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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47190/psn-pdf
    January 01, 2021 - Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations. July 25, 2018 Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1370. doi:10.1097/PTS.0000000000000491. …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854991/psn-pdf
    November 01, 2023 - Assessing biases in medical decisions via clinician and AI chatbot responses to patient vignettes. November 1, 2023 Kim J, Cai ZR, Chen ML, et al. Assessing biases in medical decisions via clinician and AI chatbot responses to patient vignettes. JAMA Netw Open. 2023;6(10):e2338050. doi:10.1001/jamanetworkopen.2023…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44970/psn-pdf
    May 09, 2017 - Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. May 9, 2017 Dhavle AA, Yang Y, Rupp MT, et al. Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. JAMA Intern Med. 2016;176(4):463-70. doi:10.1001/jamainternmed.2015.7786. https://psnet.ahrq.gov/issue…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42149/psn-pdf
    December 23, 2016 - Medical device alarm safety in hospitals. December 23, 2016 Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3. https://psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals The cacophony of alarms in hospitals has led many health care providers to become desensitized to them, a con…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46823/psn-pdf
    August 20, 2018 - Systems thinking and incivility in nursing practice: an integrative review. August 20, 2018 Phillips JM, Stalter AM, Winegardner S, et al. Systems thinking and incivility in nursing practice: An integrative review. Nurs Forum. 2018;2018(3):286-298. doi:10.1111/nuf.12250. https://psnet.ahrq.gov/issue/systems-thinki…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72629/psn-pdf
    January 13, 2021 - Advancing health equity in patient safety: a reckoning, challenge and opportunity. January 13, 2021 Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599. https://psnet.ahrq.gov/issue/advancing-health-equity-patie…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47022/psn-pdf
    July 19, 2018 - Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. July 19, 2018 Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. BMJ Qual Saf. 2018;27(8):583-586. d…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844058/psn-pdf
    February 08, 2023 - ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. February 8, 2023 ISMP Medication Safety Alert! Acute care edition. January 26, 2023:28(2):1-4. https://psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey- results Look-a…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46610/psn-pdf
    December 06, 2017 - Pragmatic insights on patient safety priorities and intervention strategies in ambulatory settings. December 6, 2017 Sarkar U, McDonald KM, Motala A, et al. Pragmatic Insights on Patient Safety Priorities and Intervention Strategies in Ambulatory Settings. Jt Comm J Qual Patient Saf. 2017;43(12):661-670. doi:10.10…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47198/psn-pdf
    August 22, 2018 - Health IT Safe Practices for Closing the Loop. August 22, 2018 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40921/psn-pdf
    November 16, 2011 - Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. November 16, 2011 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; October 2011. Report No. OEI-01-08-00590. https://psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-response…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45644/psn-pdf
    March 15, 2017 - Gender-based differences in surgical residents' perceptions of patient safety, continuity of care, and well- being: an analysis from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial. March 15, 2017 Ban KA, Chung JW, Matulewicz RS, et al. Gender-Based Differences in Surgical Residents' …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47127/psn-pdf
    June 05, 2018 - Incorporating medication indications into the prescribing process. June 5, 2018 Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.2146/ajhp170346. https://psnet.ahrq.gov/issue/incorporating-medication-indications-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73190/psn-pdf
    April 28, 2021 - Gender biases in estimation of others' pain. April 28, 2021 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. https://psnet.ahrq.gov/issue/gender-biases-estimation-others-pain Unconscious assumptions and implicit biases…

  15. Children/Adolescents | Agency for Healthcare Research and Quality

    www.ahrq.gov/topics/childrenadolescents.html
    January 01, 2011 - Topic: Children/Adolescents Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs CAHPS Child Hospital Survey (Child HCAHPS) Toolkit Cente…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72508/psn-pdf
    January 01, 2021 - Helping healthcare teams save lives during COVID-19: insights and countermeasures from team science. November 25, 2020 Traylor AM. Helping healthcare teams save lives during COVID-19: insights and countermeasures from team science. Am Psychol. 2021;76(1):1-13. doi:10.1037/amp0000750. https://psnet.ahrq.gov/issue/h…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836824/psn-pdf
    March 30, 2022 - Collaborative case review: a systems-based approach to patient safety event investigation and analysis. March 30, 2022 Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. J Patient Saf. 2022;18(2):e522-e527. doi:10.1097/pt…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73117/psn-pdf
    April 07, 2021 - Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it. April 7, 2021 O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46894/psn-pdf
    June 20, 2018 - Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. June 20, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 31, 2018;23:1-4. https://psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can- lead-patient-harm Smart p…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41116/psn-pdf
    May 24, 2012 - Variations in surgical outcomes associated with hospital compliance with safety practices. May 24, 2012 Brooke BS, Dominici F, Pronovost P, et al. Variations in surgical outcomes associated with hospital compliance with safety practices. Surgery. 2012;151(5):651-9. doi:10.1016/j.surg.2011.12.001. https://psnet.ahr…
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