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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45569/psn-pdf
    January 23, 2017 - Patient experience must move beyond bad apples. January 23, 2017 Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern Med. 2016;165(12):869-870. doi:10.7326/M16-1725. https://psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples Patient safety leaders ha…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38929/psn-pdf
    April 01, 2010 - Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review. April 1, 2010 Bosch M, Faber MJ, Cruijsberg J, et al. Review article: Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review. Med Care Res Rev. 2009;66(…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34930/psn-pdf
    April 06, 2011 - "Going solid": a model of system dynamics and consequences for patient safety. April 6, 2011 Cook R, Rasmussen J. "Going solid": a model of system dynamics and consequences for patient safety. Qual Saf Health Care. 2005;14(2):130-4. https://psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-pa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47114/psn-pdf
    October 13, 2018 - Focused ethnography of diagnosis in academic medical centers. October 13, 2018 Chopra V, Harrod M, Winter S, et al. Focused Ethnography of Diagnosis in Academic Medical Centers. J Hosp Med. 2018;13(10):668-672. doi:10.12788/jhm.2966. https://psnet.ahrq.gov/issue/focused-ethnography-diagnosis-academic-medical-cente…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33958/psn-pdf
    December 18, 2008 - A review of the literature examining linkages between organizational factors, medical errors, and patient safety. December 18, 2008 Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. Med Care Res Rev. 2004;61(1):3-37.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41227/psn-pdf
    March 21, 2012 - Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. March 21, 2012 Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN J Parenter Enteral Nutr. 2012;36(2 …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853980/psn-pdf
    September 27, 2023 - RFID tags reduce restocking errors of anesthesia medications. September 27, 2023 Banks MA. Specialty Pharmacy Continuum. September 15, 2023. https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications Radiofrequency identification (RFID) devices are being used to improve processes in the…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45918/psn-pdf
    May 24, 2017 - Applying human-centered design thinking to enhance safety in the OR. May 24, 2017 Criscitelli T, Goodwin W. Applying Human-Centered Design Thinking to Enhance Safety in the OR. AORN J. 2017;105(4):408-412. doi:10.1016/j.aorn.2017.02.004. https://psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867450/psn-pdf
    January 08, 2025 - Advancing Health Care Safety for All. January 8, 2025 Advancing Health Care Safety for All. Centers for Medicare and Medicaid Services. 2024. https://psnet.ahrq.gov/issue/advancing-health-care-safety-all As one element of a national program to improve care quality, the Centers for Medicare and Medicaid Services (C…
  10. psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
    December 09, 2020 - One Bronchoscopy, Two Errors Citation Text: Leiten E, Nielsen R. One Bronchoscopy, Two Errors. 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 7 XM…
  11. psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
    January 05, 2017 - Discontinued Medications: Are They Really Discontinued? Citation Text: Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50769/psn-pdf
    February 15, 2017 - Cultural Competence and Patient Safety December 27, 2019 Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety Background   Culture can be defined as the “personal identification, language, thoughts, co…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74215/psn-pdf
    October 25, 2011 - Race and the clinical diagnosis of depression in new primary care patients. October 25, 2011 Lukachko A, Olfson M. Race and the clinical diagnosis of depression in new primary care patients. Gen Hosp Psychiatry. 2011;34(1):98-100. doi:10.1016/j.genhosppsych.2011.09.008. https://psnet.ahrq.gov/issue/race-and-clinic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72751/psn-pdf
    February 17, 2021 - The critical need for nursing education to address the diagnostic process. February 17, 2021 Gleason KT, Harkless G, Stanley J, et al. The critical need for nursing education to address the diagnostic process. Nurs Outlook. 2021;69(3):362-369. doi:10.1016/j.outlook.2020.12.005. https://psnet.ahrq.gov/issue/critica…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837607/psn-pdf
    June 29, 2022 - Common Formats for Event Reporting - Diagnostic Safety Version 1.0 June 29, 2022 Agency for Healthcare Research and Quality.  https://psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10 Effective measurement of diagnostic error is essential for understanding the problem and genera…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47336/psn-pdf
    March 04, 2019 - "Saying sorry": some strategies for effective apology within the workplace. March 4, 2019 Cleary M, Lees D, Lopez V. "Saying sorry": some strategies for effective apology within the workplace. Issues Ment Health Nurs. 2018;39(11):980-982. doi:10.1080/01612840.2018.1507571. https://psnet.ahrq.gov/issue/saying-sorry…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844551/psn-pdf
    February 15, 2023 - Emotional safety is patient safety. February 15, 2023 Lyndon A, Davis D-A, Sharma AE, et al. Emotional safety is patient safety. BMJ Qual Saf. 2023;32(7):369- 372. doi:10.1136/bmjqs-2022-015573. https://psnet.ahrq.gov/issue/emotional-safety-patient-safety Patient perspectives can provide unique insights into care …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855103/psn-pdf
    November 08, 2023 - Adverse Events. November 8, 2023 United States Office of the Inspector General: 2010-2023. https://psnet.ahrq.gov/issue/adverse-events-0 Large-scale data analysis provides insights to generate evidence-based improvement action. This collection of reports provides access to investigations of the impact of heal…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866524/psn-pdf
    August 14, 2024 - Generative artificial intelligence, patient safety and healthcare quality: a review. August 14, 2024 Howell MD. Generative artificial intelligence, patient safety and healthcare quality: a review. BMJ Qual Saf. 2024;33(11):748-754. doi:10.1136/bmjqs-2023-016690. https://psnet.ahrq.gov/issue/generative-artificial-i…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60156/psn-pdf
    March 25, 2020 - The cognitive health system. March 25, 2020 Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140- 6736(19)32987-3. https://psnet.ahrq.gov/issue/cognitive-health-system This article discusses the influence of artificial intelligence tools and cyber-social systems on human decis…

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