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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42871/psn-pdf
    September 13, 2016 - Diagnosis. September 13, 2016 Graber ML, Plebani M, eds. Berlin, Germany: Society to Improve Diagnosis in Medicine and DeGruyter. ISSN: 2194-802X. https://psnet.ahrq.gov/issue/diagnosis This journal offers multidisciplinary research and commentary covering such topics as diagnostic error, clinical reasoning, and …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39343/psn-pdf
    March 03, 2010 - Maalox Total Relief and Maalox Liquid Products: Medication Use Errors. March 3, 2010 MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; February 17, 2010. https://psnet.ahrq.gov/issue/maalox-total-relief-and-maalox-liquid-products-medication-use-errors This announcement alerts consumers and hea…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40815/psn-pdf
    September 28, 2011 - Program encourages reporting accidents waiting to happen: the Good Catch Awards. September 28, 2011 Minnesota Hospital Association. https://psnet.ahrq.gov/issue/program-encourages-reporting-accidents-waiting-happen-good-catch-awards This news article highlights a program at Johns Hopkins Medicine that engages clin…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37435/psn-pdf
    December 18, 2017 - Patient safety in the pediatric emergency care setting. December 18, 2017 Medicine AMERICANACADEMYOFPEDIATRICSC on PE, Krug SE, Frush K. Patient safety in the pediatric emergency care setting. Pediatrics. 2007;120(6):1367-1375. https://psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-care-setting This polic…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42148/psn-pdf
    March 27, 2013 - Healing the hospital hierarchy. March 27, 2013 Brown T. New York Times. March 17, 2013:SR5. https://psnet.ahrq.gov/issue/healing-hospital-hierarchy This newspaper article relates a nursing perspective on how authority gradients and disruptive behavior can influence health care delivery and patient safety. https:/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37766/psn-pdf
    October 22, 2013 - Diagnostic Error: Is Overconfidence the Problem. October 22, 2013 Graber ML, Berner ES, eds. Amer J Med. 2008;121(5 Suppl):S1-S46.     https://psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem This issue supplement focuses on diagnostic errors and diagnostic decision making, how physician over…
  7. www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
    January 01, 2024 - Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant Final Report Re-engineering the Hospital Discharge for Patient Safety Safe Practices Implementation Challenge Grant Dates of Project: 09/30/03-09/29/04 Federal Project Officer: Deborah Que…
  8. www.uspreventiveservicestaskforce.org/home/getfilebytoken/SUHq3jffCaucDobFXKewQ_
    February 01, 2013 - Behavioral Interventions and Counseling to Prevent Child Abuse and Neglect: A Systematic Review to Update the USPSTF Recommendation Behavioral Interventions and Counseling to Prevent Child Abuse and Neglect: A Systematic Review to Update the U.S. Preventive Services Task Force Recommendation Shelley S. Selph, MD; Chr…
  9. www.uspreventiveservicestaskforce.org/home/getfilebytoken/6L2obA88s86MoZDbWtMPTU
    December 01, 2011 - Vitamin D With or Without Calcium Supplementation for Prevention of Cancer and Fractures: An Updated Meta-analysis for the U.S. Preventive Services Task Force Vitamin D With or Without Calcium Supplementation for Prevention of Cancer and Fractures: An Updated Meta-analysis for the U.S. Preventive Services Task Force …
  10. effectivehealthcare.ahrq.gov/health-topics/opioid-abuse-and-addiction
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35967/psn-pdf
    January 02, 2017 - Physician perception of hospital safety and barriers to incident reporting. January 2, 2017 Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt Comm J Qual Patient Saf. 2006;32(6):337-43. https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-ba…
  12. www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/interview-protocol-pcip-staff-ny.html
    March 01, 2021 - EvidenceNOW: Interview Protocol - Practice Staff (PCIP) New York City Cooperative Resource: Staff (PCIP) Qualitative Interview Guide (PDF, 114.8 KB, 3 pages) This interview protocol was used by an EvidenceNOW Cooperative to interview staff from participating practices. Domains include: external context/e…
  13. www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/interview-protocol-staff-ny.html
    March 01, 2021 - EvidenceNOW: Interview Protocol - Practice Staff (CHCANYS) New York City Cooperative Resource: Staff (CHCANYS) Qualitative Interview Guide (PDF, 127.6 KB, 5 pages) This interview protocol was used by an EvidenceNOW Cooperative's staff to interview staff from participating practices. Domains include: exte…
  14. www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/interview-protocol-qi-ny.html
    March 01, 2021 - EvidenceNOW: Interview Protocol - QI Lead New York City Cooperative Resource: Provider/Quality Improvement Team Lead (CHCANYS) Qualitative Interview Guide (PDF, 142.6 KB, 4 pages) This interview protocol was used by an EvidenceNOW Cooperative's staff to interview participating practices’ quality improvem…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38233/psn-pdf
    March 03, 2010 - The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise. March 3, 2010 Kaji AH, Cone DC, eds. Acad Emerg Med. 2008;15:971-1222.   https://psnet.ahrq.gov/issue/science-simulation-healthcare-defining-and-developing-clinical-expertise This special issue highlights an AHRQ-funded sympo…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40086/psn-pdf
    December 15, 2010 - The Safe Use Initiative and Health Literacy: Workshop Summary. December 15, 2010 Vancheri C; Roundtable on Health Literacy; Institute of Medicine. Washington, DC: National Academies Press; 2010. ISBN-10: 0309159318. https://psnet.ahrq.gov/issue/safe-use-initiative-and-health-literacy-workshop-summary This publica…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42072/psn-pdf
    August 03, 2016 - Innovation in Perioperative Patient Safety. August 3, 2016 Miller DR, Merry AF, eds. Can J Anesth. 2013;60(2):7-220. https://psnet.ahrq.gov/issue/innovation-perioperative-patient-safety Articles in this special issue discuss strategies to improve safety in anesthesia, including simulation training, perioperative c…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34598/psn-pdf
    November 15, 2011 - Complexity and the Adoption of Innovation in Health Care. November 15, 2011 Plsek P. Washington DC: National Institute for Health Care Management Foundation and National Committee for Quality Health Care; 2003. https://psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care In discussing the complexit…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36216/psn-pdf
    August 03, 2012 - Hospital Medication Errors Commonplace. August 3, 2012 Berwick D; Lassman S; Bates D. National Public Radio. July 28, 2006. https://psnet.ahrq.gov/issue/hospital-medication-errors-commonplace This segment features Donald Berwick, David Bates, and other experts discussing the Institute of Medicine (IOM) report Prev…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42756/psn-pdf
    November 20, 2013 - Removing the "me" from "MD." November 20, 2013 Parikh RB. Removing the “Me” From “MD”. JAMA. 2013;310(18). doi:10.1001/jama.2013.280722. https://psnet.ahrq.gov/issue/removing-me-md Recounting what one medical student learned by shadowing a nurse, this commentary emphasizes the importance of interprofessional commu…