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  1. Optimizing Pediatric Patient Safety in the Emergency Care Setting. | PSNet

    psnet.ahrq.gov/issue/optimizing-pediatric-patient-safety-emergency-care-setting
    March 15, 2023 - Organizational Policy/Guidelines Optimizing Pediatric Patient Safety in the Emergency Care Setting. Citation Text: Joseph MM, Mahajan P, Snow SK, et al. Optimizing Pediatric Patient Safety in the Emergency Care Setting. Pediatrics. 2022;150(5):e2022059673. doi:10.1542/peds.2022-059673. …

  2. Strategies for learning from failure. | PSNet

    psnet.ahrq.gov/issue/strategies-learning-failure
    September 25, 2024 - Commentary Classic Strategies for learning from failure. Citation Text: Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  3. Artificial intelligence and healthcare: a journey through history, present innovations, and future possibilities. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-and-healthcare-journey-through-history-present-innovations-and-future
    August 04, 2021 - Review Artificial intelligence and healthcare: a journey through history, present innovations, and future possibilities. Citation Text: Hirani R, Noruzi K, Khuram H, et al. Artificial intelligence and healthcare: a journey through history, present innovations, and future possibilities. L…

  4. Value assessment of deprescribing interventions: suggestions for improvement. | PSNet

    psnet.ahrq.gov/issue/value-assessment-deprescribing-interventions-suggestions-improvement
    August 04, 2021 - Commentary Value assessment of deprescribing interventions: suggestions for improvement. Citation Text: Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298. Copy C…

  5. Perspectives on patient and family engagement with reduction in harm: the forgotten voice. | PSNet

    psnet.ahrq.gov/issue/perspectives-patient-and-family-engagement-reduction-harm-forgotten-voice
    December 01, 2011 - Study Perspectives on patient and family engagement with reduction in harm: the forgotten voice. Citation Text: 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:10.1…

  6. Overview of Methicillin-Resistant Staphylococcus aureus (MRSA)-Related Adult Inpatient Stays, 2016–2021. HCUP Statistical Brief #315. | PSNet

    psnet.ahrq.gov/issue/overview-methicillin-resistant-staphylococcus-aureus-mrsa-related-adult-inpatient-stays-2016
    December 11, 2024 - Book/Report Overview of Methicillin-Resistant Staphylococcus aureus (MRSA)-Related Adult Inpatient Stays, 2016–2021. HCUP Statistical Brief #315. Citation Text: Miller MA, Owens P, Kim J, et al. Overview Of Methicillin-Resistant Staphylococcus Aureus (Mrsa)-Related Adult Inpatient Stays,…

  7. A blueprint for leadership during COVID-19. | PSNet

    psnet.ahrq.gov/issue/blueprint-leadership-during-covid-19
    December 15, 2021 - Commentary A blueprint for leadership during COVID-19. Citation Text: Rosa WE, Schlak AE, Rushton CH. A blueprint for leadership during COVID-19. Nurs Manage. 2020;51(8):28-34. doi:10.1097/01.numa.0000688940.29231.6f. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  8. Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. | PSNet

    psnet.ahrq.gov/issue/advancing-diagnostic-equity-through-clinician-engagement-community-partnerships-and-connected
    June 22, 2022 - Commentary Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. Citation Text: Giardina TD, Woodard LCD, Singh H. Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. J Gen Intern Med. 2023;…

  9. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. | PSNet

    psnet.ahrq.gov/issue/association-face-face-handoffs-and-outcomes-hospitalized-internal-medicine-patients
    March 12, 2025 - Study Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. Citation Text: Schouten WM, Burton C, Jones LKD, et al. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. J Hosp Med. 2015;10(3):137-41. doi:10.…

  10. How, when, and why bad apples spoil the barrel: negative group members and dysfunctional groups. | PSNet

    psnet.ahrq.gov/issue/how-when-and-why-bad-apples-spoil-barrel-negative-group-members-and-dysfunctional-groups
    August 08, 2018 - Commentary Classic How, when, and why bad apples spoil the barrel: negative group members and dysfunctional groups. Citation Text: Felps W, Mitchell TR, Byington E. How, when, and why bad apples spoil the barrel: negative group members and dysfunctional groups. …

  11. Missed diagnoses of acute cardiac ischemia in the emergency department. | PSNet

    psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
    November 30, 2012 - Study Classic Missed diagnoses of acute cardiac ischemia in the emergency department. Citation Text: Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.…

  12. Gender biases in estimation of others' pain. | PSNet

    psnet.ahrq.gov/issue/gender-biases-estimation-others-pain
    March 25, 2020 - Study Classic Gender biases in estimation of others' pain. Citation Text: Zhang L, Losin EAR, Ashar YK, et al. Gender biases in estimation of others' pain. J Pain. 2021;22(9):1048-1059. doi:10.1016/j.jpain.2021.03.001. Copy Citation Format: DOI Goo…

  13. Submit Case | PSNet

    psnet.ahrq.gov/submit-case-landing
    March 25, 2025 - Breadcrumb Home Training and Education WebM&M: Case Studies WebM&M Case Submission PSNet is looking for interesting, provocative cases that illustrate key issues in patient safety such as medication errors, diagnostic errors, and adverse events that either had the potential …

  14. Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. | PSNet

    psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
    September 20, 2011 - Book/Report Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Citation Text: Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 201…

  15. Building a Better Delivery System: A New Engineering/Health Care Partnership. | PSNet

    psnet.ahrq.gov/issue/building-better-delivery-system-new-engineeringhealth-care-partnership
    September 12, 2018 - Book/Report Building a Better Delivery System: A New Engineering/Health Care Partnership. Citation Text: Building a Better Delivery System: A New Engineering/Health Care Partnership. Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Enginee…

  16. Crossing the Global Quality Chasm: Improving Health Care Worldwide. | PSNet

    psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
    June 15, 2011 - Book/Report Classic Crossing the Global Quality Chasm: Improving Health Care Worldwide. Citation Text: Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…

  17. Adverse drug events in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care
    February 24, 2011 - Study Classic Adverse drug events in ambulatory care. Citation Text: Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  18. The practice of respect in the ICU. | PSNet

    psnet.ahrq.gov/issue/practice-respect-icu
    August 09, 2018 - Commentary Emerging Classic The practice of respect in the ICU. Citation Text: Brown SM, Azoulay E, Benoit D, et al. The Practice of Respect in the ICU. Am J Respir Crit Care Med. 2018;197(11):1389-1395. doi:10.1164/rccm.201708-1676CP. Copy Citation Format…

  19. Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet

    psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
    April 12, 2011 - Study Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. Citation Text: Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…

  20. Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes. | PSNet

    psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve
    June 08, 2011 - Book/Report Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes. Citation Text: Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture To Improve Equitable …
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