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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865967/psn-pdf
    May 29, 2024 - Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. May 29, 2024 Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. Diagnosis…
  2. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide126.html
    October 01, 2014 - 126. Treatment Recommendations: Medications (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued) What medications should a clinician use with a patient who…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841486/psn-pdf
    January 26, 2018 - Do words matter? Stigmatizing language and the transmission of bias in the medical record. January 26, 2018 P. Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? Stigmatizing language and the transmission of bias in the medical record. J Gen Intern Med. 2018;33(5):685-691. doi:10.1007/s11606-017-4289-2. http…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60909/psn-pdf
    September 16, 2020 - Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. September 16, 2020 Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34649/psn-pdf
    June 11, 2014 - On error management: lessons from aviation. June 11, 2014 Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. https://psnet.ahrq.gov/issue/error-management-lessons-aviation In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47426/psn-pdf
    October 13, 2018 - Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. October 13, 2018 Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind Spots in Quality and Safety. Milbank Q. 2018;96(3):530-567. doi:10.1111/14…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47580/psn-pdf
    November 28, 2018 - Patient engagement in health care safety: an overview of mixed-quality evidence. November 28, 2018 Sharma AE, Rivadeneira NA, Barr-Walker J, et al. Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence. Health Aff (Millwood). 2018;37(11):1813-1820. doi:10.1377/hlthaff.2018.0716. https://p…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73581/psn-pdf
    January 01, 2022 - Applying human factors engineering to address the telemetry alarm problem in a large medical center. August 11, 2021 Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1):126-142. doi:10.1177/001872082…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855432/psn-pdf
    November 15, 2023 - Alarm burden and the nursing care environment: a 213- hospital cross-sectional study. November 15, 2023 Ruppel H, Dougherty M, Bonafide CP, et al. Alarm burden and the nursing care environment: a 213- hospital cross-sectional study. BMJ Open Qual. 2023;12(4):e002342. doi:10.1136/bmjoq-2023-002342. https://psnet.ah…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44022/psn-pdf
    May 28, 2015 - Initiatives to identify and mitigate medication errors in England. May 28, 2015 Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England. Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3. https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-med…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36333/psn-pdf
    July 10, 2008 - The care transitions intervention: results of a randomized controlled trial. July 10, 2008 Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8. https://psnet.ahrq.gov/issue/care-transitions-intervention-results-ra…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866115/psn-pdf
    June 12, 2024 - Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. June 12, 2024 Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. BMJ Open. 2024;14(5):e0…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61096/psn-pdf
    November 04, 2020 - Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. November 4, 2020 Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e50-e56. https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist- professional-liability Des…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38290/psn-pdf
    February 17, 2011 - Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. February 17, 2011 Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. https://psnet.ahrq.gov/issue/revisitin…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46453/psn-pdf
    October 04, 2017 - Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. October 4, 2017 Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Cancer Care Delivery. Jt Comm J Qual…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73135/psn-pdf
    April 14, 2021 - Debrief it all: a tool for inclusion of Safety-II. April 14, 2021 Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3. https://psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii Debriefing is a c…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838237/psn-pdf
    October 05, 2022 - Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. October 5, 2022 Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. Health Technol Assess. 2022;26(32)…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45895/psn-pdf
    February 22, 2017 - Opioids for pain management in older adults: strategies for safe prescribing. February 22, 2017 Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10. https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing Use…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36178/psn-pdf
    September 30, 2010 - Analysis of surgical errors in closed malpractice claims at 4 liability insurers. September 30, 2010 Rogers SO, Gawande AA, Kwaan M, et al. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140(1):25-33. https://psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malp…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47109/psn-pdf
    June 06, 2018 - Principles of automation for patient safety in intensive care: learning from aviation. June 6, 2018 Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jcjq.2017.11.008. https://psnet.ahrq.gov/i…