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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847726/psn-pdf
    January 01, 2024 - Systematic review of clinical debriefing tools: attributes and evidence for use. April 19, 2023 Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-015464. https://psnet.ahrq.gov/issue…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44172/psn-pdf
    September 28, 2016 - Preventing high-alert medication errors in hospital patients. September 28, 2016 Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23. https://psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients High-alert medications have the potential to cause serious patient harm. This article fo…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839835/psn-pdf
    November 09, 2022 - Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. November 9, 2022 Chicago, IL: The National Association for Healthcare Quality; 2022. https://psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-qua…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865681/psn-pdf
    April 24, 2024 - DOD Should Improve Its Process for Clinical Adverse Actions against Providers. April 24, 2024 Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24- 106107. https://psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers Health care o…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42194/psn-pdf
    April 24, 2013 - Drug errors and related interventions reported by United States clinical pharmacists: The American College of Clinical Pharmacy Practice-Based Research Network medication error detection, amelioration and prevention study. April 24, 2013 Kuo GM, Touchette DR, Marinac JS. Drug errors and related interventions repo…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864382/psn-pdf
    June 01, 2021 - Quality measures of clinical pharmacy services during transitions of care. June 1, 2021 King PK, Burkhardt CDO, Rafferty A, et al. Quality measures of clinical pharmacy services during transitions of care. J Am Coll Clin Pharm. 2021;4(7):883-907. doi:10.1002/jac5.1479. https://psnet.ahrq.gov/issue/quality-measures…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34953/psn-pdf
    February 03, 2011 - HIPAA and patient care: the role for professional judgment. February 3, 2011 Lo B, Dornbrand L, Dubler NN. HIPAA and patient care: the role for professional judgment. JAMA. 2005;293(14):1766-71. https://psnet.ahrq.gov/issue/hipaa-and-patient-care-role-professional-judgment This commentary discusses federal health…

  8. 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 …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60266/psn-pdf
    April 29, 2020 - Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. April 22, 2020 Armstrong Institute for Patient Safety and Quality. April 29, 2020. https://psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers As the COVID-19 pandemic evolves…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44691/psn-pdf
    December 02, 2015 - Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. December 2, 2015 Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(21):1809-15. doi:10.2106/JBJS.O.0…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43114/psn-pdf
    April 09, 2014 - The ethics of empowering patients as partners in healthcare-associated infection prevention. April 9, 2014 Sharp D, Palmore T, Grady C. The ethics of empowering patients as partners in healthcare-associated infection prevention. Infect Control Hosp Epidemiol. 2014;35(3):307-9. doi:10.1086/675288. https://psnet.ahr…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44395/psn-pdf
    August 12, 2015 - How well do health professionals interpret diagnostic information? A systematic review. August 12, 2015 Whiting PF, Davenport C, Jameson C, et al. How well do health professionals interpret diagnostic information? A systematic review. BMJ Open. 2015;5(7):e008155. doi:10.1136/bmjopen-2015-008155. https://psnet.ahrq…

  13. 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…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60273/psn-pdf
    April 29, 2020 - Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID- 19). April 29, 2020 Lippi G, Simundic A-M, Plebani M. Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19). Clin Chem Lab Med. …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46964/psn-pdf
    April 11, 2018 - The gaps in specialists' diagnoses. April 11, 2018 Scott IA, Campbell DA. The gaps in specialists' diagnoses. Med J Aust. 2018;208(5):196-197. https://psnet.ahrq.gov/issue/gaps-specialists-diagnoses Leaders in the effort to improve diagnosis have heralded diagnosis as a team activity. This commentary suggests that…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35990/psn-pdf
    September 17, 2010 - Misunderstanding of prescription drug warning labels among patients with low literacy. September 17, 2010 Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55. https://psnet.ahrq.gov/issue/misundersta…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43988/psn-pdf
    February 22, 2018 - High rate of implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses. February 22, 2018 Öhrn A, Ericsson C, Andersson C, et al. High Rate of Implementation of Proposed Actions for Improvement With the Healthcare Failure Mode Effect Anal…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47065/psn-pdf
    June 20, 2018 - The complexity, diversity, and science of primary care teams. June 20, 2018 Fiscella K, McDaniel SH. The complexity, diversity, and science of primary care teams. Amer Psychol. 2018;73(4):451-467. doi:10.1037/amp0000244. https://psnet.ahrq.gov/issue/complexity-diversity-and-science-primary-care-teams Teamwork is …

  19. 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/…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35312/psn-pdf
    January 02, 2017 - Medication errors involving wrong administration technique. January 2, 2017 Santell JP, Cousins DD. Medication Errors Involving Wrong Administration Technique. The Joint Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(05)31068-3. https://psnet.ahrq.gov/issue/medication-errors-i…
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