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5381. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860397/psn-pdf
      January 10, 2024 - MRI safety: prepare for new guidance. January 10, 2024 Gilk T. Appl Radiol. 2023;52(6):24-26. https://psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance Magnetic resonance imaging (MRI) services carry with them unique safety considerations in both hospital and ambulatory scanning environments. This article …

5382. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45052/psn-pdf
      June 08, 2016 - Mean girls of the ER: the alarming nurse culture of bullying and hazing. June 8, 2016 Robbins A. Good Housekeeping. May 20, 2016. https://psnet.ahrq.gov/issue/mean-girls-er-alarming-nurse-culture-bullying-and-hazing Disruptive behaviors are receiving increased attention as a cultural factor that contributes to med…

5383. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40681/psn-pdf
      March 19, 2012 - Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study. March 19, 2012 Stevenson JE, Nilsson G. Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study. J Adv Nurs. 2012;68(3):667-76. doi:10.1111/j.1365-2648.2011.…

5384. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44863/psn-pdf
      July 01, 2016 - Rating the raters: the inconsistent quality of health care performance measurement. July 1, 2016 Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.0000000000001631. https://psnet.ahrq.gov/is…

5385. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47684/psn-pdf
      March 20, 2019 - The impact of mobile technology on teamwork and communication in hospitals: a systematic review. March 20, 2019 Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in hospitals: a systematic review. J Am Med Inform Assoc. 2019;26(4):339-355. doi:10.1093/jamia/ocy175. …

5386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47855/psn-pdf
      June 19, 2019 - Medication Overload: America's Other Drug Problem. June 19, 2019 Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019. https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem Overprescribing is a common problem that contributes to patient harm. This report examines financial, clinical, an…

5387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34750/psn-pdf
      May 21, 2019 - The Basics of FMEA. 2nd ed. May 21, 2019 McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773. https://psnet.ahrq.gov/issue/basics-fmea-2nd-edition The authors provide a handbook that serves as the core tool for understanding and implementing the failure mode and effect analy…

5388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42514/psn-pdf
      January 07, 2015 - A typology of electronic health record workarounds in small-to-medium size primary care practices. January 7, 2015 Friedman A, Crosson JC, Howard J, et al. A typology of electronic health record workarounds in small-to- medium size primary care practices. J Am Med Inform Assoc. 2014;21(e1):e78-83. doi:10.1136/amiaj…

5389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866169/psn-pdf
      June 19, 2024 - Safe and equitable pediatric clinical use of AI. June 19, 2024 Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr. 2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897. https://psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai Accepting shared res…

5390. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46326/psn-pdf
      October 18, 2017 - Surgical Patient Safety: A Case-Based Approach. October 18, 2017 Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631. https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach Surgical residency can be a stressful learning experience. This textbook provides an introd…

5391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44074/psn-pdf
      November 16, 2015 - Investigating Clinical Incidents in the NHS. November 16, 2015 Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886. https://psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs Applying evidence ge…

5392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36242/psn-pdf
      March 06, 2019 - Your attention please... designing effective warnings. March 6, 2019 ISMP Medication Safety Alert! Acute care edition. February 28, 2019. https://psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings Medication warnings inform providers and patients about risks associated with medication use. As w…

5393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44396/psn-pdf
      January 22, 2016 - Bedside shift-to-shift handoffs: a systematic review of the literature. January 22, 2016 Mardis T, Mardis M, Davis JJ, et al. Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature. J Nurs Care Qual. 2016;31(1):54-60. doi:10.1097/NCQ.0000000000000142. https://psnet.ahrq.gov/issue/bedside-shift-shif…

5394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43889/psn-pdf
      February 11, 2015 - Data as a catalyst for change: stories from the frontlines. February 11, 2015 Siegal D, Ruoff G. Data as a catalyst for change: stories from the frontlines. J Healthc Risk Manag. 2015;34(3):18-25. doi:10.1002/jhrm.21161. https://psnet.ahrq.gov/issue/data-catalyst-change-stories-frontlines Analysis of malpractice c…

5395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37570/psn-pdf
      February 27, 2008 - Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. February 27, 2008 Witherington EMA, Pirzada OM, Avery A. Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. Qual Saf Health Care. 2008;17(1):71-5. doi:1…

5396. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44389/psn-pdf
      August 19, 2015 - A method of addressing proprietary name similarity for US prescription drugs. August 19, 2015 Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331. https://psnet.ahrq.gov/issue/method-addressing-propri…

5397. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44327/psn-pdf
      August 26, 2015 - Safely Home: What Happens When People Leave Hospital Care Settings? August 26, 2015 London, UK: Healthwatch England; July 2015. https://psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings Discharges are vulnerable periods for patients, often due to miscommunication, delays, and l…

5398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40085/psn-pdf
      December 15, 2010 - Medication reconciliation in the emergency department: opportunities for workflow redesign. December 15, 2010 Hummel J, Evans PC, Lee H. Medication reconciliation in the emergency department: opportunities for workflow redesign. Qual Saf Health Care. 2010;19(6):531-5. doi:10.1136/qshc.2009.035121. https://psnet.ah…

5399. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42556/psn-pdf
      August 28, 2013 - Findings and Lessons From the Improving Quality Through Clinician Use of Health IT Grant Initiative. August 28, 2013 Rockville, MD: Agency for Healthcare Research and Quality. May 2013. AHRQ Publication No 13-0042-EF. https://psnet.ahrq.gov/issue/findings-and-lessons-improving-quality-through-clinician-use-health-i…

5400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43882/psn-pdf
      February 18, 2015 - Case Studies in Patient Safety: Foundations for Core Competencies. February 18, 2015 Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN: 9781449681548. https://psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies Patient stories can help illustrate…