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6401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47112/psn-pdf
      May 09, 2018 - 34 ways to survive your next trip to the hospital. May 9, 2018 Crouch M. Reader's Digest. April 2018. https://psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital Involving patients in their care can help improve safety. This magazine article provides 34 tips from leading patient safety experts to assist p…

6402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47412/psn-pdf
      October 31, 2018 - The systems approach at the sharp end. October 31, 2018 Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176. https://psnet.ahrq.gov/issue/systems-approach-sharp-end Systems solutions are often focused on creating improvements at the organizational o…

6403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41378/psn-pdf
      March 04, 2015 - Clinically missed cancer: how effectively can radiologists use computer-aided detection? March 4, 2015 Nishikawa RM, Schmidt RA, Linver MN, et al. Clinically Missed Cancer: How Effectively Can Radiologists Use Computer-Aided Detection? American Journal of Roentgenology. 2012;198(3). doi:10.2214/ajr.11.6423. https…

6404. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44717/psn-pdf
      February 10, 2016 - Trends and patterns in reporting of patient safety situations in transplantation. February 10, 2016 Stewart DE, Tlusty SM, Taylor KH, et al. Trends and Patterns in Reporting of Patient Safety Situations in Transplantation. Am J Transplant. 2015;15(12):3123-33. doi:10.1111/ajt.13528. https://psnet.ahrq.gov/issue/tr…

6405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41296/psn-pdf
      April 11, 2012 - I-PASS, a mnemonic to standardize verbal handoffs. April 11, 2012 Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966. https://psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs Poor communication at…

6406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45236/psn-pdf
      June 15, 2016 - Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. June 15, 2016 Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduction; 2016. https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel- report Cataract surg…

6407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48145/psn-pdf
      July 17, 2019 - Mental mayhem: the peril of multitasking in medicine. July 17, 2019 Joseph R; Harry E. https://psnet.ahrq.gov/issue/mental-mayhem-peril-multitasking-medicine Multitasking can negatively affect cognitive load and diminish safety. This magazine article reports on how multitasking can contribute to surgeon fatigue, b…

6408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851059/psn-pdf
      June 28, 2023 - Causes for medical errors in obstetrics and gynaecology. June 28, 2023 Klemann D, Rijkx M, Mertens H, et al. Causes for medical errors in obstetrics and gynaecology. Healthcare (Basel). 2023;11(11):1636. doi:10.3390/healthcare11111636. https://psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology R…

6409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74859/psn-pdf
      February 23, 2022 - Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. February 23, 2022 doi:http://doi.org/10.23750/abm.v92iS2.11507. https://psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors- p…

6410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39993/psn-pdf
      July 03, 2014 - The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. July 3, 2014 Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and patient safety efforts in infection prev…

6411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843095/psn-pdf
      January 25, 2023 - Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. January 25, 2023 Sentinel Event Alert. January 17, 2023:(66):1-5. https://psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity- pregnant-and Racial and ethnic in…

6412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45586/psn-pdf
      November 02, 2016 - Antimicrobial stewardship and patient safety. November 2, 2016 Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002. https://psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety Antimicrobial stewardship has been highlighted as a strate…

6413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/858323/psn-pdf
      December 13, 2023 - Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. December 13, 2023 O'Neill E. Health Shots. National Public Radio. December 2, 2023. https://psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses Inordinate focus on one element o…

6414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44152/psn-pdf
      November 06, 2015 - Infection Prevention. November 6, 2015 Allen G, ed. AORN J. 2015;101:505-596. https://psnet.ahrq.gov/issue/infection-prevention A primary concern in the perioperative setting is the prevention of health care–associated infections, particularly surgical site infections. Articles in this special issue explore strate…

6415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46081/psn-pdf
      April 19, 2017 - Why are medical errors still a leading cause of death? April 19, 2017 Headley M. https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death This magazine article explores the need for robust research and effective reporting to better understand the prevalence of medical errors and how to prevent…

6416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42985/psn-pdf
      February 26, 2014 - Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. February 26, 2014 Weyers W. Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it. Dermatol Pract Concept. 2014;4(1):27-42. doi:10.5826/dpc.0401a04. https://psnet.ahrq.gov/issue/confusion-specimen-mix…

6417. 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 …

6418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842432/psn-pdf
      January 11, 2023 - Medication errors: the year in review: January through December 2021. January 11, 2023 Pharmacy Practice News Special Edition. December 13, 2022: 43-54. https://psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021 Medication errors continue to occur despite long-standing efforts to redu…

6419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34979/psn-pdf
      June 22, 2009 - The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? June 22, 2009 Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86. https://psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-negle…

6420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42925/psn-pdf
      February 05, 2014 - Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. February 5, 2014 Hamilton DK, Stichler JF, eds. HERD. 2013;7(suppl):1-154. https://psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare- associated Articles in…