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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73683/psn-pdf
    September 08, 2021 - Why and how to approach user experience in safety- critical domains: the example of health care. September 8, 2021 Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832. doi:10.1177/0018720819887575. htt…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836963/psn-pdf
    April 20, 2022 - Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement. April 20, 2022 Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision? making and judgement. Int J Mental Health Nurs. 2022;31(4):897-907. doi:10.1111/inm.12997. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845070/psn-pdf
    February 22, 2023 - Registered nurses' efforts to ensure safety for home- dwelling older patients. February 22, 2023 Lindberg C, Fock J, Nilsen P, et al. Registered nurses' efforts to ensure safety for home?dwelling older patients. Scand J Caring Sci. 2022. doi:10.1111/scs.13142. https://psnet.ahrq.gov/issue/registered-nurses-efforts…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36244/psn-pdf
    June 13, 2012 - With Safety in Mind: Mental Health Services and Patient Safety. June 13, 2012 Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety This report, the second in a series from the United Kingdom's Nati…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44901/psn-pdf
    March 30, 2016 - Medication safety pharmacy technician in a large, tertiary care, community hospital. March 30, 2016 Brown KN, Bergsbaken J, Reichard JS. Medication safety pharmacy technician in a large, tertiary care, community hospital. Am J Health Syst Pharm. 2016;73(4):188-191. doi:10.2146/ajhp150098. https://psnet.ahrq.gov/is…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46183/psn-pdf
    July 12, 2017 - Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. July 12, 2017 Boston, MA: CRICO Strategies; 2017. https://psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report Medication errors are a persistent challenge in health care that can occur a…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39309/psn-pdf
    December 09, 2014 - Patient Safety in Emergency Medicine. December 9, 2014 Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278. https://psnet.ahrq.gov/issue/patient-safety-emergency-medicine The pace, diversity, and scope of an emergency department (ED) cre…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44052/psn-pdf
    July 16, 2015 - Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. July 16, 2015 Sittig DF, Murphy DR, Smith MW, et al. Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. J Am Med Inform Assoc. 2015;22(4):900-4. doi:10.1093/jamia/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48149/psn-pdf
    July 31, 2019 - Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. July 31, 2019 Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN: 9781260440928. https://psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare Achieving zero preventable harms h…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863763/psn-pdf
    March 06, 2024 - After his wife died, he joined nurses to push for new staffing rules in hospitals. March 6, 2024 Wells K. Health Shots. KFF News and Michigan Public. February 22, 2024. https://psnet.ahrq.gov/issue/after-his-wife-died-he-joined-nurses-push-new-staffing-rules-hospitals Mandatory staffing ratios are a controversial …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43361/psn-pdf
    July 16, 2014 - An Avoidable Death of a Three-year-old Child from Sepsis. July 16, 2014 London, UK: Parliamentary and Health Service Ombudsman; June 2014. https://psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis This investigation outlines how inadequate care contributed to the death of a child who developed sepsi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46952/psn-pdf
    January 01, 2019 - Perspectives on patient and family engagement with reduction in harm: the forgotten voice. December 21, 2018 Schenk EC, Bryant RA, Van Son CR, et al. Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice. J Nurs Care Qual. 2019;34(1):73-79. doi:10.1097/NCQ.0000000000000333. htt…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45053/psn-pdf
    May 19, 2019 - Five topics health care simulation can address to improve patient safety: results from a consensus process. May 19, 2019 Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Saf. 2019;15(2):111-120. doi:10.1097/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60283/psn-pdf
    April 29, 2020 - Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. April 29, 2020 Shanafelt TD, Ripp JA, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323(21):2133-2134. doi:10.1001/jama…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836917/psn-pdf
    April 13, 2022 - Error and cognitive bias in diagnostic radiology. April 13, 2022 Tee QX, Nambiar M, Stuckey S. Error and cognitive bias in diagnostic radiology. J Med Imaging Radiat Oncol. 2022;66(2):202-207. doi:10.1111/1754-9485.13320. https://psnet.ahrq.gov/issue/error-and-cognitive-bias-diagnostic-radiology Diagnostic errors …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60668/psn-pdf
    July 08, 2020 - Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers July 8, 2020 Rangachari P, L. Woods J. Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836726/psn-pdf
    March 09, 2022 - OpenNotes and patient safety: a perilous voyage into uncharted waters. March 9, 2022 Schust G, Manning M, Weil A. OpenNotes and patient safety: a perilous voyage into uncharted waters. J Gen Intern Med. 2022;37(8):2074-2076. doi:10.1007/s11606-021-07384-2. https://psnet.ahrq.gov/issue/opennotes-and-patient-safety-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843094/psn-pdf
    January 25, 2023 - Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. January 25, 2023 Collaborative for Accountability and Improvement Policy Committee. Seattle, WA: University of Washington; 2022 https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-c…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853442/psn-pdf
    September 13, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions. September 13, 2023 Grubenhoff JA, Cifra CL, Marshall T, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication No. 23-0040-5-EF. https://psnet.ahrq.gov/issue/pediatric-diagnostic-safety-state-scienc…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45050/psn-pdf
    May 03, 2016 - Digital health and patient safety. May 3, 2016 Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698. doi:10.1001/jama.2016.2402. https://psnet.ahrq.gov/issue/digital-health-and-patient-safety Patients, clinicians, and health care systems are increasingly adopting digital…

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