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  1. 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…
  2. psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
    August 04, 2021 - December 29, 2014 Prospective evaluation of consultant surgeon sleep deprivation and
  3. psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe
    October 05, 2022 - December 29, 2014 Prospective evaluation of consultant surgeon sleep deprivation and
  4. psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or
    February 12, 2020 - October 11, 2017 Prospective evaluation of consultant surgeon sleep deprivation and outcomes
  5. psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
    June 24, 2020 - December 29, 2014 Prospective evaluation of consultant surgeon sleep deprivation and
  6. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
    January 01, 2024 - suspected tendon disruption.8 26 Referral and Follow-up • Depending on local practice patterns and consultant
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846171/psn-pdf
    July 26, 2022 - Kuhn, MD Grifols Speaker  Takeda Speaker  Inhibrix Consultant/Author  Boehringer Ingelheim Consultant … Astra Zeneca Consultant Theravance Author Patrick Romano, MD, MPH; Debra Bakerjian, PhD, APRN, RN
  13. 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…
  14. 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 …
  15. 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…
  16. 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.…
  17. 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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851971/psn-pdf
    July 31, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up July 31, 2023 Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/failure-adhere-dietary-restricti…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866839/psn-pdf
    September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September 25, 2024 Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…
  20. psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
    June 28, 2023 - Kuhn, MD Grifols Speaker  Takeda Speaker  Inhibrix Consultant/Author  Boehringer … Ingelheim Consultant Astra Zeneca Consultant Theravance Author Patrick Romano

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