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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44495/psn-pdfSeptember 30, 2015 - Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. September 30, 2015 Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.1136/bmjqs-2014- 003921. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50729/psn-pdfDecember 11, 2019 - Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. December 11, 2019 Washington DC; National Quality Forum: October 28, 2019. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement- considerations Efforts to track, understand… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47954/psn-pdfAugust 07, 2019 - Special Issue on Resilience Engineering and High Reliability Organizations. August 7, 2019 Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533. https://psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations Resilience is an organizational characteristic that enables indivi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48072/psn-pdfJune 19, 2019 - Independent double checks: worth the effort if used judiciously and properly. June 19, 2019 ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. https://psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly Independent double checks can reduce risk of human … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837979/psn-pdfAugust 31, 2022 - Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). August 31, 2022 National Institutes of Health. August 11, 2022. RFA-HD-23-035. https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional Maternity care is increasingly being recognized as … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73225/psn-pdfMay 05, 2021 - Black or 'other'? Doctors may be relying on race to make decisions about your health. May 5, 2021 Smith J, Spodak C. CNN. April 25, 2021. https://psnet.ahrq.gov/issue/black-or-other-doctors-may-be-relying-race-make-decisions-about-your-health Race-adjusted decision making tools perpetuate the potential for diagnos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74143/psn-pdfDecember 01, 2021 - Confronting Racism in Health Care: Moving from Proclamations to New Practices. December 1, 2021 Hostetter M, Klein S. New York, NY: Commonwealth Fund; October 18, 2021 https://psnet.ahrq.gov/issue/confronting-racism-health-care-moving-proclamations-new-practices Structural racism affects the safety and equit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42955/psn-pdfMay 11, 2016 - National Patient Safety Alerting System. May 11, 2016 National Health Service England https://psnet.ahrq.gov/issue/national-patient-safety-alerting-system In response to the Francis report, this three-stage reporting system was launched to help National Health Service organizations learn from incidents and incorpo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35470/psn-pdfJuly 10, 2008 - Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. July 10, 2008 Ray WA, Taylor JA, Brown AK, et al. Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. Arch Intern Med. 2005;165(19):2293-8. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33837/psn-pdfJuly 01, 2017 - The need for experts is also greatly reduced because this is not an adversarial system where we pit -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47943/psn-pdfMay 20, 2019 - Governing the safety of artificial intelligence in healthcare. May 20, 2019 Macrae C. Governing the safety of artificial intelligence in healthcare. BMJ Qual Saf. 2019;28(6):495-498. doi:10.1136/bmjqs-2019-009484. https://psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare The unintended risk… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45486/psn-pdfSeptember 14, 2016 - Addressing nurse fatigue to promote safety and health: joint responsibilities of registered nurses and employers to reduce risks. September 14, 2016 Silver Spring, MD: American Nurses Association; September 2014. https://psnet.ahrq.gov/issue/addressing-nurse-fatigue-promote-safety-and-health-joint-responsibilities… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837593/psn-pdfJune 29, 2022 - Adverse event reporting priorities: an integrative review. June 29, 2022 Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. https://psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46160/psn-pdfJune 07, 2017 - ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. June 7, 2017 Horsham, PA: Institute for Safe Medication Practices; May 2017. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults Insulin is a widely used medication that can contribute to serious patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38945/psn-pdfNovember 25, 2009 - The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. November 25, 2009 Saxton R, Hines T, Enriquez M. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. J Patient Saf. 2009;5(3):180-183. doi:10.1097/pts.0b013… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40385/psn-pdfMay 21, 2019 - A comprehensive obstetrics patient safety program improves safety climate and culture. May 21, 2019 Pettker CM, Thung SF, Raab CA, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol. 2011;204(3):216.e1-6. doi:10.1016/j.ajog.2010.11.004. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72751/psn-pdfFebruary 17, 2021 - The critical need for nursing education to address the diagnostic process. February 17, 2021 Gleason KT, Harkless G, Stanley J, et al. The critical need for nursing education to address the diagnostic process. Nurs Outlook. 2021;69(3):362-369. doi:10.1016/j.outlook.2020.12.005. https://psnet.ahrq.gov/issue/critica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48068/psn-pdfJune 12, 2019 - Health Professions Education. June 12, 2019 Dhaliwal G, Olson APJ, Singhal G, eds. Diagnosis (Berl). 2019;6(2):75-185. https://psnet.ahrq.gov/issue/health-professions-education Clinical and educational environments are increasingly focusing on improving diagnosis. This special issue explores an overarching approac… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837024/psn-pdfMay 04, 2022 - The potential for leveraging machine learning to filter medication alerts. May 4, 2022 Liu S, Kawamoto K, Del Fiol G, et al. The potential for leveraging machine learning to filter medication alerts. J Am Med Inform Assoc. 2022;29(5):891-899. doi:10.1093/jamia/ocab292. https://psnet.ahrq.gov/issue/potential-levera… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46444/psn-pdfDecember 19, 2017 - Nil per os orders for imaging: a teachable moment. December 19, 2017 Wickerham AL, Schultz EJ, Lewine EB. Nil per Os Orders for Imaging: A Teachable Moment. JAMA Intern Med. 2017;177(11):1670-1671. doi:10.1001/jamainternmed.2017.3943. https://psnet.ahrq.gov/issue/nil-os-orders-imaging-teachable-moment Patients are…
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