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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838639/psn-pdf
    October 19, 2022 - Calibrate Dx: A Resource to Improve Diagnostic Decisions. October 19, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. AHRQ Publication no. 22(23)- 0047-2-EF. https://psnet.ahrq.gov/issue/calibrate-dx-resource-improve-diagnostic-decisions Delayed, wrong, and missed diagnoses are commo…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35803/psn-pdf
    January 02, 2017 - Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. January 2, 2017 Turley JP, Johnson TR, Smith DP, et al. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Jt Comm J Qual Patient Saf. 2006;32(4):2…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38641/psn-pdf
    September 02, 2009 - Assessing the value of electronic prescribing in ambulatory care: A focus group study. September 2, 2009 Weingart SN, Massagli M, Cyrulik A, et al. Assessing the value of electronic prescribing in ambulatory care: a focus group study. Int J Med Inform. 2009;78(9):571-8. doi:10.1016/j.ijmedinf.2009.03.007. https://…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73970/psn-pdf
    October 21, 2021 - The Good, The Bad, and The Ugly: Patient Experiences with CRPs. October 13, 2021 Collaborative for Accountability and Improvement. October 21, 2021.  https://psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps Communication-and-resolution program (CRP) initiatives are a valuable strategy for impro…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44636/psn-pdf
    November 04, 2015 - The most crucial half-hour at a hospital: the shift change. November 4, 2015 Landro L. https://psnet.ahrq.gov/issue/most-crucial-half-hour-hospital-shift-change Information exchange can be challenging when nurses hand off care responsibilities at the end of their shifts. This news article discusses bedside shift r…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46367/psn-pdf
    August 30, 2017 - Why are so many women being misdiagnosed? August 30, 2017 Mickle K. Glamour. August 11, 2017. https://psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed Implicit bias and differences in communication style can affect patient care. This magazine article reports on factors that contribute to misdiagnosis …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73543/psn-pdf
    July 28, 2021 - AMC PSO Resource Center. July 28, 2021 Academic Medical Center Patient Safety Organization. https://psnet.ahrq.gov/issue/amc-pso-resource-center Patient Safety organizations (PSO) are in a unique position to educate their members and the larger community on patient safety challenges. This PSO resource collection i…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848044/psn-pdf
    April 26, 2023 - Effect of a hospital command centre on patient safety: an interrupted time series study. April 26, 2023 Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653. https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study Command centers…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866567/psn-pdf
    August 21, 2024 - A daily dose of communication to improve quality and safety outcomes. August 21, 2024 Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318. https://psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846455/psn-pdf
    March 22, 2023 - Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). March 22, 2023 PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023 https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed Approaching diagnosis as a team activity is seen as a key approach to di…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72515/psn-pdf
    January 15, 2025 - AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users. December 17, 2024 Rockville, MD: Agency for Healthcare Research and Quality. January 15, 2025. https://psnet.ahrq.gov/issue/tutorial-ahrq-sopsr-data-entry-and-analysis-tool An organization’s understanding of its culture is foundational t…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43424/psn-pdf
    August 13, 2014 - Office-based anesthesia: safety and outcomes. August 13, 2014 Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276- 285. doi:10.1213/ane.0000000000000313. https://psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes Office-based anesthesia has become more w…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40199/psn-pdf
    March 03, 2011 - Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. March 3, 2011 Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Acad Med. 2011;86(3):365-8.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35234/psn-pdf
    December 11, 2008 - Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. December 11, 2008 Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J Med Inform. 2005;74(7-8):605-13. http…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44718/psn-pdf
    November 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient Safety. November 25, 2015 Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015. https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety The 2004 Canadian Adverse Events Study helpe…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46198/psn-pdf
    August 16, 2017 - Challenging authority during an emergency—the effect of a teaching intervention. August 16, 2017 Friedman Z, Perelman V, McLuckie D, et al. Challenging Authority During an Emergency-the Effect of a Teaching Intervention. Crit Care Med. 2017;45(8):e814-e820. doi:10.1097/CCM.0000000000002450. https://psnet.ahrq.gov/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40749/psn-pdf
    September 07, 2011 - Improving the usability of intravenous medication labels to support safe medication delivery. September 7, 2011 Bauer DT, Guerlain S. Improving the usability of intravenous medication labels to support safe medication delivery. International journal of industrial ergonomics. 2011;41(4):394-399. https://psnet.ahrq.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38385/psn-pdf
    February 04, 2009 - Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. February 4, 2009 Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. Int J Med Inform. 2008…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44023/psn-pdf
    November 16, 2015 - Impact of organizations on healthcare-associated infections. November 16, 2015 Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect. 2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012. https://psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infectio…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39900/psn-pdf
    October 06, 2010 - Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. October 6, 2010 Nerich V, Limat S, Demarchi M, et al. Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. Int J…

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