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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841492/psn-pdf
    December 14, 2022 - Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. December 14, 2022 Washington DC; Office of Senator Mark Warner: November 25, 2022. https://psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector There is lack of consensus concerning the need for increased syst…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34981/psn-pdf
    July 14, 2010 - Child-specific risk factors and patient safety. July 14, 2010 Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22. https://psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety To discover factors that may contribute to a child’s risk for error during hospitalization, this study iden…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838916/psn-pdf
    October 26, 2022 - Falling through the cracks: the invisible hospital cleaning workforce. October 26, 2022 Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. https://psnet.ahrq.gov/issue/falling-throu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838196/psn-pdf
    July 01, 2019 - The impact of racism on child and adolescent health. July 1, 2019 Trent M, Dooley DG, Dougé J, et al. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765. doi:10.1542/peds.2019-1765. https://psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health Children and adolescents a…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47597/psn-pdf
    August 07, 2019 - Intentional rounding—an integrative literature review. August 7, 2019 Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897. https://psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review This review exam…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46524/psn-pdf
    October 18, 2017 - Pressure Injury Prevention in Hospitals Training Program. October 18, 2017 Rockville, MD: Agency for Healthcare Research and Quality; September 2017. https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program Pressure ulcers are a common hospital-acquired condition that can lead to patient h…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41536/psn-pdf
    December 31, 2014 - Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. December 31, 2014 Odukoya OK, Chui MA. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. J Am Med Inform Assoc. 2012;19(6):1059-65. doi:10.1136/amiajnl-2011-000779. https://…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39789/psn-pdf
    August 25, 2010 - Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. August 25, 2010 Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. Crit Care Med. 201…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73415/psn-pdf
    June 23, 2021 - Patient safety in dermatology: a ten-year update. June 23, 2021 Patel J, Otto E, Taylor JS, et al. Dermatol Online J. 2021;27(3). https://psnet.ahrq.gov/issue/patient-safety-dermatology-ten-year-update In an update to their 2010 article, this review’s authors summarized the patient safety literature in dermatology…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47855/psn-pdf
    June 19, 2019 - Medication Overload: America's Other Drug Problem. June 19, 2019 Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019. https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem Overprescribing is a common problem that contributes to patient harm. This report examines financial, clinical, an…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46742/psn-pdf
    March 14, 2018 - Evidence-based guidelines for fatigue risk management in emergency medical services. March 14, 2018 Patterson D, Higgins S, Van Dongen HPA, et al. Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. Prehosp Emerg Care. 2018;22(sup1):89-101. doi:10.1080/10903127.2017.1376137. https…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46945/psn-pdf
    August 29, 2018 - Patient safety initiatives in obstetrics: a rapid review. August 29, 2018 Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. https://psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review Variou…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43772/psn-pdf
    June 24, 2019 - Betsy Lehman Center for Patient Safety. June 24, 2019 501 Boylston Street, 5th Floor, Boston, MA, 02116 info@BetsyLehmanCenterMA.gov https://psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety The Betsy Lehman Center is a nonregulatory Massachusetts state agency named for Betsy Lehman, the Boston Globe columni…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47089/psn-pdf
    May 09, 2018 - Leadership Survey: Immunization Against Burnout: Insights Report. May 9, 2018 Swensen S, Strongwater S, Mohta NS. NEJM Catalyst: Insights Report. April 12, 2018. https://psnet.ahrq.gov/issue/leadership-survey-immunization-against-burnout-insights-report Clinician burnout presents challenges to organizational and p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60975/psn-pdf
    September 30, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. September 30, 2020 Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. AHRQ Publication No. 20-0040-3-EF. https://psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74703/psn-pdf
    January 26, 2022 - Research to improve diagnosis: time to study the real world. January 26, 2022 Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071. https://psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world Diagnostic …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43701/psn-pdf
    July 03, 2016 - Blink or think: can further reflection improve initial diagnostic impressions? July 3, 2016 Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550. https://psnet.ahrq.gov/issue/blink-or-thi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60851/psn-pdf
    August 26, 2020 - Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. August 26, 2020 Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344. https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error Challenges to effective clinical reas…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48068/psn-pdf
    June 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47632/psn-pdf
    April 10, 2019 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. April 10, 2019 Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …