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  1. 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…
  2. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863757/psn-pdf
    March 06, 2024 - Debriefing to improve interprofessional teamwork in the operating room: a systematic review. March 6, 2024 Skegg E, McElroy C, Mudgway M, et al. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. J Nurs Scholarsh. 2023;55(6):1179-1188. doi:10.1111/jnu.12924. https://psnet.…
  4. digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/citation/shared
    January 01, 2023 - A shared decision-making tool for drug interactions between warfarin and nonsteroidal anti-inflammatory drugs: Design and usability study. Citation Reese TJ, Del Fiol G, Morgan K, Hurwitz JT, Kawamoto K, Gomez-Lumbreras A, Brown ML, Thiess H, Vazquez SR, Nelson SD, Boyce R, Malone D. A shared decisio…
  5. 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…
  6. 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…
  7. digital.ahrq.gov/location/usa-ca-san-diego
    January 01, 2023 - USA, CA, San Diego Quantifying Electronic Medical Record Usability to Improve Clinical Workflow Description This project studied electronic health record use, workflow, physician-patient communication, cognitive load, and user satisfaction and found multiple factors that influ…
  8. 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-…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72499/psn-pdf
    November 25, 2020 - Transformational improvement in quality care and health systems: the next decade. November 25, 2020 Braithwaite J, Vincent CA, Garcia-Elorrio E, et al. Transformational improvement in quality care and health systems: the next decade. BMC Med. 2020;18(1):340. doi:10.1186/s12916-020-01739-y. https://psnet.ahrq.gov/i…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837075/psn-pdf
    May 11, 2022 - Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. May 11, 2022 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022. https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedin…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837760/psn-pdf
    January 01, 2024 - Criminal liability for nursing and medical harm. August 3, 2022 Maher V, Cwiek M. Criminal liability for nursing and medical harm. Hosp Top. 2024;102(2):117-124. doi:10.1080/00185868.2022.2101571. https://psnet.ahrq.gov/issue/criminal-liability-nursing-and-medical-harm Fear of criminal liability may inhibit clinic…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838623/psn-pdf
    October 19, 2022 - Resident and nurse perspectives on the use of secure text messaging systems. October 19, 2022 Aziz S, Barber J, Singh A, et al. Resident and nurse perspectives on the use of secure text messaging systems. J Hosp Med. 2022;17(11):880-887. doi:10.1002/jhm.12953. https://psnet.ahrq.gov/issue/resident-and-nurse-perspe…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34643/psn-pdf
    December 23, 2008 - The health care cost of drug-related morbidity and mortality in nursing facilities. December 23, 2008 Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2089-96. https://psnet.ahrq.gov/issue/health-care-cost-drug-related…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43478/psn-pdf
    August 27, 2014 - Is it time to move beyond errors in clinical reasoning and discuss accuracy? August 27, 2014 Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4. https://psnet.ahrq.gov/issue/it-time-move-beyond-er…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46968/psn-pdf
    April 18, 2018 - Attitudes and practices related to clinical alarms: a follow- up survey. April 18, 2018 Ruppel H, Funk M, Clark T, et al. Attitudes and Practices Related to Clinical Alarms: A Follow-up Survey. Am J Crit Care. 2018;27(2):114-123. doi:10.4037/ajcc2018185. https://psnet.ahrq.gov/issue/attitudes-and-practices-related…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45082/psn-pdf
    April 27, 2016 - Surgeons must tell patients of double-booked surgeries, new guidelines say. April 27, 2016 Abelson J, Staltzman J. Boston Globe. April 13, 2016. https://psnet.ahrq.gov/issue/surgeons-must-tell-patients-double-booked-surgeries-new-guidelines-say Although scheduling overlapping surgeries may improve operating room e…
  18. 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43333/psn-pdf
    January 15, 2017 - A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large tertiary care hospital. January 15, 2017 Seferian EG, Jamal S, Clark K, et al. A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large tertiary…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37336/psn-pdf
    January 05, 2012 - 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. January 5, 2012 Sax H, Allegranzi B, Uçkay I, et al. 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. J Hosp Infect. 200…