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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72854/psn-pdf
    March 17, 2021 - Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. March 17, 2021 Mitchell G, Porter S, Manias E. Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. J Adv …
  2. psnet.ahrq.gov/taxonomy/term/3504
    June 24, 2025 - Workaround From the perspective of frontline personnel trying to accomplish their work, the design of equipment or the policies governing work tasks can seem counterproductive. When frontline personnel adopt consistent patterns of work or ways of bypassing safety features of medical equipment, these patterns and acti…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73478/psn-pdf
    July 07, 2021 - Medical malpractice claims by members of the uniformed services. July 7, 2021 Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215. https://psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services Organizations with safety culture…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60296/psn-pdf
    May 06, 2020 - Ensuring access to medications in the US during the COVID-19 pandemic. May 6, 2020 Alexander GC, Qato DM. Ensuring access to medications in the US during the COVID-19 pandemic. JAMA. 2020;324(1):31-32. doi:10.1001/jama.2020.6016. https://psnet.ahrq.gov/issue/ensuring-access-medications-us-during-covid-19-pandemic …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865874/psn-pdf
    May 15, 2024 - Perceptions of U.S. and U.K. incident reporting systems: a scoping review. May 15, 2024 Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231. https://psnet.ahrq.gov/issue/perceptions-us-and-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72528/psn-pdf
    December 02, 2020 - Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic review. December 2, 2020 Han SM, Greenfield G, Majeed A, et al. Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic review. J Med Internet Res. 2020;22(11):e23482. doi:10.2196/23482. ht…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43645/psn-pdf
    November 12, 2014 - Health IT and Clinical Decision Support Systems. November 12, 2014 Ohno-Machado L, ed. J Am Med Inform Assoc. 2014;21:e180-e375. https://psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems A universal agreement on how to calculate the return on investment for health information technology (IT) and…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36529/psn-pdf
    August 09, 2011 - 5 Million Lives Campaign. August 9, 2011 Institute for Healthcare Improvement; IHI https://psnet.ahrq.gov/issue/5-million-lives-campaign The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than 3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838029/psn-pdf
    September 07, 2022 - Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. September 7, 2022 ISMP Medication Safety Alert! Acute care edition! August 25, 2022:27(17)1-6. https://psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr- downtime Unanticipated…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72735/psn-pdf
    February 10, 2021 - Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. February 10, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 5, 2021. Report No. 20-01521-48. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43261/psn-pdf
    June 18, 2014 - Activation of a medical emergency team using an electronic medical recording–based screening system. June 18, 2014 Huh JW, Lim C-M, Koh Y, et al. Activation of a medical emergency team using an electronic medical recording-based screening system*. Crit Care Med. 2014;42(4):801-8. doi:10.1097/CCM.0000000000000031. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38534/psn-pdf
    January 31, 2013 - Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. January 31, 2013 Koppel R, Kreda D. Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. JAMA. 2009;301(12):1276-8. doi:10.1001/jama.2009.398. https…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47297/psn-pdf
    October 31, 2018 - Reducing treatment errors through point-of-care glucometer configuration. October 31, 2018 Estock JL, Pham I-T, Curinga HK, et al. Reducing Treatment Errors Through Point-of-Care Glucometer Configuration. Jt Comm J Qual Patient Saf. 2018;44(11):683-694. doi:10.1016/j.jcjq.2018.03.014. https://psnet.ahrq.gov/issue/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44842/psn-pdf
    March 02, 2016 - Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. March 2, 2016 Burgess N, Strauss K, Currie G, et al. Organizational Ambidexterity and the Hybrid Middle Manager: The Case of Patient Safety in UK Hospitals. Hum Resour Manage. 2015;54(S1). doi:10.1002/hrm.21725. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44345/psn-pdf
    October 05, 2015 - Apologies following an adverse medical event: the importance of focusing on the consumer's needs. October 5, 2015 Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):1058-62. doi:10.1016/j.pec.2015.06…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37444/psn-pdf
    January 02, 2008 - My brother's keeper: must a physician disclose another's medical error and potential negligence? January 2, 2008 Liang BA, Smith C by DS. My brother's keeper: must a physician disclose another's medical error and potential negligence? J Clin Anesth. 2007;19(7):558-562. doi:10.1016/j.jclinane.2007.05.005. https://p…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35044/psn-pdf
    September 27, 2017 - Decisions about critical events in device-related scenarios as a function of expertise. September 27, 2017 Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12. https://psnet.ahrq.gov/issue/decisions-ab…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35112/psn-pdf
    June 22, 2009 - Medication safety in older adults: home-based practice patterns. June 22, 2009 Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc. 2005;53(6):976-982. https://psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns This s…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37981/psn-pdf
    June 16, 2011 - Nurses' perceptions of error communication and reporting in the intensive care unit. June 16, 2011 Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48. https://psnet.ahrq.gov/issue/nurses…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42994/psn-pdf
    March 26, 2014 - Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. March 26, 2014 Renkema E, Broekhuis M, Ahaus K. Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. BMC Health Serv Res. 2014;14:38…