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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837905/psn-pdf
    August 24, 2022 - How cisgender clinicians can help prevent harm during encounters with transgender patients. August 24, 2022 doi:10.1001/amajethics.2022.753. https://psnet.ahrq.gov/issue/how-cisgender-clinicians-can-help-prevent-harm-during-encounters- transgender-patients Implicit bias, discrimination, and stigmatization impact …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73668/psn-pdf
    September 01, 2021 - Leadership: an effective human factor during COVID-19. September 1, 2021 Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203- 205. doi:10.1136/leader-2020-000384. https://psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19 Hierarchy and professional…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837024/psn-pdf
    May 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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43677/psn-pdf
    November 19, 2014 - Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. November 19, 2014 Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World Health Organization; October 2014. ISBN: 9789241507943. https://psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-err…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43758/psn-pdf
    March 17, 2015 - A patient safety checklist for the cardiac catheterisation laboratory. March 17, 2015 Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory. Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927. https://psnet.ahrq.gov/issue/patient-safety-checklist-card…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34100/psn-pdf
    February 09, 2011 - Safety of patients isolated for infection control. February 9, 2011 Stelfox HT, Bates DW, Redelmeier DA. Safety of patients isolated for infection control. JAMA. 2003;290(14):1899-1905. https://psnet.ahrq.gov/issue/safety-patients-isolated-infection-control This study discovered that patients isolated for coloniza…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73396/psn-pdf
    June 16, 2021 - The impact of the built environment on patient falls in hospital rooms: an integrative review. June 16, 2021 Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi:10.1097/pts.0000000000000613. http…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60801/psn-pdf
    August 12, 2020 - Targeting zero harm: a stretch goal that risks breaking the spring. August 12, 2020 Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring. NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354. https://psnet.ahrq.gov/issue/targeting-zero-harm-stretch-g…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42643/psn-pdf
    October 09, 2013 - FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety?emphasizing that accidental exposure to used patches can cause death. October 9, 2013 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 23, 2013. https://psnet.ahrq.gov/issue/fda-requiring-color-change…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34721/psn-pdf
    November 19, 2015 - Preventing medical injury. November 19, 2015 Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x. https://psnet.ahrq.gov/issue/preventing-medical-injury Reviewing cases of medical error in the Harvard Medical Practice Study…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43786/psn-pdf
    December 17, 2014 - Aviation tools to improve patient safety. December 17, 2014 Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10. doi:10.1016/j.jopan.2014.09.004. https://psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety The aviation industry offers insights and tools applicable to error…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74118/psn-pdf
    January 01, 2022 - From HRO to HERO: making health equity a core system capability. November 24, 2021 Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020. https://psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-syst…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72591/psn-pdf
    December 23, 2020 - Bias and racism teaching rounds at an academic medical center. December 23, 2020 Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073. https://psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-c…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45987/psn-pdf
    April 26, 2017 - Using simulation to prepare nursing staff for the move to a new building. April 26, 2017 Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329. https://psnet.ahrq.gov/issue/using-simulation-prepare-nurs…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45611/psn-pdf
    May 27, 2025 - Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections. July 7, 2021 Rockville, MD: Agency for Healthcare Research and Quality; July 7 2021. https://psnet.ahrq.gov/issue/funding-announcement-projects-targeting-reduction-healthcare-associated- infections Health care–associate…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44843/psn-pdf
    September 06, 2016 - Addressing the Global Shortages of Medicines, and the Safety and Accessibility of Children's Medication. September 6, 2016 Geneva, Switzerland: World Health Organization; 2015. https://psnet.ahrq.gov/issue/addressing-global-shortages-medicines-and-safety-and-accessibility-childrens- medication Drug shortages have…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72687/psn-pdf
    January 27, 2021 - Learning from errors with the new COVID-19 vaccines. January 27, 2021 ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.   https://psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines Learning from error rests on transparency efforts buttressed by frontline reports. This a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33927/psn-pdf
    June 23, 2015 - Errors, incidents and accidents in anaesthetic practice. June 23, 2015 Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5):506-19. https://psnet.ahrq.gov/issue/errors-incidents-and-accidents-anae…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73489/psn-pdf
    July 15, 2021 - A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. July 15, 2021 Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-0054. https://psnet.ahrq.gov/issue…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73249/psn-pdf
    May 12, 2021 - I-PASS handover system: a decade of evidence demands action. May 12, 2021 Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314. https://psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action The I-PASS structu…