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8661. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44487/psn-pdf
      September 23, 2015 - Patient safety and quality improvement: terminology. September 23, 2015 Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology To Err Is…

8662. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45808/psn-pdf
      December 19, 2017 - A concept analysis of systems thinking. December 19, 2017 Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum. 2017;52(4):323-330. doi:10.1111/nuf.12196. https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking Systems thinking focuses on enabling an organization t…

8663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45429/psn-pdf
      December 19, 2016 - ONC Health IT Certification Program: Enhanced Oversight and Accountability. November 30, 2016 Office of the National Coordinator for Health Information Technology; ONC; Health and Human Services; HHS. https://psnet.ahrq.gov/issue/onc-health-it-certification-program-enhanced-oversight-and-accountability Requiremen…

8664. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46469/psn-pdf
      October 25, 2017 - RxAwareness. October 25, 2017 Centers for Disease Control and Prevention; CDC. https://psnet.ahrq.gov/issue/rxawareness The opioid crisis is a persisting patient safety problem. One approach to prevent misuse of opioids is to raise awareness of the addictive nature of the medication. This national campaign enlists…

8665. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39829/psn-pdf
      January 09, 2025 - Hospital Reporting Program: Annual Summary. January 9, 2025 Portland, OR: Oregon Patient Safety Commission. https://psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary This site provides data and analysis from two Oregon Patient Safety Commission patient safety initiatives: the Patient Safety Reporting …

8666. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72754/psn-pdf
      February 17, 2021 - Telehealth in the COVID-19 era: a balancing act to avoid harm. February 17, 2021 Reeves JJ, Ayers JW, Longhurst CA. Telehealth in the COVID-19 Era: a balancing act to avoid harm. J Med Internet Res. 2021;23(2):e24785. doi:10.2196/24785. https://psnet.ahrq.gov/issue/telehealth-covid-19-era-balancing-act-avoid-harm …

8667. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45413/psn-pdf
      September 21, 2016 - A piece of my mind. Snakes on a dock. September 21, 2016 Detsky AS. Snakes on a Dock. JAMA. 2016;316(10):1043-4. doi:10.1001/jama.2016.5179. https://psnet.ahrq.gov/issue/piece-my-mind-snakes-dock Storytelling has been advocated as a strategy to teach and augment awareness in patient safety. In this commentary, the…

8668. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45379/psn-pdf
      August 17, 2016 - A piece of my mind. How many have you done? August 17, 2016 Reisman A. A PIECE OF MY MIND. How Many Have You Done? JAMA. 2016;316(5):491. doi:10.1001/jama.2016.1996. https://psnet.ahrq.gov/issue/piece-my-mind-how-many-have-you-done This commentary explores transparency in response to patient and family inquiry reg…

8669. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43741/psn-pdf
      December 03, 2014 - Overdiagnosis: how our compulsion for diagnosis may be harming children. December 3, 2014 Coon ER, Quinonez RA, Moyer VA, et al. Overdiagnosis: how our compulsion for diagnosis may be harming children. Pediatrics. 2014;134(5):1013-23. doi:10.1542/peds.2014-1778. https://psnet.ahrq.gov/issue/overdiagnosis-how-our-c…

8670. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73994/psn-pdf
      October 20, 2021 - A culture of safety in EMS systems. October 20, 2021 American College of Emergency Physicians, National Association of Emergency Medical Services.  Ann Emerg Med. 2021;78(3):e37-e57.  https://psnet.ahrq.gov/issue/culture-safety-ems-systems-0 Emergency medical services (EMS) are often provided in stressfu…

8671. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43734/psn-pdf
      January 21, 2015 - Explicit and Standardized Prescription Medicine Instructions. January 21, 2015 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/explicit-and-standardized-prescription-medicine-instructions Standardization has been embraced as a strategy to improve health litera…

8672. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37555/psn-pdf
      February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient safety. February 14, 2018 ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78- e81. https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety This commentary discusses how sleep deprivation affects…

8673. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60808/psn-pdf
      August 12, 2020 - Paediatric International Patient Safety and Quality Community. August 12, 2020 Paediatric International Patient Safety and Quality Community. 525 University Ave, Suite 630, Toronto, Ontario M5G 2L3, Canada. https://psnet.ahrq.gov/issue/paediatric-international-patient-safety-and-quality-community The safety of ch…

8674. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44934/psn-pdf
      February 07, 2023 - National Safety Standards for Invasive Procedures (NatSSIPs2). February 7, 2023 Centre for Perioperative Care. London, UK; January 2023. https://psnet.ahrq.gov/issue/national-safety-standards-invasive-procedures-natssips Patients face risks when undergoing surgery. This revised guidance provides recommendations de…

8675. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41880/psn-pdf
      January 08, 2014 - DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. January 8, 2014 Washington, DC: United States Government Accountability Office; November 2, 2012. Publication GAO-13- 26.   https://psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transit…

8676. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47466/psn-pdf
      October 17, 2018 - ASHP guidelines on preventing medication errors in hospitals. October 17, 2018 Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in Hospitals. Am J Health-Syst Pharm. 2018;75(19):1493-1517. doi:10.2146/ajhp170811. https://psnet.ahrq.gov/issue/ashp-guidelines-preven…

8677. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38190/psn-pdf
      May 14, 2009 - Oncology medication safety: a 3D status report 2008. May 14, 2009 Johnson PE, Chambers C, Vaida AJ. Oncology medication safety: a 3D status report 2008. J Oncol Pharm Pract. 2008;14(4):169-80. doi:10.1177/1078155208097634. https://psnet.ahrq.gov/issue/oncology-medication-safety-3d-status-report-2008 This survey di…

8678. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864384/psn-pdf
      March 13, 2024 - Rx for reality: clinicians confront medical gaslighting. March 13, 2024 Booth G, ed.  Anamnesis. MedPage Today. March 1, 2024. https://psnet.ahrq.gov/issue/rx-reality-clinicians-confront-medical-gaslighting The dismissal of patient health concerns by providers degrades diagnosis, treatment, and trust. Thi…

8679. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46095/psn-pdf
      April 26, 2017 - Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. April 26, 2017 Riga M, ed. Hershey, PA: IGI Global; 2017. ISBN: 9781522523376. https://psnet.ahrq.gov/issue/impact-medical-errors-and-malpractice-health-economics-quality-and-patient- safety This book provides information o…

8680. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36736/psn-pdf
      March 21, 2012 - FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. March 21, 2012 Silver Spring MD; Center for Devices and Radiological Health, Food and Drug Administration; March1, 2007. https://psnet.ahrq.gov/issue/fda-preliminary-public-health-notific…