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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40932/psn-pdf
    July 05, 2016 - Health IT and Patient Safety: Building Safer Systems for Better Care. July 5, 2016 Committee on Patient Safety and Health Information Technology, Board on Health Care Services, Institute of Medicine. Washington, DC: National Academies Press; 2011. ISBN: 9780309221122. https://psnet.ahrq.gov/issue/health-it-and-pat…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33814/psn-pdf
    September 01, 2016 - In Conversation With… Reed V. Tuckson, MD September 1, 2016 In Conversation With… Reed V. Tuckson, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md Editor's note: Dr. Tuckson is Managing Director of Tuckson Health Connections, LLC, and President of the American Telemed…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852808/psn-pdf
    August 30, 2023 - Prolonged DKA in Pregnancy: A Case of Communication Breakdown. August 30, 2023 Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown Disclosure of Relevant Financial Relationship…
  4. psnet.ahrq.gov/print/pdf/node/866984
    January 01, 2020 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Interdisciplinary teamwork Curated Library Foundations Medical teamwork and the evolution of safety science: a critical review. Neuhaus C, Lutnæs DE, Bergström J. Cogn Technol Work. 2020;22:13-27. In this narrative review, the authors contr…
  5. psnet.ahrq.gov/toolkits
    March 01, 2025 - Toolkits Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols. Want to submit a Toolkit? Has your organization deve…
  6. psnet.ahrq.gov/continuing-education
    February 26, 2025 - Continuing Education What is PSNet Continuing Education? PSNet Continuing Education offerings include WebM&M Spotlight Cases and Commentaries, which are certified for Continuing Medical Education/Continuing Education Units (CME/CEU) and Maintenance of Certification (MOC) credit through the University of Calif…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863650/psn-pdf
    February 28, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback February 28, 2024 https://psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking- and-performance Summary To improve patient care and outcomes in the intensive care unit (ICU…
  8. psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
    May 16, 2022 - Wrong Catheter in the Right Patient Citation Text: Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…
  9. psnet.ahrq.gov/web-mm/customer-always-right
    January 22, 2014 - SPOTLIGHT CASE The "Customer" Is Always Right Citation Text: Sehgal NL. The "Customer" Is Always Right. 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…
  10. psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
    February 01, 2012 - Balancing Supervision and Autonomy: An Ongoing Tension C. Jessica Dine, MD, MA; and Jennifer S. Myers, MD | February 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Dine JC, Myers JS. Balancing Supervision and Autonomy:…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45207/psn-pdf
    August 17, 2016 - Unit-based incident reporting and root cause analysis: variation at three hospital unit types. August 17, 2016 Wagner C, Merten H, Zwaan L, et al. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. BMJ Open. 2016;6(6):e011277. doi:10.1136/bmjopen-2016-011277. https://psn…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46471/psn-pdf
    March 20, 2018 - Diagnostic errors in primary care pediatrics: Project RedDE. March 20, 2018 Rinke ML, Singh H, Heo M, et al. Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad Peds. 2018;18(2):220-227. doi:10.1016/j.acap.2017.08.005. https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-red…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46454/psn-pdf
    August 20, 2018 - First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. August 20, 2018 Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISBN 9781947103108. https://psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic M…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854986/psn-pdf
    November 01, 2023 - Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report. November 1, 2023 Dorimain M-V, Plouffe-Malette M, Paquette M, et al. Implementing a safer and more reliable system to monitor test re…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44766/psn-pdf
    January 23, 2017 - Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. January 23, 2017 Carlile N, Rhatigan JJ, Bates DW. Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. BMJ Qual Saf. 2017;26(1):24-29. do…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34766/psn-pdf
    March 05, 2013 - Making Health Care Safer: A Critical Analysis of Patient Safety Practices. March 5, 2013 Shojania KG, Duncan BW, McDonald KM, et al, eds. Rockville, MD: Agency for Healthcare Research and Quality; July 2001. AHRQ Publication No. 01-E058. https://psnet.ahrq.gov/issue/making-health-care-safer-critical-analysis-patie…
  17. psnet.ahrq.gov/issue/organisational-crisis-resource-management-leading-academic-department-emergency-medicine
    September 29, 2021 - Commentary Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. Citation Text: Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine t…
  18. psnet.ahrq.gov/issue/national-costs-medical-liability-system
    May 20, 2015 - Study Classic National costs of the medical liability system. Citation Text: Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807. Copy Citation F…
  19. psnet.ahrq.gov/issue/patient-safety-indicators-england-hospital-administrative-data-case-control-analysis-and
    June 15, 2011 - Study Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. Citation Text: Raleigh VS, Cooper J, Bremner SA, et al. Patient safety indicators for England from hospital administrative data: case-control analysis and c…
  20. psnet.ahrq.gov/issue/accuracy-pediatric-trauma-field-triage-systematic-review
    November 04, 2020 - Review Accuracy of pediatric trauma field triage: a systematic review. Citation Text: van der Sluijs R, van Rein EAJ, Wijnand JGJ, et al. Accuracy of Pediatric Trauma Field Triage: A Systematic Review. JAMA Surg. 2018;153(7):671-676. doi:10.1001/jamasurg.2018.1050. Copy Citation Fo…

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