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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855436/psn-pdf
    November 15, 2023 - Medication Safety for Look-alike, Sound-alike Medicines. November 15, 2023 Galappatthy P, Mair A, Dhingra-Kumar N et al. Geneva, Switzerland: World Health Organization; 2023. ISBN 9789240058897. https://psnet.ahrq.gov/issue/medication-safety-look-alike-sound-alike-medicines Look-alike, sound-alike (LASA) medicines…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40118/psn-pdf
    January 05, 2011 - Hospital computerized provider order entry adoption and quality: an examination of the United States. January 5, 2011 Kazley AS, Diana ML. Hospital computerized provider order entry adoption and quality: an examination of the United States. Health Care Manage Rev. 2011;36(1):86-94. doi:10.1097/HMR.0b013e3181c8b1e5.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41546/psn-pdf
    December 29, 2014 - Using a logic model to design and evaluate quality and patient safety improvement programs. December 29, 2014 Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. doi:10.1093/intqhc/mzs029. https://…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44547/psn-pdf
    November 25, 2015 - Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. November 25, 2015 Samra R, Bottle A, Aylin PP. Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. BMJ Open. 2015;5(9):e008128. doi:10.1136/bmjopen-2015-008…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45181/psn-pdf
    June 22, 2016 - Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. June 22, 2016 Kristensen S, Christensen KB, Jaquet A, et al. Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. BMJ Open…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74722/psn-pdf
    February 02, 2022 - Preventing and mitigating radiology system failures: a guide to disaster planning. February 2, 2022 Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg.2021210083. https://psnet.ahrq.gov/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40101/psn-pdf
    January 17, 2012 - Lessons learned from implementation of a computerized application for pending tests at hospital discharge. January 17, 2012 Dalal A, Poon EG, Karson A, et al. Lessons learned from implementation of a computerized application for pending tests at hospital discharge. J Hosp Med. 2011;6(1):16-21. doi:10.1002/jhm.794. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46369/psn-pdf
    September 06, 2017 - Critical Issues in Food Allergy: A National Academies Consensus Report. September 6, 2017 Sicherer SH, Allen K, Lack G, et al. Critical Issues in Food Allergy: A National Academies Consensus Report. Pediatrics. 2017;140(2). doi:10.1542/peds.2017-0194. https://psnet.ahrq.gov/issue/critical-issues-food-allergy-natio…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845276/psn-pdf
    March 01, 2023 - Cognitive biases in surgery: systematic review. March 1, 2023 Armstrong BA, Dutescu IA, Tung A, et al. Cognitive biases in surgery: systematic review. Br J Surg. 2023;110(6):645-654. doi:10.1093/bjs/znad004. https://psnet.ahrq.gov/issue/cognitive-biases-surgery-systematic-review Cognitive biases are a known source…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39614/psn-pdf
    June 18, 2021 - Preventing violence in the health care setting. June 18, 2021 Preventing violence in the health care setting. Sentinel Event Alert. 2010;(45):1-3. https://psnet.ahrq.gov/issue/preventing-violence-health-care-setting Revised June 2021. The Joint Commission issues sentinel event alerts to highlight areas of high risk…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41228/psn-pdf
    August 02, 2012 - Identifying the latent failures underpinning medication administration errors: an exploratory study. August 2, 2012 Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012;47(4):1437-1459. doi:10.1111/j.1475…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45826/psn-pdf
    January 18, 2017 - Ensuring staff safety when treating potentially violent patients. January 18, 2017 Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA. 2016;316(24):2669-2670. doi:10.1001/jama.2016.18260. https://psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46564/psn-pdf
    December 06, 2017 - Can the aviation industry be useful in teaching oncology about safety? December 6, 2017 Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol (R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007. https://psnet.ahrq.gov/issue/can-aviation-industry-be…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46710/psn-pdf
    January 30, 2018 - Bias in radiology: the how and why of misses and misinterpretations. January 30, 2018 Busby LP, Courtier JL, Glastonbury CM. Bias in Radiology: The How and Why of Misses and Misinterpretations. Radiographics. 2018;38(1):236-247. doi:10.1148/rg.2018170107. https://psnet.ahrq.gov/issue/bias-radiology-how-and-why-mis…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48075/psn-pdf
    June 19, 2019 - A mismatch made in America. June 19, 2019 Butcher L. Managed Care. June 2019;28:37-39. https://psnet.ahrq.gov/issue/mismatch-made-america Inconsistent patient name entry practices in electronic health records can contribute to wrong-patient errors. This magazine article reports on the complex nature of addressing …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37307/psn-pdf
    January 04, 2012 - Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. January 4, 2012 Wahls TL. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. J Ambul Care Manage. 2007;30(4):338-343. https://psn…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39136/psn-pdf
    November 25, 2009 - We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare. November 25, 2009 Fischbacher-Smith D, Fischbacher-Smith M. WE MAY REMEMBER BUT WHAT DID WE LEARN? DEALING WITH ERRORS, CRIMES AND MISDEMEANOURS AROUND ADVERSE EVENTS IN HEALTHCARE. Financial …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40278/psn-pdf
    March 09, 2011 - Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000–2009. March 9, 2011 Harrington L, Kennerly DA, Johnson C. Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000-2009. J Healthc Manag. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837516/psn-pdf
    June 22, 2022 - Fostering ethical conduct through psychological safety. June 22, 2022 Ferrere A, Rider C, Renerte B et al. Sloan Manag Rev. Summer 2022;39-43. https://psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety A baseline expectation in a safe organization is that employees feel comfortable and supp…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43410/psn-pdf
    August 20, 2014 - Antibiotic prescribing practice in residential aged care facilities—health care providers' perspectives. August 20, 2014 Lim CJ, Kwong MW-L, Stuart RL, et al. Antibiotic prescribing practice in residential aged care facilities-- health care providers' perspectives. Med J Aust. 2014;201(2):98-102. https://psnet.ahr…

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