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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37196/psn-pdf
    June 06, 2018 - Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. June 6, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4. https://psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg- and-mg This article analyzes a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35961/psn-pdf
    May 24, 2006 - BBC News 'wrong guy' is revealed. May 24, 2006 BBC News. https://psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed As evidence that identification errors occur in industries other than health care, this article describes how a graduate student interviewing for a job at the BBC studios was mistakenly put on televisi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47802/psn-pdf
    March 04, 2019 - The path to diagnostic excellence includes feedback to calibrate how clinicians think. March 4, 2019 Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. 2019;321(8):737-738. doi:10.1001/jama.2019.0113. https://psnet.ahrq.gov/issue/path-diagnostic-excelle…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43827/psn-pdf
    January 14, 2015 - The surprising way to stay safe in the hospital. January 14, 2015 https://psnet.ahrq.gov/issue/surprising-way-stay-safe-hospital This news article summarizes the results of a survey exploring how patients' perceptions of respect from hospital staff corresponds with the potential for medical error. Recommended strat…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33817/psn-pdf
    October 01, 2016 - Health Care Data Science for Quality Improvement and Patient Safety October 1, 2016 Rajkomar A. Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety Perspective Background Ha…
  6. psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
    October 02, 2019 - In this case, we would hope the physician would seek answers to a series of questions before providing … There are no easy answers here.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45186/psn-pdf
    June 15, 2017 - Patient and family empowerment as agents of ambulatory care safety and quality. June 15, 2017 Roter DL, Wolff JL, Wu AW, et al. Patient and family empowerment as agents of ambulatory care safety and quality. BMJ Qual Saf. 2017;26(6):508-512. doi:10.1136/bmjqs-2016-005489. https://psnet.ahrq.gov/issue/patient-and-f…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43579/psn-pdf
    October 08, 2014 - Implications of Health Literacy for Public Health: Workshop Summary. October 8, 2014 Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2014. ISBN: 9780309303651. https://psnet.ahrq.gov/issue…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46551/psn-pdf
    October 25, 2017 - Inpatient notes: diagnostic excellence starts with an incessant watch. October 25, 2017 Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34786/psn-pdf
    March 28, 2005 - Errors in drug computations during newborn intensive care. March 28, 2005 Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. https://psnet.ahrq.gov/issue/errors-drug-computatio…
  11. psnet.ahrq.gov/issue/southern-california-patient-safety-collaborative
    April 29, 2009 - Multi-use Website Southern California Patient Safety Collaborative.   Citation Text: Convergence Health Consulting; Hospital Association of Southern California; National Health Foundation. Copy Citation Save Save to your library Print Share Faceb…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43548/psn-pdf
    October 01, 2014 - Patients' online access to their electronic health records and linked online services: a systematic interpretative review. October 1, 2014 de Lusignan S, Mold F, Sheikh A, et al. Patients' online access to their electronic health records and linked online services: a systematic interpretative review. BMJ Open. 201…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46100/psn-pdf
    July 11, 2017 - The tension between promoting mobility and preventing falls in the hospital. July 11, 2017 Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840. https://psnet.ahrq.gov/issue/tension-be…
  14. psnet.ahrq.gov/issue/treatment-overkill
    October 19, 2020 - Audiovisual Treatment Overkill. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL October 17, 2018 Medical care overuse is emerging as a patient safety hazard that can result in harms such as unnee…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43845/psn-pdf
    September 26, 2016 - Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? September 26, 2016 Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instructions, and experience affe…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43954/psn-pdf
    May 13, 2015 - Training safer surgeons: how do patients view the role of simulation in orthopaedic training? May 13, 2015 Akhtar K, Sugand K, Wijendra A, et al. Training safer surgeons: How do patients view the role of simulation in orthopaedic training? Patient Saf Surg. 2015;9:11. doi:10.1186/s13037-015-0058-5. https://psnet.a…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45129/psn-pdf
    August 03, 2016 - Sleep and circadian misalignment for the hospitalist: a review. August 3, 2016 Schaefer EW, Williams M, Zee PC. Sleep and circadian misalignment for the hospitalist: a review. J Hosp Med. 2012;7(6):489-96. doi:10.1002/jhm.1903. https://psnet.ahrq.gov/issue/sleep-and-circadian-misalignment-hospitalist-review Given…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44361/psn-pdf
    November 20, 2015 - Communication in healthcare: a narrative review of the literature and practical recommendations. November 20, 2015 Vermeir P, Vandijck D, Degroote S, et al. Communication in healthcare: a narrative review of the literature and practical recommendations. Int J Clin Pract. 2015;69(11):1257-67. doi:10.1111/ijcp.12686.…
  19. psnet.ahrq.gov/issue/minor-mistakes-deadly-results
    April 02, 2008 - December 3, 2014 Hamilton father misdiagnosed with lung cancer demands answers.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33641/psn-pdf
    November 01, 2006 - Would your answers be different if the air embolus occurred when the patient was supine?

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