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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72707/psn-pdf
    February 03, 2021 - Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. February 3, 2021 Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Eur J Hosp Pharm. 2021;28(Suppl 2):e151-e156. doi:10.1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74181/psn-pdf
    December 15, 2021 - Mitigating patient and consumer safety risks when using conversational assistants for medical information: exploratory mixed methods experiment. December 15, 2021 Bickmore TW, Olafsson S, O'Leary TK. Mitigating patient and consumer safety risks when using conversational assistants for medical information: explorat…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38566/psn-pdf
    April 15, 2009 - Contributions by the Agency for Healthcare Research and Quality and Grantees. April 15, 2009 Health Serv Res. 2009 Apr;44(2 Pt 2):623-776. https://psnet.ahrq.gov/issue/contributions-agency-healthcare-research-and-quality-and-grantees This special series of articles highlights the progress and current state of pati…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45487/psn-pdf
    July 21, 2020 - Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement." July 21, 2020 Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in the Context of Patient Safety and Quality Improvement”. Am J Me…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851363/psn-pdf
    July 12, 2023 - Health literacy and systemic racism—using clear communication to reduce health care inequities. July 12, 2023 Coleman C, Birk S, DeVoe J. Health literacy and systemic racism—using clear communication to reduce health care inequities. JAMA Intern Med. 2023;183(8):753-754. doi:10.1001/jamainternmed.2023.2558. https:…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45193/psn-pdf
    October 03, 2017 - Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease. October 3, 2017 Resneck JS, Abrouk M, Steuer M, et al. Choice, Transparency, Coordination, and Quality Among Direct-to- Consumer Telemedicine Websites and Apps Treating Skin Disease. JAMA …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45389/psn-pdf
    September 27, 2016 - Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review. September 27, 2016 Morin L, Laroche M-L, Texier G, et al. Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review. J Am Med Dir Assoc. 2016…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73312/psn-pdf
    May 26, 2021 - Healthcare professionals experience of psychological safety, voice, and silence. May 26, 2021 O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice, and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689. https://psnet.ahrq.gov/issue/healthcare-p…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865707/psn-pdf
    May 01, 2024 - Department of anesthesiology skilled peer support program outcomes: second victim perceptions. May 1, 2024 Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):442-448. doi:10.1016/j.jcjq.2024.03.00…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45482/psn-pdf
    September 14, 2016 - 'America's other drug problem': copious prescriptions for hospitalized elderly. September 14, 2016 Gorman A. Kaiser Health News. August 30, 2016. https://psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly Older patients are particularly vulnerable to medication errors, as t…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73085/psn-pdf
    January 01, 2022 - Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error. March 31, 2021 Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences of a dual element training interve…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72657/psn-pdf
    January 20, 2021 - Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. January 20, 2021 Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a commun…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73143/psn-pdf
    April 14, 2021 - The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records. April 14, 2021 Schouten B, Merten H, Spreeuwenberg PMM, et al. The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74701/psn-pdf
    January 26, 2022 - Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis. January 26, 2022 Lederman J, Lindström V, Elmqvist C, et al. Non-conveyance of older adult patients and association with subsequent clinical and ad…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46869/psn-pdf
    April 11, 2018 - Opioid prescribing practices from 2010 through 2015 among dentists in the United States: what do claims data tell us? April 11, 2018 Gupta N, Vujicic M, Blatz A. Opioid prescribing practices from 2010 through 2015 among dentists in the United States: What do claims data tell us? J Am Dent Assoc. 2018;149(4):237-24…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47996/psn-pdf
    January 01, 2021 - Building an ambulatory safety program at an academic health system. May 15, 2019 Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. https://psnet.ahrq.gov/issue/building-ambulatory-safety-program-a…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73679/psn-pdf
    September 08, 2021 - Why an open disclosure procedure is and is not followed after an avoidable adverse event. September 8, 2021 Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405. https…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47554/psn-pdf
    November 07, 2018 - Diagnostic Excellence Initiative. November 7, 2018 Gordon and Betty Moore Foundation. https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite an increasing focus on di…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837892/psn-pdf
    January 01, 2023 - Teamwork before and during COVID-19: the good, the same, and the ugly…. August 24, 2022 Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070. https://psnet.ahrq.gov/issue/teamwork-and-during-c…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838252/psn-pdf
    October 05, 2022 - A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. October 5, 2022 Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. Jt Co…