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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72751/psn-pdf
    February 17, 2021 - The critical need for nursing education to address the diagnostic process. February 17, 2021 Gleason KT, Harkless G, Stanley J, et al. The critical need for nursing education to address the diagnostic process. Nurs Outlook. 2021;69(3):362-369. doi:10.1016/j.outlook.2020.12.005. https://psnet.ahrq.gov/issue/critica…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46349/psn-pdf
    August 16, 2017 - Health Literacy Tools for Providers of Medication Therapy Management. August 16, 2017 Rockville, MD: Agency for Healthcare Research and Quality; July 2017. https://psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management Health literacy is important for effective care communications and s…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850343/psn-pdf
    December 12, 2023 - Challenge Competition: Impact of Patient Safety Tools. December 12, 2023 Rockville, MD: Agency for Healthcare Research and Quality; 2023. https://psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools The Agency for Healthcare Research and Quality (AHRQ) offers many practical tools and resource…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61073/psn-pdf
    October 28, 2020 - Doctors' unconscious bias affects quality of health care services, research shows. October 28, 2020 Dembosky A. All Things Considered. National Public Radio. October 15, 2020. https://psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows Physician implicit bias is g…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47128/psn-pdf
    October 13, 2018 - Matt's story: learning from heartbreak. October 13, 2018 Miller K, Dastoli A. Matt's story: learning from heartbreak. Int J Qual Health Care. 2018;30(8):654-657. doi:10.1093/intqhc/mzy076. https://psnet.ahrq.gov/issue/matts-story-learning-heartbreak Medical error affects the lives of patients, families, and member…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45633/psn-pdf
    December 21, 2016 - Lost in translation: medication labeling for immigrant families. December 21, 2016 Smith MCJ, Yin S, Sanders LM. Lost in translation: Medication labeling for immigrant families. J Am Pharm Assoc (2003). 2016;56(6):677-679. doi:10.1016/j.japh.2016.07.002. https://psnet.ahrq.gov/issue/lost-translation-medication-lab…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41685/psn-pdf
    July 02, 2014 - Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. July 2, 2014 Bump GM, Bost JE, Buranosky R, et al. Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. Acad Med. 2012;87(8):1125-31. doi:10.1097/ACM.0b013e31825d1215. http…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45853/psn-pdf
    April 24, 2018 - Rudeness and medical team performance. April 24, 2018 Riskin A, Erez A, Foulk T, et al. Rudeness and Medical Team Performance. Pediatrics. 2017;139(2):e20162305. doi:10.1542/peds.2016-2305. https://psnet.ahrq.gov/issue/rudeness-and-medical-team-performance Disruptive and rude behavior by clinicians can hinder team…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866358/psn-pdf
    July 24, 2024 - To improve health care, focus on fixing systems — not people. July 24, 2024 Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people. Harvard Business Review. July 12, 2024; https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people While a focus on the…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836833/psn-pdf
    March 30, 2022 - As a nurse faces prison for a deadly error, her colleagues worry: could I be next? March 30, 2022 Kelman B. Kaiser Health News. March 22, 2022 https://psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next Criminalization of medical mistakes typifies the blame-focused approach pa…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42660/psn-pdf
    October 16, 2013 - Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. October 16, 2013 Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. Acad…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73539/psn-pdf
    July 28, 2021 - Developing critical thinking skills for delivering optimal care July 28, 2021 Scott IA, Hubbard RE, Crock C, et al. Developing critical thinking skills for delivering optimal care. Intern Med J. 2021;51(4):488-493. doi:10.1111/imj.15272. https://psnet.ahrq.gov/issue/developing-critical-thinking-skills-delivering-o…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60875/psn-pdf
    September 02, 2020 - Understanding context specificity: the effect of contextual factors on clinical reasoning. September 2, 2020 Konopasky A, Artino AR, Battista A, et al. Understanding context specificity: the effect of contextual factors on clinical reasoning. Diagnosis (Berl). 2020;79(3):257-264. doi:10.1515/dx-2020-0016. https://…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46927/psn-pdf
    April 04, 2018 - Clinician Well-Being Knowledge Hub. April 4, 2018 Washington, DC: National Academy of Medicine. https://psnet.ahrq.gov/issue/clinician-well-being-knowledge-hub Clinician burnout can detract from individual wellness, patient safety, and organizational health. This website serves as a companion to a collaborative ef…
  15. 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 …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844556/psn-pdf
    February 15, 2023 - Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. February 15, 2023 Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcare Improvement; 2022. https://psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults T…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37422/psn-pdf
    March 23, 2011 - Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. March 23, 2011 Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. Qual S…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42872/psn-pdf
    December 30, 2014 - Errors in after-hours phone consultations: a simulation study. December 30, 2014 Joffe E, Turley JP, Hwang KO, et al. Errors in after-hours phone consultations: a simulation study. BMJ Qual Saf. 2014;23(5):398-405. doi:10.1136/bmjqs-2013-002243. https://psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-s…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46199/psn-pdf
    September 27, 2017 - The development and implementation of checklists in obstetrics. September 27, 2017 Medicine S for M-F, Bernstein PS, Combs A, et al. The development and implementation of checklists in obstetrics. Am J Obstet Gynecol. 2017;217(2):B2-B6. doi:10.1016/j.ajog.2017.05.032. https://psnet.ahrq.gov/issue/development-and-i…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35383/psn-pdf
    January 02, 2017 - North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. January 2, 2017 Murphree J, Englert J, Koch K, et al. North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. Jt Comm J Qual Patient Saf. 2005;31(10):545-53. https://p…

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