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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60623/psn-pdf
    June 24, 2020 - Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. June 24, 2020 Wickner PG, Hartley T, Salmasian H, et al. Communication with health care workers regarding health care- associated exposure to coronavirus 2019: a checklist to …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37480/psn-pdf
    January 23, 2008 - Lost opportunities: how physicians communicate about medical errors. January 23, 2008 Garbutt J, Waterman AD, Kapp JM, et al. Lost Opportunities: How Physicians Communicate About Medical Errors. Health Aff (Millwood). 2008;27(1):246-255. doi:10.1377/hlthaff.27.1.246. https://psnet.ahrq.gov/issue/lost-opportunities…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36457/psn-pdf
    May 27, 2011 - Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. May 27, 2011 Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order entry. J Am Med Inform Assoc. 2007;14(1):41-7.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60524/psn-pdf
    May 27, 2020 - Varying rates of patient identity verification when using computerized provider order entry. May 27, 2020 Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928. doi:10.1093/jamia/ocaa047. https:/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46009/psn-pdf
    September 13, 2017 - Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. September 13, 2017 Redley B, Raggatt M. Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. BMJ Qual Sa…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37655/psn-pdf
    September 24, 2010 - Reducing anticoagulant medication adverse events and avoidable patient harm. September 24, 2010 Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. https://psnet.ahrq.gov/issue/reducing-anticoagulant…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44127/psn-pdf
    September 28, 2017 - Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it? September 28, 2017 Gawande A. The New Yorker. May 2015 https://psnet.ahrq.gov/issue/overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and- financially-what The overuse…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36346/psn-pdf
    April 11, 2011 - Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. April 11, 2011 Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37849/psn-pdf
    March 23, 2011 - The incidence and nature of in-hospital adverse events: a systematic review. March 23, 2011 de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622. https://psnet.ahrq.gov/is…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37091/psn-pdf
    March 02, 2016 - The tension between needing to improve care and knowing how to do it. March 2, 2016 Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. https://psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34087/psn-pdf
    June 16, 2011 - Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. June 16, 2011 Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Qual Saf Health Care. 2003;12(6):405-10. https://ps…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36455/psn-pdf
    December 22, 2010 - Changing the work environment in ICUs to achieve patient-focused care: the time has come. December 22, 2010 McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006;130(5):1571-8. https://psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60017/psn-pdf
    March 04, 2020 - Changes in cancer detection and false-positive recall in mammography using artificial intelligence: a retrospective, multireader study. March 4, 2020 Kim H-E, Kim HH, Han B-K, et al. Changes in cancer detection and false-positive recall in mammography using artificial intelligence: a retrospective, multireader stu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836824/psn-pdf
    March 30, 2022 - Collaborative case review: a systems-based approach to patient safety event investigation and analysis. March 30, 2022 Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. J Patient Saf. 2022;18(2):e522-e527. doi:10.1097/pt…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42980/psn-pdf
    February 17, 2017 - Disclosing adverse events to patients: international norms and trends. February 17, 2017 Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107. https://psnet.ahrq.gov/issue/disclosing-adverse-event…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45651/psn-pdf
    November 16, 2016 - Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. November 16, 2016 Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35032/psn-pdf
    February 03, 2011 - Five years after 'To Err is Human': what have we learned? February 3, 2011 Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned Two of the leaders in the patient safety movement, Lucian …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44321/psn-pdf
    July 08, 2015 - Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. July 8, 2015 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. June 30, 2015. https://psnet.ahrq.gov/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35969/psn-pdf
    August 10, 2010 - Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. August 10, 2010 Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med. 2006;144(10):742-52. https://…

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