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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46304/psn-pdf
    November 01, 2017 - Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. November 1, 2017 Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 2015;33(8):548-552. doi:10.1097/pe…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47130/psn-pdf
    October 10, 2018 - Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. October 10, 2018 Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. doi:10.1016/j.nedt.2018.08.024. http…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43001/psn-pdf
    March 19, 2014 - Variability in the measurement of hospital-wide mortality rates. March 19, 2014 Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. https://psnet.ahrq.gov/issue/variability-measurement-hospital-wide-m…
  5. psnet.ahrq.gov/issue/ashrm-patient-safety-portal
    September 27, 2016 - Multi-use Website ASHRM Patient Safety Portal. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 21, 2012 This Web site provides access to educational resources for risk ma…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43958/psn-pdf
    April 22, 2015 - Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. April 22, 2015 Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann Oncol. 2015;26(5):981-6. doi:10.10…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50890/psn-pdf
    February 12, 2020 - Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study. February 12, 2020 Leguelinel-Blache G, Castelli C, Rolain J, et al. Impact of pharmacist-led multidisciplinary medication review on the safety and med…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34993/psn-pdf
    June 22, 2009 - Five system barriers to achieving ultrasafe health care. June 22, 2009 Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. https://psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care This commentary builds on the…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35577/psn-pdf
    April 06, 2011 - Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework. April 6, 2011 Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47547/psn-pdf
    February 13, 2019 - Prevention of prescription opioid misuse and projected overdose deaths in the United States. February 13, 2019 Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. JAMA Netw Open. 2019;2(2):e187621. doi:10.1001/jamanetworkopen.2018.76…
  11. psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
    February 26, 2025 - In Conversation With… Gordon Schiff, MD July 1, 2018  Citation Text: In Conversation With… Gordon Schiff, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37706/psn-pdf
    December 23, 2016 - Preventing pediatric medication errors. December 23, 2016 Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4. https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk and to p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42705/psn-pdf
    November 26, 2013 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. November 26, 2013 Oakbrook Terrace, IL: The Joint Commission; October 2013.  https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2013 This Joint Commission…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35906/psn-pdf
    May 27, 2011 - Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. May 27, 2011 Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. Arch Pediatr Adolesc Med. 2006;160(5):495-8. https:/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47735/psn-pdf
    June 24, 2019 - The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. June 24, 2019 Boston, MA: Betsy Lehman Center for Patient Safety; June 2019. https://psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead- way-patient-safety The Betsy L…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42831/psn-pdf
    October 31, 2014 - Overdiagnosis in low-dose computed tomography screening for lung cancer. October 31, 2014 Patz EF, Pinsky P, Gatsonis C, et al. Overdiagnosis in low-dose computed tomography screening for lung cancer. JAMA Intern Med. 2014;174(2):269-74. doi:10.1001/jamainternmed.2013.12738. https://psnet.ahrq.gov/issue/overdiagno…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41726/psn-pdf
    September 26, 2012 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012. September 26, 2012 Oakbrook Terrace, IL: The Joint Commission; September 2012. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2012 The seventh annual Joint…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34688/psn-pdf
    March 28, 2005 - Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. March 28, 2005 Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. JAMA. 1997;277(4):301-6. https://psne…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47752/psn-pdf
    May 29, 2019 - How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. May 29, 2019 Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. Int …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49431/psn-pdf
    January 01, 2004 - Crushing Chest Pain: A Missed Opportunity January 1, 2004 Graber ML. Crushing Chest Pain: A Missed Opportunity. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity Case Objectives Appreciate the challenges of diagnosing aortic dissection Describe a Bayesian approach to dia…

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