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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44857/psn-pdf
    March 23, 2016 - Health IT Safe Practices. Toolkit for the Safe Use of Copy and Paste. March 23, 2016 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016. https://psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste Electronic health records have potential to improve health …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854825/psn-pdf
    October 25, 2023 - Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. October 25, 2023 Lea W, Lawton R, Vincent CA, et al. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. J Patient Saf. 2023;19(8…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60030/psn-pdf
    March 11, 2020 - Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. March 11, 2020 Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and team processes in reducing adverse ev…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34849/psn-pdf
    May 14, 2012 - The end of the beginning: patient safety five years after 'To Err Is Human.' May 14, 2012 Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534. https://psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45479/psn-pdf
    October 08, 2016 - Physician understanding and ability to communicate harms and benefits of common medical treatments. October 8, 2016 Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1567. doi:10.1001/jamainternmed.2…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46738/psn-pdf
    February 28, 2018 - Safe care for pediatric patients: a scoping review across multiple health care settings. February 28, 2018 Stang A, Thomson D, Hartling L, et al. Safe Care for Pediatric Patients: A Scoping Review Across Multiple Health Care Settings. Clin Pediatr (Phila). 2018;57(1):62-75. doi:10.1177/0009922817691820. https://ps…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45746/psn-pdf
    December 14, 2016 - Moving toward improved teamwork in cancer care: the role of psychological safety in team communication. December 14, 2016 Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication. J Oncol Pract. 2016;12(11):1000-1011. https://psn…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39709/psn-pdf
    September 20, 2011 - A systems approach to morbidity and mortality conference. September 20, 2011 Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference. Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010. https://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837434/psn-pdf
    June 15, 2022 - ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures. June 15, 2022 Iredell B, Mourad H, Nickman NA, et al. ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures. Am J Health Syst Ph…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35032/psn-pdf
    February 03, 2011 - Five years after 'To Err is Human': what have we learned? February 3, 2011 Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned Two of the leaders in the patient safety movement, Lucian …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44680/psn-pdf
    February 24, 2018 - Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. February 24, 2018 McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853959/psn-pdf
    September 27, 2023 - Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. September 27, 2023 Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitator…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851647/psn-pdf
    July 26, 2023 - Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. July 26, 2023 Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Care. 2023;32(3):177-188. doi:10.109…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45350/psn-pdf
    October 21, 2016 - A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. October 21, 2016 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2016. https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43764/psn-pdf
    July 03, 2016 - Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. July 3, 2016 Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097/ACM.0000000000000579. https://psnet.ahr…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44515/psn-pdf
    February 23, 2018 - The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. February 23, 2018 Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resources Leadership; 2015. https://psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837302/psn-pdf
    June 01, 2022 - An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes. June 1, 2022 Estiri H, Strasser ZH, Rashidian S, et al. An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes. J Am Med Inform Assoc. 2022;29(8):1334–1341. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45644/psn-pdf
    March 15, 2017 - Gender-based differences in surgical residents' perceptions of patient safety, continuity of care, and well- being: an analysis from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial. March 15, 2017 Ban KA, Chung JW, Matulewicz RS, et al. Gender-Based Differences in Surgical Residents' …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44501/psn-pdf
    January 22, 2016 - Patient safety perceptions in pediatric out-of-hospital emergency care: Children's Safety Initiative. January 22, 2016 Guise J-M, Meckler G, O'Brien K, et al. Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency Care: Children's Safety Initiative. J Pediatr. 2015;167(5):1143-8.e1. doi:10.1016/j.jpeds.2…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45002/psn-pdf
    June 07, 2016 - The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. June 7, 2016 Marwaha JS, Drolet BC, Maddox SS, et al. The Impact of the 2011 Accreditation Council for Graduate Medical Education Duty Hour Reform on Quality and Safety in Trauma Care.…