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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865310/psn-pdf
    March 27, 2024 - Organizational learning in the morbidity and mortality conference. March 27, 2024 Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. https://psnet.ahrq.gov/issue/organizational-learning-morbidi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838076/psn-pdf
    September 14, 2022 - The ‘new view’ of human error. Origins, ambiguities, successes and critiques. September 14, 2022 Le Coze JC. The ‘new view’ of human error. Origins, ambiguities, successes and critiques. Safety Sci. 2022;154:105853. doi:10.1016/j.ssci.2022.105853. https://psnet.ahrq.gov/issue/new-view-human-error-origins-ambiguiti…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47859/psn-pdf
    May 15, 2019 - The design and conduct of Project RedDE: a cluster- randomized trial to reduce diagnostic errors in pediatric primary care. May 15, 2019 Bundy DG, Singh H, Stein RE, et al. The design and conduct of Project RedDE: A cluster-randomized trial to reduce diagnostic errors in pediatric primary care. Clin Trials. 2019;1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35977/psn-pdf
    February 17, 2011 - Making patient safety the centerpiece of medical liability reform. February 17, 2011 Clinton HR, Obama B. Making Patient Safety the Centerpiece of Medical Liability Reform. New England Journal of Medicine. 2006;354(21). doi:10.1056/nejmp068100. https://psnet.ahrq.gov/issue/making-patient-safety-centerpiece-medical…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73956/psn-pdf
    October 13, 2021 - Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study. October 13, 2021 Zaheer S, Ginsburg LR, Wong HJ, et al. Acute care nurses’ perceptions of leadership, teamwork, turnover intention and patient safety – a mixed methods study. BMC Nurs. 2021;20(1):…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72609/psn-pdf
    December 23, 2020 - Covid-19 surge could lead to another drop in patient visits, doctors fear—and more missed pediatric cancers. December 23, 2020 Cooney E. StatNews. December 10, 2020. https://psnet.ahrq.gov/issue/covid-19-surge-could-lead-another-drop-patient-visits-doctors-fear-and-more- missed-pediatric Timely and proactive…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838088/psn-pdf
    September 14, 2022 - 'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. September 14, 2022 Mills M. The Guardian. September 3, 2022. https://psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our- daughters-death Families experiencing medical …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34796/psn-pdf
    November 18, 2015 - The business case for quality: case studies and an analysis. November 18, 2015 Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30. https://psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis This comprehens…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47278/psn-pdf
    August 15, 2018 - Drawing boundaries: the difficulty in defining clinical reasoning. August 15, 2018 Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning. Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0000000000002142. https://psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43660/psn-pdf
    November 12, 2014 - Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting. November 12, 2014 Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73405/psn-pdf
    June 16, 2021 - 2020 Eisenberg Award recipients announced by The Joint Commission, National Quality Forum. June 16, 2021 Oakbrook Terrace, IL: Joint Commission: June 8, 2021. https://psnet.ahrq.gov/issue/2020-eisenberg-award-recipients-announced-joint-commission-national- quality-forum The Eisenberg Award honors individuals and …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40446/psn-pdf
    July 02, 2014 - Shifting indirect patient care duties to after hours in the era of work hours restrictions. July 2, 2014 Mourad M, Vidyarthi A, Hollander H, et al. Shifting indirect patient care duties to after hours in the era of work hours restrictions. Acad Med. 2011;86(5):586-90. doi:10.1097/ACM.0b013e318212e1cb. https://psne…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853970/psn-pdf
    September 27, 2023 - Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. September 27, 2023 Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologist…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838930/psn-pdf
    October 26, 2022 - Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. October 26, 2022 Washington DC: United States Government Accountability Office and National Academy of Medicine;  September 2022. Report no. GAO-22-104629. https://psnet.ahrq.gov/issue/ar…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47903/psn-pdf
    January 01, 2021 - A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. April 17, 2019 Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Settings: Observed Safety Vulnerabilitie…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50424/psn-pdf
    September 04, 2019 - From box ticking to the black box: the evolution of operating room safety. September 4, 2019 Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5. https://psnet.ahrq.gov/issue/box-ticking-black-box-e…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50700/psn-pdf
    January 01, 2020 - Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. December 4, 2019 Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Plan. Acad Med. 2020;95(8):1172-1178. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37610/psn-pdf
    June 16, 2011 - Is yours a learning organization? June 16, 2011 Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134. https://psnet.ahrq.gov/issue/yours-learning-organization Key tenets of improving patient safety at the organizational level include taking a systems approach to s…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867077/psn-pdf
    November 20, 2023 - Interprofessional Education Collaborative Core Competencies for Interprofessional Collaborative Practice November 20, 2023 Interprofessional Education Collaborative Core Competencies For Interprofessional Collaborative Practice. Washington DC: Interprofessional Education Collaborative; 2023. https://psnet.ahrq.gov…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73472/psn-pdf
    July 07, 2021 - Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. July 7, 2021 Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Jt Comm J Qual Patient Saf. 2021;47…

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