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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33595/psn-pdf
    December 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety December 15, 2024 Fatigue, Sleep Deprivation, and Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that th…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33757/psn-pdf
    October 01, 2013 - Safety in Radiology October 1, 2013 Pinto A. Safety in Radiology. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/safety-radiology Perspective The use of medical imaging to depict and to help diagnose illness and injury as well as to guide therapeutic interventions has expanded greatly during the past …

  3. Update: Patient Engagement in Safety | PSNet

    psnet.ahrq.gov/perspective/update-patient-engagement-safety
    January 01, 2017 - Annual Perspective Update: Patient Engagement in Safety Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2018  View more articles from the same authors. Citation Text: Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. Rockvi…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33854/psn-pdf
    March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety March 1, 2018 Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety Perspective Errors in hospitals remain a major cause of death.(1…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33872/psn-pdf
    January 01, 2018 - Update: Patient Engagement in Safety January 1, 2018 Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/update-patient-engagement-safety Annual Perspective 2018 Background Patient engagement has become a cornerstone of patient safety. A Patient Saf…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72828/psn-pdf
    March 10, 2021 - A recurring call to action: every healthcare organization needs a medication safety officer! March 10, 2021 ISMP Medication Safety Alert! Acute care edition. February 25, 2021;26(4);1-4. https://psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety- officer Leadership ro…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60032/psn-pdf
    March 11, 2020 - Medical teamwork and the evolution of safety science: a critical review. March 11, 2020 Neuhaus C, Lutnæs DE, Bergström J. Medical teamwork and the evolution of safety science: a critical review. Cogn Technol Work. 2020;22(1):13-27. doi:10.1007/s10111-019-00545-8. https://psnet.ahrq.gov/issue/medical-teamwork-and-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846164/psn-pdf
    March 15, 2023 - Crowding in the Emergency Department: Challenges for the Care of Children. March 15, 2023 Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10.1542/peds.2022-060971. https://psnet.ahrq.gov/issue/crowdin…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73569/psn-pdf
    August 04, 2021 - Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021 Morris AH, Stagg B, Lanspa M, et al. Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47738/psn-pdf
    February 06, 2019 - ISMP Guidelines for Safe Electronic Communication of Medication Information. February 6, 2019 Horsham, PA: Institute for Safe Medication Practices; January 2019. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information Inaccurate or incomplete data in electronic health reco…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857459/psn-pdf
    December 06, 2023 - Five strategies for a safer EHR modernization journey. December 6, 2023 Sittig DF, Yackel EE, Singh H. Five strategies for a safer EHR modernization journey. J Gen Intern Med. 2023;38(S4):940-942. doi:10.1007/s11606-023-08331-z. https://psnet.ahrq.gov/issue/five-strategies-safer-ehr-modernization-journey Large-sca…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60992/psn-pdf
    October 14, 2020 - Another medical malpractice crisis?: Try something different. October 14, 2020 Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. https://psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-d…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46271/psn-pdf
    January 30, 2018 - Debiasing health-related judgments and decision making: a systematic review. January 30, 2018 Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672. https://psnet.ahrq.gov/issue/debiasing-health-related-jud…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34062/psn-pdf
    February 18, 2011 - Adverse drug events in ambulatory care. February 18, 2011 Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564. https://psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care This prospective cohort study evaluated more than 1200 outpatient prescr…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47514/psn-pdf
    October 31, 2018 - Making Hospitals Safe for People With Diabetes. October 31, 2018 Watts E, Rayman G. Diabetes UK. London, UK; 2018. https://psnet.ahrq.gov/issue/making-hospitals-safe-people-diabetes Chronic disease management can add complexity to inpatient care regimens. Researchers worked with patients, system leaders, and clini…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43945/psn-pdf
    September 09, 2015 - Hospital and procedure incidence of pediatric retained surgical items. September 9, 2015 Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. https://psnet.ahrq.gov/issue/hospital-and-procedure-incid…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45332/psn-pdf
    August 27, 2018 - Guideline implementation: prevention of retained surgical items. August 27, 2018 Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005. https://psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items Although i…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41541/psn-pdf
    September 26, 2012 - Failures in communication and information transfer across the surgical care pathway: interview study. September 26, 2012 Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. 2012;21(10):843-9. https://psnet.ahrq.gov/is…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43465/psn-pdf
    February 18, 2015 - Hospital Readmissions Reduction Program: implications for pharmacy. February 18, 2015 Boesen KAG, Leal S, Sheehan VC, et al. Hospital Readmissions Reduction Program: implications for pharmacy. Am J Health Syst Pharm. 2015;72(3):237-44. doi:10.2146/ajhp140177. https://psnet.ahrq.gov/issue/hospital-readmissions-redu…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60615/psn-pdf
    June 24, 2020 - Key potentially inappropriate drugs in pediatrics: the KIDs list. June 24, 2020 Meyers RS, Thackray J, Matson KL, et al. Key potentially inappropriate drugs in pediatrics: the KIDs list. J Pediatr Pharmacol Ther. 2020;25(3). doi:10.5863/1551-6776-25.3.175. https://psnet.ahrq.gov/issue/key-potentially-inappropriate…
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