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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42850/psn-pdf
    May 21, 2019 - Confronting safety gaps across labor and delivery teams. May 21, 2019 Maxfield DG, Lyndon A, Kennedy HP, et al. Confronting safety gaps across labor and delivery teams. Am J Obstet Gynecol. 2013;209(5). doi:10.1016/j.ajog.2013.07.013. https://psnet.ahrq.gov/issue/confronting-safety-gaps-across-labor-and-delivery-te…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39576/psn-pdf
    September 25, 2010 - Taking Care of Myself: A Guide for When I Leave the Hospital. September 25, 2010 Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059. https://psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital This guide provides patients with information they need t…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60685/psn-pdf
    July 15, 2020 - Latent bias and the implementation of artificial intelligence in medicine. July 15, 2020 Decamp M, Lindvall C. Latent bias and the implementation of artificial intelligence in medicine. J Am Med Inform Assoc. 2020;27(12):2020-2023. doi:10.1093/jamia/ocaa094. https://psnet.ahrq.gov/issue/latent-bias-and-implementat…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34783/psn-pdf
    March 28, 2005 - The organizational and intraorganizational development of disasters. March 28, 2005 Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. https://psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters This article…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44875/psn-pdf
    March 02, 2016 - "Teach-back" from a patient's perspective. March 2, 2016 Miller S, Lattanzio M, Cohen S. "Teach-back" from a patient's perspective. Nursing (Brux). 2016;46(2):63-4. doi:10.1097/01.NURSE.0000476249.18503.f5. https://psnet.ahrq.gov/issue/teach-back-patients-perspective The teach-back method, having patients repeat i…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41038/psn-pdf
    February 10, 2012 - Activating knowledge for patient safety practices: a Canadian academic-policy partnership. February 10, 2012 Harrison MB, Nicklin W, Owen M, et al. Activating knowledge for patient safety practices: a Canadian academic-policy partnership. Worldviews Evid Based Nurs. 2012;9(1):49-58. doi:10.1111/j.1741- 6787.2011.0…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41386/psn-pdf
    May 16, 2012 - Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. May 16, 2012 Avery T, Barber N, Ghaleb M, et al. London, UK: General Medical Council; May 2, 2012. https://psnet.ahrq.gov/issue/investigating-prevalence-and-causes-prescribing-errors-general-practice- practice-st…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46368/psn-pdf
    October 31, 2017 - A piece of my mind. Trials and tribulations. October 31, 2017 Brown JL. Trials and Tribulations. JAMA. 2017;318(7). doi:10.1001/jama.2017.7106. https://psnet.ahrq.gov/issue/piece-my-mind-trials-and-tribulations Personal experiences can inform understanding of medical error. This commentary describes a physician's …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40677/psn-pdf
    August 10, 2011 - Board quality scorecards: measuring improvement. August 10, 2011 Goeschel CA, Berenholtz SM, Culbertson R, et al. Board quality scorecards: measuring improvement. Am J Med Qual. 2011;26(4):254-60. doi:10.1177/1062860610389324. https://psnet.ahrq.gov/issue/board-quality-scorecards-measuring-improvement Hospital boa…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45241/psn-pdf
    October 31, 2023 - Hospital Harm Project. October 31, 2023 Canadian Institute for Health Information, Health Excellence Canada. https://psnet.ahrq.gov/issue/hospital-harm-project Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative developed a measure to track unintended harm in acute c…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41321/psn-pdf
    April 25, 2012 - Cognitive balanced model: a conceptual scheme of diagnostic decision making. April 25, 2012 Lucchiari C, Pravettoni G. Cognitive balanced model: a conceptual scheme of diagnostic decision making. J Eval Clin Pract. 2012;18(1):82-8. doi:10.1111/j.1365-2753.2011.01771.x. https://psnet.ahrq.gov/issue/cognitive-balanc…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37780/psn-pdf
    March 10, 2011 - Evaluation of an inpatient computerized medication reconciliation system. March 10, 2011 Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561. https://psnet.ahrq.gov/issue/evaluation-inp…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42563/psn-pdf
    October 09, 2013 - Quick Response codes for surgical safety: a prospective pilot study. October 9, 2013 Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036. https://psnet.ahrq.gov/issue/quick-response-code…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36288/psn-pdf
    December 23, 2016 - Preventing adverse events caused by emergency electrical power system failures. December 23, 2016 Preventing adverse events caused by emergency electrical power system failures. Sentinel Event Alert. 2006;37(37):1-3. https://psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system- …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40998/psn-pdf
    December 14, 2011 - Identifying unintended consequences of quality indicators: a qualitative study. December 14, 2011 Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371. https://psnet.ahrq.gov/issue/identify…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60691/psn-pdf
    July 15, 2020 - A mixed-methods systematic review of interventions to address incivility in nursing. July 15, 2020 Olsen JM, Aschenbrenner A, Merkel R, et al. A mixed-methods systematic review of interventions to address incivility in nursing. J Nurs Educ. 2020;59(6):319-326. doi:10.3928/01484834-20200520-04. https://psnet.ahrq.g…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35091/psn-pdf
    November 04, 2015 - Development of an expert system for classification of medical errors. November 4, 2015 Kopec D, Levy K, Kabir M, et al. Development of an expert system for classification of medical errors. Stud Health Technol Inform. 2005;114:110-6. https://psnet.ahrq.gov/issue/development-expert-system-classification-medical-err…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34971/psn-pdf
    May 11, 2005 - Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data. May 11, 2005 Carbasho T. https://psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system- provides-real-time This article reports on Ohio Valley General Hosp…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36560/psn-pdf
    May 27, 2011 - Focus on Computerized Provider Order Entry. May 27, 2011 J Am Med Inform Assoc. 2007 Jan-Feb;14(1):25-75 https://psnet.ahrq.gov/issue/focus-computerized-provider-order-entry This special section on computerized provider order entry (CPOE) contains six articles on topics such as evaluating CPOE systems and interfac…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40999/psn-pdf
    January 01, 2012 - Improving patient safety via automated laboratory-based adverse event grading. December 15, 2011 Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-000513. https://psnet.ahrq.gov/issue…

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