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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73705/psn-pdf
    September 15, 2021 - Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety. September 15, 2021 Newman B, Joseph K, Chauhan A, et al. Do patient engagement interventions work for all patients? A systematic review and realist synthesis of intervent…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73413/psn-pdf
    June 23, 2021 - Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade. June 23, 2021 Koeck JA, Young NJ, Kontny U, et al. Interventions to Reduce Pediatric Prescribing Errors in Professional Healthcare Settings: A Systematic Review of the Last Decade. Pedi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837899/psn-pdf
    August 24, 2022 - Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients. August 24, 2022 Occelli P, Mougeot F, Robelet M, et al. Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative stu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73506/psn-pdf
    July 21, 2021 - Patient-safety incidents during COVID-19 health crisis in France: An exploratory sequential multi-method study in primary care. July 21, 2021 Fournier JP, Amélineau JB, Hild S, et al. Eur J Gen Pract. 2021;27(1):142-151. https://psnet.ahrq.gov/issue/patient-safety-incidents-during-covid-19-health-crisis-france-exp…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836956/psn-pdf
    April 20, 2022 - Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review. April 20, 2022 Alboksmaty A, Beaney T, Elkin S, et al. Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review. Lancet Digit Health.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46440/psn-pdf
    September 20, 2017 - Why do people stop taking their meds? Cost is just one reason. September 20, 2017 Hobson K. Health Shots. National Public Radio. September 8, 2017. https://psnet.ahrq.gov/issue/why-do-people-stop-taking-their-meds-cost-just-one-reason Medication regimen nonadherence can result in patient harm. This news article re…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41434/psn-pdf
    June 06, 2012 - ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010. June 6, 2012 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2010. Am J Health Syst Pharm. 2011;68(8):669-88. doi:10.2146/ajhp…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46501/psn-pdf
    March 20, 2018 - Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. March 20, 2018 Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.7104. https://psnet.ahrq.gov/issue/blind…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850450/psn-pdf
    June 14, 2023 - The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. June 14, 2023 Bourgeois JA, Xiong G, Barnes DK, et al. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45050/psn-pdf
    May 03, 2016 - Digital health and patient safety. May 3, 2016 Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698. doi:10.1001/jama.2016.2402. https://psnet.ahrq.gov/issue/digital-health-and-patient-safety Patients, clinicians, and health care systems are increasingly adopting digital…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43310/psn-pdf
    July 09, 2014 - Antimicrobial stewardship: another focus for patient safety? July 9, 2014 Tamma PD, Holmes A, Ashley ED. Antimicrobial stewardship: another focus for patient safety? Curr Opin Infect Dis. 2014;27(4):348-55. doi:10.1097/QCO.0000000000000077. https://psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patie…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39331/psn-pdf
    March 03, 2010 - Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. March 3, 2010 Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. Ann Intern Med. 2010;152(4):247-58.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45034/psn-pdf
    February 25, 2019 - Future directions for diagnostic decision support. February 25, 2019 Carr S. ImproveDx. April 2016;3:1-3. https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic accuracy. This newsletter article …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46964/psn-pdf
    April 11, 2018 - The gaps in specialists' diagnoses. April 11, 2018 Scott IA, Campbell DA. The gaps in specialists' diagnoses. Med J Aust. 2018;208(5):196-197. https://psnet.ahrq.gov/issue/gaps-specialists-diagnoses Leaders in the effort to improve diagnosis have heralded diagnosis as a team activity. This commentary suggests that…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867640/psn-pdf
    February 26, 2025 - Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. February 26, 2025 Lounsbury O, Li E, Lunova T, et al. Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Health Policy Tech. 2025;14(1):100966. doi:10.1016/j.hlp…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73188/psn-pdf
    April 28, 2021 - Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. April 28, 2021 Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):26. doi:10.1186/s12910-021-00593-8. ht…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72700/psn-pdf
    January 01, 2022 - Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. February 3, 2021 Erkelens DC, Rutten FH, Wouters LT, et al. Missed Acute Coronary Syndrome During Telephone Triage at Out-of-Hours Primary Care. J Patient Saf. 2022;18(1):40-45. doi:10.1097/pts.0…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846155/psn-pdf
    March 15, 2023 - Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. March 15, 2023 Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid Response System: a mortality review in a department of gastrointesti…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73435/psn-pdf
    June 30, 2021 - Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. June 30, 2021 Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73115/psn-pdf
    April 07, 2021 - Can decision support combat incompleteness and bias in routine primary care data? April 7, 2021 Kostopoulou O, Tracey C, Delaney BC. Can decision support combat incompleteness and bias in routine primary care data? J Am Med Inform Assoc. 2021;28(7):1461-1467. doi:10.1093/jamia/ocab025. https://psnet.ahrq.gov/issue…

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