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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72751/psn-pdf
    February 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46160/psn-pdf
    June 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47718/psn-pdf
    March 20, 2019 - Impact of patient safety culture on missed nursing care and adverse patient events. March 20, 2019 Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qual. 2019;34(4):287-294. doi:10.1097/NCQ.0000000000000378. https://psnet.ahrq.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39597/psn-pdf
    July 14, 2010 - Ten strategies to improve management of abnormal test result alerts in the electronic health record. July 14, 2010 Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the electronic health record. J Patient Saf. 2010;6(2):121-123. doi:10.1097/PTS.0b013e3181ddf652…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43952/psn-pdf
    March 04, 2015 - Improving resident morning sign-out by use of daily events reports. March 4, 2015 Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56. https://psnet.ahrq.gov/issue/improving-resident-morning-sign-ou…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42961/psn-pdf
    February 19, 2014 - Healthcare-associated infections: a national patient safety problem and the coordinated response. February 19, 2014 Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.1097/MLR.0b013e3182a54581. https://psne…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854265/psn-pdf
    October 04, 2023 - Can AI help doctors come up with better diagnoses? October 4, 2023 Landro L. Wall Street Journal. September 24, 2023. https://psnet.ahrq.gov/issue/can-ai-help-doctors-come-better-diagnoses Artificial intelligence (AI) is being considered as a strong contender in the effort to reduce harmful diagnostic error, but c…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849609/psn-pdf
    May 31, 2023 - Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. May 31, 2023 Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121-129. doi:10.1515/dx-2022-0092. htt…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37262/psn-pdf
    December 19, 2011 - Academic detailing to improve laboratory testing among outpatient medication users. December 19, 2011 Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care. 2007;45(10):966-72. https://psnet.ahrq.gov/issue/academic-detailing-improve-laborat…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36106/psn-pdf
    May 27, 2011 - Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. May 27, 2011 Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. Crit Care Med. 2006;34(7…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42010/psn-pdf
    December 21, 2014 - Impact of attending physician workload on patient care: a survey of hospitalists. December 21, 2014 Michtalik HJ, Yeh H-C, Pronovost P, et al. Impact of attending physician workload on patient care: a survey of hospitalists. JAMA Intern Med. 2013;173(5):375-7. doi:10.1001/jamainternmed.2013.1864. https://psnet.ahr…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46090/psn-pdf
    December 22, 2018 - More than a tick box: medical checklist development, design, and use. December 22, 2018 Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286. https://psnet.ahrq.gov/issue/more-tick-box-medi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45547/psn-pdf
    October 05, 2016 - Sick children face potentially deadly danger: medication errors. October 5, 2016 Furfaro H. Wall Street Journal. September 25, 2016. https://psnet.ahrq.gov/issue/sick-children-face-potentially-deadly-danger-medication-errors Medication errors in pediatric care are common in the hospital and at home. This newspaper…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47289/psn-pdf
    October 24, 2018 - ASHP guidelines on managing drug product shortages. October 24, 2018 Fox ER, McLaughlin MM. ASHP guidelines on managing drug product shortages. Am J Health Syst Pharm. 2018;75(21):1742-1750. doi:10.2146/ajhp180441. https://psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages Drug shortages are a pe…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72535/psn-pdf
    December 02, 2020 - Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. December 2, 2020 ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6. https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns Safety professionals enco…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39511/psn-pdf
    November 02, 2010 - Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents. November 2, 2010 Bertsche T, Bertsche A, Krieg E-M, et al. Prospective pilot intervention study to prevent medication errors in drugs admini…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60604/psn-pdf
    June 17, 2020 - The limits of current A.I. in health care: patient safety policing in hospitals. June 17, 2020 Furrow BR. NE Univ Law Rev. 2020;12(1):1-55. https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals Artificial intelligence (AI) has the potential to improve the use of big data to e…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45923/psn-pdf
    April 19, 2017 - Huddles and debriefings: improving communication on labor and delivery. April 19, 2017 McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006. https://psnet.ahrq.gov/issue/huddles-and-debriefings…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43819/psn-pdf
    July 16, 2015 - Intercepting wrong-patient orders in a computerized provider order entry system. July 16, 2015 Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed.2014.11.017. https://psnet.ahrq.g…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837593/psn-pdf
    June 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…

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