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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36244/psn-pdf
    June 13, 2012 - With Safety in Mind: Mental Health Services and Patient Safety. June 13, 2012 Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety This report, the second in a series from the United Kingdom's Nati…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841790/psn-pdf
    September 01, 2021 - Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. September 1, 2021 Ibrahim SA, Pronovost PJ. Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. JAMA Health Forum. 2021;2(9):e212430. doi:10.1001/jamahealthforum.20…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37547/psn-pdf
    February 20, 2008 - Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. February 20, 2008 Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care. 2008;17(1):25-30. doi:10.1136/qshc.2006.021949. h…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47271/psn-pdf
    August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid Epidemic. August 8, 2018 National Academy of Medicine; Aspen Institute. https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the Un…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45546/psn-pdf
    October 05, 2016 - Using standardized OR checklists and creating extended time-out checklists. October 5, 2016 Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007. https://psnet.ahrq.gov/issue/using-standardized-or-checklists-and-cr…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46693/psn-pdf
    December 20, 2017 - Coupling policymaking with evaluation—the case of the opioid crisis. December 20, 2017 Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis. New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014. https://psnet.ahrq.gov/issue/coupling-policymaking-evalu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73113/psn-pdf
    April 07, 2021 - Analysis of results from event investigations in industrial and patient safety contexts. April 7, 2021 Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. https://psnet.ahrq.gov/issue/analysis-results-event-inve…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46013/psn-pdf
    January 01, 2018 - The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. December 19, 2017 Pickup L, Lang A, Atkinson S, et al. The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. Ergonomics. 2018…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47155/psn-pdf
    October 17, 2018 - Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. October 17, 2018 Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packaging Improvements. Acad Pediatr. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35736/psn-pdf
    May 27, 2011 - Video capture of clinical care to enhance patient safety. May 27, 2011 Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual Saf Health Care. 2004;13(2):136-44. https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety This study describes th…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36470/psn-pdf
    September 27, 2010 - Prioritizing patient safety interventions in small and rural hospitals. September 27, 2010 Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702. https://psnet.ahrq.gov/issue/prioritizing-patient-safety-interv…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837855/psn-pdf
    August 17, 2022 - Patterns of error in interpretive pathology. August 17, 2022 Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190. https://psnet.ahrq.gov/issue/patterns-error-interpretive-pathology Studies have shown diagnostic discordanc…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845657/psn-pdf
    March 08, 2023 - Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). March 8, 2023 Rockville, MD: Agency for Healthcare Research and Quality. February 15, 2023. RFA-HS-23-002. https://psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-base…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34781/psn-pdf
    June 23, 2015 - Standards for patient monitoring during general anesthesia at Harvard Medical School. June 23, 2015 Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. https://psnet.ahrq.gov/issue/standards-patient-monitoring-during-gen…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44836/psn-pdf
    January 27, 2016 - Advancing the next generation of handover research and practice with cognitive load theory. January 27, 2016 Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.1136/bmjqs-2015-004181. https://psnet.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39021/psn-pdf
    October 14, 2009 - Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008. October 14, 2009 Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improvi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46964/psn-pdf
    April 11, 2018 - The gaps in specialists' diagnoses. April 11, 2018 Scott IA, Campbell DA. The gaps in specialists' diagnoses. Med J Aust. 2018;208(5):196-197. https://psnet.ahrq.gov/issue/gaps-specialists-diagnoses Leaders in the effort to improve diagnosis have heralded diagnosis as a team activity. This commentary suggests that…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50710/psn-pdf
    December 04, 2019 - Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 December 4, 2019 de Lima A, Osman BM, Shapiro FE. Safety in office-based anesthesia. Curr Opin Anaesthesiol. 2019;32(6):749-755. doi:10.1097/aco.0000000000000794. https://psnet.ahrq.gov/issue/safety-office-based-anesthesia-upd…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40084/psn-pdf
    December 15, 2010 - Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. December 15, 2010 Hansen RA, Cornell PY, Ryan PB, et al. Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35216/psn-pdf
    December 22, 2009 - An educational intervention to enhance nurse leaders' perceptions of patient safety culture. December 22, 2009 Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020. https://psnet.ahrq.gov/issue/e…

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