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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847553/psn-pdf
    April 12, 2023 - Listening, Learning, Responding to Concerns. April 12, 2023 Newcastle Upon Tyne, UK: Care Quality Commission; March 2023. https://psnet.ahrq.gov/issue/listening-learning-responding-concerns The ability to raise patient safety concerns without fear of retribution is a core element of a safety culture. This pair of …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44259/psn-pdf
    April 01, 2024 - Training Program for Nurses on Shift Work and Long Work Hours. April 1, 2024 Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and He…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72626/psn-pdf
    January 13, 2021 - Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. January 13, 2021 Friebe MP, LeGrand JR, Shepherd BE, et al. Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. Appl Clin Inform. 2020;11(5)…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46147/psn-pdf
    August 08, 2018 - A Department of Medicine infrastructure for patient safety and clinical quality improvement. August 8, 2018 Mathews SC, Pronovost P, Biddison LD, et al. A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement. Am J Med Qual. 2018;33(4):413-419. doi:10.1177/1062860617743324. http…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866171/psn-pdf
    June 19, 2024 - Keeping Children and Young People with Mental Health Needs Safe: the Design of the Paediatric Ward. June 19, 2024 Dorset, UK: Health Services Safety Investigations Body; May 2024 https://psnet.ahrq.gov/issue/keeping-children-and-young-people-mental-health-needs-safe-design- paediatric-ward Acute mental health car…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73964/psn-pdf
    October 13, 2021 - Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions. October 13, 2021 Montaleytang M, Correard F, Spiteri C, et al. Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions. Int J Clin Pharm. 2021;43…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43598/psn-pdf
    October 08, 2014 - Clinical faculty: taking the lead in teaching quality improvement and patient safety. October 8, 2014 Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j.ajog.2014.05.043. https://psnet.ahrq…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43498/psn-pdf
    October 06, 2016 - Creating a distraction simulation for safe medication administration. October 6, 2016 Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004. https://psnet.ahrq.gov/issue/creating-distraction-simulation-safe…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46289/psn-pdf
    January 01, 2021 - Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. August 9, 2017 Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washington State Hospitals. J Patient …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837865/psn-pdf
    August 17, 2022 - Hospitals will still have to share safety data publicly—CMS will publish scorecard of avoidable patient harm after all. August 17, 2022 Clark C. MedPage Today. August 4.  https://psnet.ahrq.gov/issue/hospitals-will-still-have-share-safety-data-publicly-cms-will-publish-scorecard- avoidable Consistent policy…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45034/psn-pdf
    February 25, 2019 - Future directions for diagnostic decision support. February 25, 2019 Carr S. ImproveDx. April 2016;3:1-3. https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic accuracy. This newsletter article …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48035/psn-pdf
    May 29, 2019 - Is the future of medical diagnosis in computer algorithms? May 29, 2019 Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15- e16. doi:10.1016/s2589-7500(19)30011-1. https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms Artificial intelligence…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47237/psn-pdf
    January 01, 2020 - First-year analysis of the Operating Room Black Box study. July 25, 2018 Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863. https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study An…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866690/psn-pdf
    September 11, 2024 - The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review. September 11, 2024 Chance EA, Florence D, Sardi Abdoul I. The effectiveness of checklists and error reporting systems in enhancing patient safety and reducin…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50656/psn-pdf
    November 13, 2019 - Whistleblowing over patient safety and care quality: a review of the literature. November 13, 2019 Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review of the literature. J Health Org Manag. 2019;33(6):737-756. doi:10.1108/JHOM-12-2018-0363. https://psnet.ahrq.g…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34724/psn-pdf
    May 27, 2011 - From patients to politicians: a cognitive engineering view of patient safety. May 27, 2011 Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4. https://psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety V…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35417/psn-pdf
    February 15, 2010 - Errors in laboratory medicine: practical lessons to improve patient safety. February 15, 2010 Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patie…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50776/psn-pdf
    January 08, 2020 - Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study. January 8, 2020 Carayon P, Hoonakker P, Hundt AS, et al. Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50904/psn-pdf
    February 19, 2020 - The harms of promoting 'Zero Harm'. February 19, 2020 Thomas EJ. The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019- 009703. https://psnet.ahrq.gov/issue/harms-promoting-zero-harm Achieving “zero harm” has been advocated as a patient safety goal. This editorial proposes that t…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855431/psn-pdf
    January 01, 2024 - The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. November 15, 2023 Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum. 2024;37(4):196-201. doi:10.1177/0…