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  1. psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
    September 22, 2021 - EMERGING INNOVATIONS Implicit bias and patient care: mitigating bias, preventing harm. Citation Text: Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm. MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343. Copy Citation …
  2. psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review
    May 18, 2022 - Study Patient safety and telephone medicine: some lessons from closed claim case review. Citation Text: Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48055/psn-pdf
    June 26, 2019 - Prevention of opioid overdose. June 26, 2019 Babu KM, Brent J, Juurlink DN. Prevention of opioid overdose.  N Engl J Med. 2019;380(23):2246-2255. doi:10.1056/NEJMra1807054. https://psnet.ahrq.gov/issue/prevention-opioid-overdose Reducing patient harm associated with the use of opioids to manage pain is a patient s…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72511/psn-pdf
    November 25, 2020 - Hospital Preparedness for a COVID-19 Surge: Assessment Tool. November 25, 2020 Boston, MA:  Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool Hospital crisis management, preparation, and planning are of heightened interest due to the …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73638/psn-pdf
    August 25, 2021 - The pain was unbearable. So why did doctors turn her away? August 25, 2021 Szalavitz M. Wired Magazine. August 11, 2021.  https://psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away The opioid epidemic has contributed to uncertainties for pain management patients that result in harm…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40105/psn-pdf
    December 22, 2010 - Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. December 22, 2010 Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. Pediatr Emerg Ca…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60999/psn-pdf
    October 07, 2020 - Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Directions. October 7, 2020 Geneva, Switzerland; World Health Organization: September 2020. ISBN 9789240010789. https://psnet.ahrq.gov/issue/global-report-epidemiology-and-burden-sepsis-current-evidence-identifying…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74244/psn-pdf
    May 30, 2019 - Racial and ethnic differences in the experience and treatment of noncancer pain. May 30, 2019 Meints SM, Cortes A, Morais CA, et al. Racial and ethnic differences in the experience and treatment of noncancer pain. Pain Manag. 2019;9(3):317-334. doi:10.2217/pmt-2018-0030. https://psnet.ahrq.gov/issue/racial-and-eth…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35786/psn-pdf
    May 07, 2007 - When Things Go Wrong: Responding to Adverse Events. May 7, 2007 Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006. https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events This consensus paper of the Harvard-affiliated hospitals was prepared by clinicians, risk manage…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43786/psn-pdf
    December 17, 2014 - Aviation tools to improve patient safety. December 17, 2014 Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10. doi:10.1016/j.jopan.2014.09.004. https://psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety The aviation industry offers insights and tools applicable to error…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46963/psn-pdf
    April 18, 2018 - A Just Culture Guide. April 18, 2018 NHS Improvement. London, UK: National Health Service; March 15, 2018. https://psnet.ahrq.gov/issue/just-culture-guide Although focusing on system failure has been highlighted as key to improving patient safety, individual behaviors must also be recognized as contributors to ris…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42095/psn-pdf
    April 09, 2013 - Six things every plastic surgeon needs to know about teamwork training and checklists. April 9, 2013 Harden SW. Six things every plastic surgeon needs to know about teamwork training and checklists. Aesthet Surg J. 2013;33(3):443-8. doi:10.1177/1090820X13477417. https://psnet.ahrq.gov/issue/six-things-every-plasti…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41318/psn-pdf
    April 25, 2012 - Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. April 25, 2012 Dodek P, Wong H, Jaswal D, et al. Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38416/psn-pdf
    February 18, 2009 - Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. February 18, 2009 Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test …
  15. psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
    July 10, 2024 - In Conversation With… Charles Vincent, MPhil, PhD June 1, 2012  Citation Text: In Conversation With… Charles Vincent, MPhil, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Ci…
  16. psnet.ahrq.gov/web-mm/watch-warfarin
    December 01, 2013 - SPOTLIGHT CASE Watch the Warfarin! Citation Text: Khanna R, Fang MC. Watch the Warfarin!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNot…
  17. psnet.ahrq.gov/web-mm/discharging-our-responsibility
    January 16, 2019 - Discharging Our Responsibility Citation Text: Fonarow GC. Discharging Our Responsibility. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49672/psn-pdf
    January 01, 2013 - The Lung Nodule That Refused To Grow December 1, 2012 Balekian AA, Gould MK. The Lung Nodule That Refused To Grow. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/lung-nodule-refused-grow Case Objectives Define a solitary pulmonary nodule. Identify the different initial first steps of management. Identify …
  19. psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
    January 01, 2024 - The Different Count Contributions to Retention Differential Count Contributions in Retained Surgical Sponge Cases: Examination of Administrative Penalty Cases from the California Department of Public Health (CDPH), Health and Safety Code Section 1280.1 Enforcement Reports from 2007-2014 A NoThing Left Behin…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73300/psn-pdf
    July 01, 2022 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care May 26, 2021 https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care Summary The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge needs,…

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