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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43411/psn-pdfOctober 01, 2014 - Analysis of medication errors in simulated pediatric resuscitation by residents. October 1, 2014 Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922. https://psnet.ahrq.gov/issue/analysis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60358/psn-pdfMay 20, 2020 - 2019 John M. Eisenberg Patient Safety and Quality Award Recipients. May 20, 2020 Oakbrook Terrace, IL; Joint Commission: May 13 2020. https://psnet.ahrq.gov/issue/2019-john-m-eisenberg-patient-safety-and-quality-award-recipients The Eisenberg Award honors individuals and organizations who have made vital accomplis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60563/psn-pdfJune 03, 2020 - ‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths. June 3, 2020 Andrews M. Kaiser News Network. May 19, 2020. https://psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths Post-mortem examination is an important tool for determining if misdiagnos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44880/psn-pdfSeptember 06, 2016 - Drug shortages forcing hard decisions on rationing treatments. September 6, 2016 Fink S. New York Times. January 29, 2016. https://psnet.ahrq.gov/issue/drug-shortages-forcing-hard-decisions-rationing-treatments Drug shortages have become a routine challenge in medicine. Reporting on the impact of medication short… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44492/psn-pdfSeptember 23, 2015 - Teamwork in Healthcare. September 23, 2015 Fam Syst Health. 2015;33(3):175-269. https://psnet.ahrq.gov/issue/teamwork-healthcare Teamwork is a key element of patient-centered care, but evidence regarding its use in the primary care environment is limited. Articles in this special issue examine the reasons for this… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61055/psn-pdfOctober 21, 2020 - How administrative burdens can harm health. October 21, 2020 Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020. https://psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health The crossover of health equity concepts to patient safety has emerged as a consideration for improvement. Thi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41856/psn-pdfNovember 21, 2012 - Electronic health records and National Patient-Safety Goals. November 21, 2012 Sittig DF, Singh H. Electronic Health Records and National Patient-Safety Goals. New England Journal of Medicine. 2012;367(19). doi:10.1056/nejmsb1205420. https://psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44526/psn-pdfOctober 07, 2015 - The evolution of a safety culture. October 7, 2015 Patton BS, Donovan KJ. The Evolution of a Safety Culture. Air Med J. 2015;34(5):264-8. doi:10.1016/j.amj.2015.05.012. https://psnet.ahrq.gov/issue/evolution-safety-culture This commentary describes how an air transport unit at one hospital developed a safety cultu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841789/psn-pdfJuly 01, 2022 - The REPAIR Project. July 1, 2022 University of California San Francisco, San Francisco, CA. https://psnet.ahrq.gov/issue/repair-project Systemic racism reduces the effectiveness and safety of the care people of color receive. The REPAIR ( REParations and Anti-Institutional Racism) Project is examining the impact o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36610/psn-pdfJanuary 14, 2011 - Prevent medication errors: a New Year's resolution: teaching patients about their medications. January 14, 2011 Polzien G. Prevent medication errors: A New Year's resolution: teaching patients about their medications. Home Healthc Nurse. 2007;25(1):59-62. https://psnet.ahrq.gov/issue/prevent-medication-errors-new-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35563/psn-pdfJune 08, 2010 - A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. June 8, 2010 Singh R, Naughton B, Taylor JS, et al. A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. Med Educ. 2005;39(12):1195-204. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45742/psn-pdfJanuary 18, 2017 - War games and diagnostic errors. January 18, 2017 Vaughn VM, Chopra V, Howell JD. War games and diagnostic errors. BMJ. 2016;355:i6342. doi:10.1136/bmj.i6342. https://psnet.ahrq.gov/issue/war-games-and-diagnostic-errors This commentary draws parallels between a misinterpreted military training exercise with diagno… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36882/psn-pdfFebruary 24, 2011 - Resident perceptions of the impact of work hour limitations. February 24, 2011 Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75. https://psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations The investigators surv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37872/psn-pdfJanuary 11, 2017 - The effectiveness of root cause analysis: what does the literature tell us? January 11, 2017 Percarpio KB, Watts V, Weeks WB. The effectiveness of root cause analysis: what does the literature tell us? Jt Comm J Qual Patient Saf. 2008;34(7):391-8. https://psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73572/psn-pdfAugust 04, 2021 - Center for Innovations in Quality, Effectiveness and Safety. IQuESt! August 4, 2021 Houston, TX: Baylor College of Medicine. https://psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest This Center represents a partnership with the Veterans Affairs Health Services Research & Develo… -
www.ahrq.gov/nursing-home/resources/lessons-nursing-home-staff.htmlApril 01, 2022 - Lessons from Nursing Home Staff to Address Burnout and Enhance Joy in Work Resource: Lessons from Nursing Home Staff to Address Burnout and Enhance Joy in Work Clinical Conversations is a program from the Network of the National Library of Medicine for training clinicians and other clinical staff who intera…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35091/psn-pdfNovember 04, 2015 - Development of an expert system for classification of medical errors. November 4, 2015 Kopec D, Levy K, Kabir M, et al. Development of an expert system for classification of medical errors. Stud Health Technol Inform. 2005;114:110-6. https://psnet.ahrq.gov/issue/development-expert-system-classification-medical-err… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836867/psn-pdfApril 06, 2022 - Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. April 6, 2022 Houston TX; Baylor College of Medicine: 2022. https://psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence Assessment can identify the current state of a process or program to reveal ar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41602/psn-pdfAugust 15, 2012 - How Can Health Care Organizations Become More Health Literate?: Workshop Summary. August 15, 2012 Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Washington, DC: The National Academies Press; 2012. ISBN: 9780309256810. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853443/psn-pdfSeptember 13, 2023 - Complications and Errors in Periodontal and Implant Therapy. September 13, 2023 Zucchelli G, Stefanini M, eds. Periodontol 2000. 2023;92(1):1-398. https://psnet.ahrq.gov/issue/complications-and-errors-periodontal-and-implant-therapy Patient safety in dentistry shares common challenges with medicine and t…
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