safety Program in a Vast Health Care Network March 1, 2019 Phrampus P. Building a Safety Program in a Vast Health Care Network. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network Perspective Background As hospital-based health care in the United …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33698/psn-pdf
    August 01, 2010 - In Conversation with...Richard P. Shannon, MD August 1, 2010 In Conversation with..Richard P. Shannon, MD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md Editor's note: Richard P. Shannon, MD, is the Frank Wister Thomas Professor of Medicine at the University of Pe…
  17. psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
    December 15, 2024 - Medication Errors and Adverse Drug Events Citation Text: Medication Errors and Adverse Drug Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote…
  18. psnet.ahrq.gov/perspective/risk-management-and-patient-safety
    December 01, 2010 - Risk Management and Patient Safety Barry M. Manuel, MD; Jack L. McCarthy; William Berry, MD, MPH; Kathy Dwyer | December 1, 2010  Also Read a Conversation View more articles from the same authors. Citation Text: Manuel BM, McCarthy JL, Berry WR, et al. Risk Mana…
  19. psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
    December 01, 2009 - How to Identify and Manage Problem Behaviors Alan H. Rosenstein, MD, MBA; Michelle O'Daniel, MSG, MHA | December 1, 2009  Also Read a Conversation View more articles from the same authors. Citation Text: Rosenstein AH, O'Daniel M. How to Identify and Manage Prob…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73303/psn-pdf
    May 26, 2021 - Safety Culture in EMS May 26, 2021 Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/safety-culture-ems Defining a Just Culture A Just Culture is one that supports transparent and honest error reporting with the goal of fostering an environmen…

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