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  1. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide77.html
    October 01, 2014 - 77. For the Patient Who Has Recently Quit (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Addressing problems encountered by former smokers (Continued) Weight gain Recommend starting or increasing physical activity. Reassure the patient that…
  2. www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapd.html
    April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Appendix D. Vision and Mission Statements Sample vision and mission statements and objectives for patient advisory councils follow. Vision A safe, compassionate, innovative health care community that listens, learns, and responds colla…
  3. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-8.html
    July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Conclusion Previous Page Next Page Table of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction The Patient-Clinician Dyad…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50599/psn-pdf
    October 30, 2019 - Understanding the factors influencing doctors’ intentions to report patient safety concerns: a qualitative study. October 30, 2019 Rich A, Viney R, Griffin A. Understanding the factors influencing doctors' intentions to report patient safety concerns: a qualitative study. J R Soc Med. 2019;112(10):428-437. doi:10.1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47873/psn-pdf
    March 27, 2019 - Stand-alone artificial intelligence for breast cancer detection in mammography: comparison with 101 radiologists. March 27, 2019 Rodriguez-Ruiz A, Lång K, Gubern-Merida A, et al. Stand-Alone Artificial Intelligence for Breast Cancer Detection in Mammography: Comparison With 101 Radiologists. J Natl Cancer Inst. 20…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838029/psn-pdf
    September 07, 2022 - Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. September 7, 2022 ISMP Medication Safety Alert! Acute care edition! August 25, 2022:27(17)1-6. https://psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr- downtime Unanticipated…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60322/psn-pdf
    May 13, 2020 - Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. May 13, 2020 Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Qual Saf. 2020;29(10):869–872. doi:10.113…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45722/psn-pdf
    November 15, 2017 - Patient centred diagnosis: sharing diagnostic decisions with patients in clinical practice. November 15, 2017 Berger ZD, Brito JP, Ospina NS, et al. Patient centred diagnosis: sharing diagnostic decisions with patients in clinical practice. BMJ. 2017;359:j4218. doi:10.1136/bmj.j4218. https://psnet.ahrq.gov/issue/p…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72507/psn-pdf
    November 25, 2020 - In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. November 25, 2020 Sharara-Chami R, Sabouneh R, Zeineddine R, et al. In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. Simul Healthc. 2020;15(5):303-309. doi:10.1097/sih.0000000000000504. htt…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47424/psn-pdf
    November 21, 2018 - Creating a culture of accountability promotes safe medical care. November 21, 2018 Canadian Medical Protective Association; CMPA. https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47683/psn-pdf
    April 10, 2019 - Design of hospital errors and omissions activities that include patient-specific medication related problems. April 10, 2019 Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific medication related problems. Curr Pharm Teach Learn. 2019;11(1):66-75. doi:10.1016/j.cp…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47798/psn-pdf
    February 20, 2019 - Simulation safety first: an imperative. February 20, 2019 Raemer D, Hannenberg A, Mullen A. Simulation Safety First: An Imperative. Simul Healthc. 2018;13(6):373-375. doi:10.1097/SIH.0000000000000341. https://psnet.ahrq.gov/issue/simulation-safety-first-imperative Although simulation training heightens the learnin…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38727/psn-pdf
    November 25, 2009 - FMEA team performance in health care: a qualitative analysis of team member perceptions. November 25, 2009 Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be. https://psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859353/psn-pdf
    December 20, 2023 - Global State of Patient Safety 2023. December 20, 2023 Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023. https://psnet.ahrq.gov/issue/global-state-patient-safety-2023 Patient safety data can support learning health systems and worldwide improvement. This report discusses a set of in…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38172/psn-pdf
    October 29, 2008 - Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. October 29, 2008 McKay J, Bowie P, Murray L, et al. Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study.…
  16. 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…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861291/psn-pdf
    January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to keep people safe. January 24, 2024 Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40623/psn-pdf
    July 20, 2011 - Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. July 20, 2011 Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Soc Sci Med. 2011;73(2):217-25. doi:10.1016/j.socscime…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860391/psn-pdf
    January 10, 2024 - Neonatal near-miss audits: a systematic review and a call to action. January 10, 2024 Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. https://psnet.ahrq.gov/issue/neonatal-near-miss-audits-sys…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34861/psn-pdf
    November 11, 2015 - When things go wrong: how health care organizations deal with major failures. November 11, 2015 Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11. https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizati…