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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47404/psn-pdf
    September 12, 2018 - The gap in electronic drug information resources: a systematic review. September 12, 2018 Rambaran KA, Huynh HA, Zhang Z, et al. The Gap in Electronic Drug Information Resources: A Systematic Review. Cureus. 2018;10(6):e2860. doi:10.7759/cureus.2860. https://psnet.ahrq.gov/issue/gap-electronic-drug-information-res…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45607/psn-pdf
    July 14, 2019 - Duke Center for Healthcare Safety and Quality. July 14, 2019 Duke University Health System. https://psnet.ahrq.gov/issue/duke-center-healthcare-safety-and-quality This website provides resources to help individuals, hospitals, outpatient practices, and others improve quality and patient safety. The materials inclu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73861/psn-pdf
    September 22, 2021 - Bringing the clinical laboratory into the strategy to advance diagnostic excellence. September 22, 2021 Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119. https://psnet.ahrq.g…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46272/psn-pdf
    January 01, 2019 - Deployment of a second victim peer support program: a replication study. September 24, 2017 Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031. https://psnet.ahrq.gov/issue/deployment-second-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72485/psn-pdf
    November 18, 2020 - 4 skin conditions doctors often misdiagnose. November 18, 2020 Oglethorpe A. Women's Health. November 4, 2020. https://psnet.ahrq.gov/issue/4-skin-conditions-doctors-often-misdiagnose Skin condition diagnosis is a visual activity that is vulnerable to error. This article highlights how conditions such as psor…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41172/psn-pdf
    February 29, 2012 - Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. February 29, 2012 Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. J Cardiothorac Vasc …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47925/psn-pdf
    August 21, 2019 - Second victims and mindfulness: a systematic review. August 21, 2019 S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176. https://psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review The secon…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43875/psn-pdf
    September 19, 2016 - Implementation of a "second victim" program in a pediatric hospital. September 19, 2016 Krzan KD, Merandi J, Morvay S, et al. Implementation of a "second victim" program in a pediatric hospital. Am J Health Syst Pharm. 2015;72(7):563-7. doi:10.2146/ajhp140650. https://psnet.ahrq.gov/issue/implementation-second-vic…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40992/psn-pdf
    December 15, 2011 - Should patients get direct access to their laboratory test results?: An answer with many questions. December 15, 2011 Giardina TD, Singh H. Should patients get direct access to their laboratory test results? An answer with many questions. JAMA. 2011;306(22):2502-2503. doi:10.1001/jama.2011.1797. https://psnet.ahrq…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46750/psn-pdf
    January 31, 2018 - Iowans' Views on Medical Errors: Iowa Patient Safety Study. January 31, 2018 Clive, IA: Heartland Health Research Institute; January 7, 2018. https://psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study Patient perspectives can provide insights regarding areas in need of improvement. This sur…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72630/psn-pdf
    January 13, 2021 - The COVID-19 pandemic and dentistry: parts 1 and 2. January 13, 2021 Coulthard P, Thomson P, Dave M, et al. Br Dent J. 2020;229:743-747; 801-805.   https://psnet.ahrq.gov/issue/covid-19-pandemic-and-dentistry-parts-1-and-2 The COVID-19 pandemic suspended routine dental care. This two-part series discusses…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837209/psn-pdf
    May 25, 2022 - Opioids and falls risk in older adults: a narrative review. May 25, 2022 Virnes R-E, Tiihonen M, Karttunen N, et al. Opioids and falls risk in older adults: a narrative review. Drugs Aging. 2022;39(3):199-207. doi:10.1007/s40266-022-00929-y. https://psnet.ahrq.gov/issue/opioids-and-falls-risk-older-adults-narrative…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867395/psn-pdf
    December 18, 2024 - AHRQ National Healthcare Safety Dashboard. December 18, 2024 AHRQ National Healthcare Safety Dashboard. National Action Alliance for Patient and Workforce Safety. https://psnet.ahrq.gov/issue/ahrq-national-healthcare-safety-dashboard The AHRQ National Healthcare Safety Dashboard is one approach to tracking progress…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43753/psn-pdf
    December 10, 2014 - Improving the quality and safety of patient care in cardiac anesthesia. December 10, 2014 Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018. https://psnet.ahrq.gov/issue/improving-qu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865493/psn-pdf
    April 03, 2024 - Implement strategies to prevent persistent medication errors and hazards: 2024. April 3, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4. https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024 Systemic failures can perpetuate unsafe care if a lack of p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50594/psn-pdf
    October 30, 2019 - Pharmacist linkage in care transitions: from academic medical center to community. October 30, 2019 Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j.japh.2019.08.011. https://psne…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43018/psn-pdf
    March 19, 2014 - Improved obstetric safety through programmatic collaboration. March 19, 2014 Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131. https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50758/psn-pdf
    December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. December 18, 2019 Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268. https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine The modern patient safety movement …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44192/psn-pdf
    November 10, 2015 - Hospital ratings: a guide for the perplexed. November 10, 2015 Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2. doi:10.1001/jama.2015.5269. https://psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed Concerns have been raised about the variability of measures used to rate safety a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45163/psn-pdf
    November 30, 2016 - The 2015 John M. Eisenberg Patient Safety and Quality Awards. November 30, 2016 Jt Comm J Qual Patient Saf. 2016;42(6):243-264. https://psnet.ahrq.gov/issue/2015-john-m-eisenberg-patient-safety-and-quality-awards The Eisenberg Award honors individuals and organizations who have made vital accomplishments in impro…

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