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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846755/psn-pdf
    March 29, 2023 - Reducing diagnostic errors in the emergency department at the time of patient treatment. March 29, 2023 Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/1742-6723.14146. https://psnet.ahrq.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866083/psn-pdf
    June 05, 2024 - An invisible disability: communication, patient safety and dual sensory impairment in older persons. June 5, 2024 Dunsmore ME, Watharow A, Schneider J. An invisible disability: communication, patient safety and dual sensory impairment in older persons. J Adv Nurs. 2024;Epub Mar 22. doi:10.1111/jan.16159. https://p…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34771/psn-pdf
    May 06, 2016 - Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. May 6, 2016 Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. ISBN-13: 9781118862414. https://psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition According to Weick and Sutcliffe, high…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850353/psn-pdf
    June 14, 2023 - Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review. June 14, 2023 Sparling J, Hong Mershon B, Abraham J. Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review. Jt Comm J Qual Patient Saf. 20…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73654/psn-pdf
    September 01, 2021 - CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. September 1, 2021 Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi:10.1093/jamia/ocab038. https:…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851918/psn-pdf
    August 02, 2023 - Racism in health services for adolescents: a scoping review. August 2, 2023 Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560. https://psnet.ahrq.gov/issue/racism-health…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866345/psn-pdf
    July 24, 2024 - Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. July 24, 2024 Kepner S, Bennett A, Jones RM. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Patient Safety. 2024;6(1). doi:10.33940/001c.116555. https://psnet.ahrq.gov/issue/long-term-ca…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47686/psn-pdf
    July 19, 2019 - Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study. July 19, 2019 Griffiths P, Maruotti A, Saucedo AR, et al. Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.  BMJ Qual Saf. 2019;28(8):609-617. doi:10.1136/bmjqs-2018-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837733/psn-pdf
    July 27, 2022 - From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? July 27, 2022 De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9:901788. doi:10.3389/fmed.2022.901788. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45688/psn-pdf
    February 08, 2017 - Carers' medication administration errors in the domiciliary setting: a systematic review. February 8, 2017 Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/journal.pone.0167204. https://psn…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843328/psn-pdf
    February 01, 2023 - Self-assessment and learning motivation in the second victim phenomenon. February 1, 2023 Bushuven S, Trifunovic-Koenig M, Bentele M, et al. Self-assessment and learning motivation in the second victim phenomenon. Int J Environ Res Public Health. 2022;19(23):16016. doi:10.3390/ijerph192316016. https://psnet.ahrq.g…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841479/psn-pdf
    December 14, 2022 - Fast does not imply flawed: analyzing emergency physician productivity and medical errors. December 14, 2022 Hoot NR, Barbosa TJ, Chan HK, et al. Fast does not imply flawed: analyzing emergency physician productivity and medical errors. J Am Coll Emerg Physicians Open. 2022;3(6):e12849. doi:10.1002/emp2.12849. ht…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47167/psn-pdf
    May 30, 2018 - AHRQ Health Information Technology Division's 2017 Annual Report. May 30, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028- EF. https://psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report Health care has worked to enhance use…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46383/psn-pdf
    September 20, 2017 - Prescription Drug Monitoring Programs: Evolution and Evidence. September 20, 2017 Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017. https://psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence Health care has been exploring a variety of strategies to mitigate the opioid ep…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841767/psn-pdf
    December 21, 2022 - Structural racism and adverse maternal health outcomes: a systematic review. December 21, 2022 Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923. https://psnet.ahrq.gov/issue/stru…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44106/psn-pdf
    September 12, 2016 - Planning an MR suite: what can be done to enhance safety? September 12, 2016 Gilk TB, Kanal E. Planning an MR suite: What can be done to enhance safety? J Magn Reson Imaging. 2015;42(3):566-71. doi:10.1002/jmri.24794. https://psnet.ahrq.gov/issue/planning-mr-suite-what-can-be-done-enhance-safety Although rare, ad…
  17. cds.ahrq.gov/sites/default/files/cds/artifact/136331/Bisphosphonates%20Patient%20Handout.pdf
    July 18, 2023 - Osteoporosis Patient Handout Bisphosphonates are the safest choice for most people like you, who have thin or fragile bones, because this risks of falling and breaking a bone are greater than the risks of side effects. Your medication is: _______________________________________ Orally (by mouth) I.V. (infusion) D…
  18. cds.ahrq.gov/sites/default/files/cds/artifact/66551/Bisphosphonates%20Patient%20Handout.pdf
    July 18, 2023 - Osteoporosis Patient Handout Bisphosphonates are the safest choice for most people like you, who have thin or fragile bones, because this risks of falling and breaking a bone are greater than the risks of side effects. Your medication is: _______________________________________ Orally (by mouth) I.V. (infusion) D…
  19. digital.ahrq.gov/sites/default/files/docs/page/barrette-podcast-transcript.pdf
    June 16, 2021 - Barrette Podcast Transcript Podcast 3 Adoption of Health Information Technology and Hospital Demand (Dr. Eric Barrette) Narrator: Welcome to Health IT Spotlight from the Agency for Healthcare Research and Quality. Adoption and use of health IT can improve patient quality of care, but the influence of health IT …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43109/psn-pdf
    December 10, 2014 - Creating a physician-led quality imperative. December 10, 2014 Nelson MF, Merriman CS, Magnusson PT, et al. Creating a physician-led quality imperative. Am J Med Qual. 2014;29(6):508-16. doi:10.1177/1062860613509683. https://psnet.ahrq.gov/issue/creating-physician-led-quality-imperative This commentary relates one…