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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855091/psn-pdf
    November 08, 2023 - Handoff tool improves transitions from the operating room to the neonatal intensive care unit. November 8, 2023 Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695. doi:10.1097/pq9.000000000000069…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41322/psn-pdf
    November 27, 2012 - Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters. November 27, 2012 Flores G, Abreu M, Barone CP, et al. Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad ho…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45436/psn-pdf
    August 31, 2016 - Improving the communication between teams managing boarded patients on a surgical specialty ward. August 31, 2016 Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:10.1136/bmjquality.u209186.w3750. http…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850173/psn-pdf
    June 07, 2023 - A national safety board made transportation safer and could do the same for health care, advocates say. June 7, 2023 Jaklevic MC. CNN. May 30, 2023. https://psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health- care-advocates-say Patient safety has long drawn from aviation…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35297/psn-pdf
    February 10, 2011 - A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital. February 10, 2011 Raschke RA, Gollihare B, Wunderlich TA, et al. A Computer Alert System to Prevent Injury From Adverse Drug Events. JAMA. 2003;280(15). doi:10.1001/jama.280.15.1317. ht…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45108/psn-pdf
    October 11, 2017 - IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. October 11, 2017 Caron A, Chazard E, Muller J, et al. IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. J Am Med Inform Assoc. 2017;24(2):323-330. do…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45123/psn-pdf
    May 07, 2018 - Hardwiring safety into the computer system: one hospital's actions to provide technology support for U- 500 insulin. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4. https://psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology- support-u-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73165/psn-pdf
    April 21, 2021 - Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. April 21, 2021 Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. J Amer Med Inform Assoc. 2020;28(…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73166/psn-pdf
    April 21, 2021 - Trust and medical AI: the challenges we face and the expertise needed to overcome them. April 21, 2021 Quinn TP, Senadeera M, Jacobs S, et al. Trust and medical AI: the challenges we face and the expertise needed to overcome them. J Amer Med Inform Assoc. 2021;28(4):890-894. doi:10.1093/jamia/ocaa268. https://psne…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847539/psn-pdf
    April 12, 2023 - Potential uses of AI for perioperative nursing handoffs: a qualitative study. April 12, 2023 King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative study. JAMIA Open. 2023;6(1):ooaf015. doi:10.1093/jamiaopen/ooad015. https://psnet.ahrq.gov/issue/potential-uses-ai-perio…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851065/psn-pdf
    June 28, 2023 - Patient safety of perioperative medication through the lens of digital health and artificial intelligence. June 28, 2023 Ye J. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Periop Med. 2023;6:e34453. doi:10.2196/34453. https://psnet.ahrq.gov/issue/p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36476/psn-pdf
    December 14, 2009 - 10 Patient Safety Tips for Hospitals. December 14, 2009 Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10- M008. https://psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46589/psn-pdf
    April 12, 2019 - Patient perceptions of receiving test results via online portals: a mixed-methods study. April 12, 2019 Giardina TD, Baldwin J, Nystrom DT, et al. Patient perceptions of receiving test results via online portals: a mixed-methods study. J Am Med Inform Assoc. 2018;25(4):440-446. doi:10.1093/jamia/ocx140. https://ps…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45505/psn-pdf
    July 01, 2017 - A model for the departmental quality management infrastructure within an academic health system. July 1, 2017 Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613. doi:10.1097/ACM.0000000000001380. htt…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44134/psn-pdf
    November 06, 2015 - Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. November 6, 2015 Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Br J Cancer. 2015;112 Suppl 1:S…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73700/psn-pdf
    September 15, 2021 - Preliminary study of patient safety and quality use cases for ICD-11 MMS. September 15, 2021 Fenton SH, Giannangelo KL, Stanfill MH. Preliminary study of patient safety and quality use cases for ICD- 11 MMS. J Am Med Inform Assoc. 2021;28(11):2346-2353. doi:10.1093/jamia/ocab163. https://psnet.ahrq.gov/issue/preli…
  17. psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
    May 16, 2022 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital Citation Text: Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
  18. psnet.ahrq.gov/web-mm/suicidal-man-gun
    May 01, 2005 - Suicidal Man With Gun Citation Text: Simon RI. Suicidal Man With Gun. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33691/psn-pdf
    December 01, 2009 - How to Identify and Manage Problem Behaviors December 1, 2009 Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors Perspective The 1999 Institute of Medicine report highlighted the need for heal…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49495/psn-pdf
    December 01, 2005 - Low on the Totem Pole December 1, 2005 Wachter R. Low on the Totem Pole. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/low-totem-pole Case Objectives Understand the concept of authority gradient List steps that can be taken to increase communication across an authority gradient Consider the current cultu…

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