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1121. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45811/psn-pdf
      May 08, 2017 - A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accuracy of EHR Documentation. May 8, 2017 Agency for Healthcare Research and Quality. February 7, 2017. https://psnet.ahrq.gov/issue/national-web-conference-improving-health-it-safety-through-use-natu…

1122. Empiric Steroids: the Good, the Bad, and the Ugly | PSNet
      psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
      June 01, 2015 - SPOTLIGHT CASE Empiric Steroids: the Good, the Bad, and the Ugly Citation Text: Harris ED. Empiric Steroids: the Good, the Bad, and the Ugly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format:…

1123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35739/psn-pdf
      July 15, 2010 - CT for suspected appendicitis in children: an analysis of diagnostic errors. July 15, 2010 Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of diagnostic errors. Pediatr Radiol. 2006;36(4):331-7. https://psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analy…

1124. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
      January 01, 2016 - That's an important statement that was missing from the earlier definitions.

1125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34707/psn-pdf
      September 29, 2017 - National Patient Safety Foundation agenda for research and development in patient safety. September 29, 2017 Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and development in patient safety. MedGenMed. 2000;2(3):E38. https://psnet.ahrq.gov/issue/national-patient-safe…

1126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45589/psn-pdf
      January 23, 2017 - Do pharmacist-led medication reviews in hospitals help reduce hospital readmissions? A systematic review and meta-analysis. January 23, 2017 Renaudin P, Boyer L, Esteve M-A, et al. Do pharmacist-led medication reviews in hospitals help reduce hospital readmissions? A systematic review and meta-analysis. Br J Anaes…

1127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45013/psn-pdf
      April 13, 2016 - Good Practice Guides on Medication Errors: Part 1 and Part 2. April 13, 2016 Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264- 016-0410-4. https://psnet.ahrq.gov/issue/go…

1128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34680/psn-pdf
      February 09, 2011 - Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. February 9, 2011 Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA. 2001;286(4):415-20. https://psnet.ahrq.gov/issue/estimating-hospital-deaths-du…

1129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33742/psn-pdf
      December 01, 2012 - twists here is that using the outcome measure of delirium is still problematic because of the various definitions

1130. Diagnosing Diagnostic Mistakes | PSNet
      psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
      April 30, 2014 - We think that the designation of “missed or delayed diagnoses” is fraught with ambiguity and unclear definitions … Summary Hindsight bias, especially in the face of subjective criteria for definitions of disease and

1131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45238/psn-pdf
      September 29, 2017 - Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. September 29, 2017 Fargen KM, Drolet BC, Philibert I. Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature With a Focus on Risk Factors, Tem…

1132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37292/psn-pdf
      May 24, 2015 - Guilty, afraid, and alone — struggling with medical error. May 24, 2015 Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error Disclosure of medical errors remains an important a…

1133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44508/psn-pdf
      November 20, 2015 - Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. November 20, 2015 Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care Med. 2015;43(12):2544-51. doi:…

1134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39233/psn-pdf
      August 02, 2013 - Rapid response teams: a systematic review and meta- analysis. August 2, 2013 Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis. Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424. https://psnet.ahrq.gov/issue/rapid-response-teams-systematic-review…

1135. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34758/psn-pdf
      January 29, 2019 - Normal Accidents: Living with High-Risk Technologies. January 29, 2019 Perrow C. Princeton NJ: Princeton University Press; 1999. https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies Though less often cited than high-reliability theory in the health care literature, normal accidents theor…

1136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34685/psn-pdf
      September 29, 2017 - The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. September 29, 2017 Chassin MR, Galvin RW. The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. JAMA. 1998;280(11):1000-1005. https://psnet.a…

1137. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38142/psn-pdf
      April 30, 2014 - Medical error disclosure among pediatricians: choosing carefully what we might say to parents. April 30, 2014 Loren DJ, Klein EJ, Garbutt J, et al. Medical Error Disclosure Among Pediatricians. Arch Pediatr Adolesc Med. 2008;162(10):922-927. doi:10.1001/archpedi.162.10.922. https://psnet.ahrq.gov/issue/medical-err…

1138. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39314/psn-pdf
      December 21, 2014 - Patient characteristics and the occurrence of never events. December 21, 2014 Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. https://psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events …

1139. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41250/psn-pdf
      December 21, 2014 - Disclosure of "nonharmful" medical errors and other events: duty to disclose. December 21, 2014 Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events: duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005. https://psnet.ahrq.gov/issue/disclos…

1140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47178/psn-pdf
      July 10, 2018 - Defining, estimating, and communicating overdiagnosis in cancer screening. July 10, 2018 Davies L, Petitti DB, Martin L, et al. Defining, estimating, and communicating overdiagnosis in cancer screening. Ann Intern Med. 2018;169(1):36-43. doi:10.7326/M18-0694. https://psnet.ahrq.gov/issue/defining-estimating-and-co…