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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50399/psn-pdf
    January 01, 2020 - Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care October 2, 2019 Wong BM, Baum KD, Headrick LA, et al. Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care. Acad…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40547/psn-pdf
    June 29, 2011 - What context features might be important determinants of the effectiveness of patient safety practice interventions? June 29, 2011 Taylor SL, Dy SM, Foy R, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions? BMJ Qual Saf. 2011;20(7):611-7. doi:…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44547/psn-pdf
    November 25, 2015 - Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. November 25, 2015 Samra R, Bottle A, Aylin PP. Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. BMJ Open. 2015;5(9):e008128. doi:10.1136/bmjopen-2015-008…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74722/psn-pdf
    February 02, 2022 - Preventing and mitigating radiology system failures: a guide to disaster planning. February 2, 2022 Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg.2021210083. https://psnet.ahrq.gov/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48159/psn-pdf
    July 31, 2019 - Fatigue in radiology: a fertile area for future research. July 31, 2019 Taylor-Phillips S, Stinton C. Fatigue in radiology: a fertile area for future research. Br J Radiol. 2019;92(1099):20190043. doi:10.1259/bjr.20190043. https://psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research Physician fatigu…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836714/psn-pdf
    March 09, 2022 - Intraoperative deaths: who, why, and can we prevent them? March 9, 2022 Dorken Gallastegi A, Mikdad S, Kapoen C, et al. Intraoperative deaths: who, why, and can we prevent them? J Surg Res. 2022;274:185-195. doi:10.1016/j.jss.2022.01.007. https://psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-preven…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43726/psn-pdf
    September 01, 2016 - Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department. September 1, 2016 Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co- prescriptions by Admitting Department. Healthc Inform Res. 2014;20(4):280-7. doi:10.4258/hir.2…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41392/psn-pdf
    July 02, 2014 - Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. July 2, 2014 Tallentire VR, Smith SE, Skinner J, et al. Exploring error in team-based acute care scenarios: an observational study from the United kingdom. Acad Med. 2012;87(6):792-8. doi:10.1097/ACM.0b013e318253c9e…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47959/psn-pdf
    May 15, 2019 - A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt. May 15, 2019 Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events Among Adolescents Hospitalized After a Suicide Attempt. Hosp Pediatr. 2019;9(5):365-372. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844796/psn-pdf
    September 18, 2019 - Workplace violence against anesthesiologists: we are not immune to this patient safety threat. September 18, 2019 Udoji MA, Ifeanyi-Pillette IC, Miller TR, Lin DM. Int Anesthesiol Clin. 2019;57:123-137. https://psnet.ahrq.gov/issue/workplace-violence-against-anesthesiologists-we-are-not-immune-patient- safety-thre…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38589/psn-pdf
    May 04, 2010 - Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. May 4, 2010 Barrios L, Tsuda S, Derevianko A, et al. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Surg Endosc. 2009;23(11):2535-42. doi:10.1007/s00464-009-0450-2. https…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47843/psn-pdf
    March 06, 2019 - Structural iatrogenesis—a 43-year-old man with "opioid misuse." March 6, 2019 Stonington S, Coffa D. Structural Iatrogenesis - A 43-Year-Old Man with "Opioid Misuse". N Engl J Med. 2019;380(8):701-704. doi:10.1056/NEJMp1811473. https://psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse The…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44627/psn-pdf
    May 30, 2016 - Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews. May 30, 2016 Lloyd M, Watmough SD, O'Brien S, et al. Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: A qualitative case …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854387/psn-pdf
    October 11, 2023 - Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. October 11, 2023 Tan MZY, Prager G, McClelland A, et al. Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. BMJ Open. 2023;13(9):e072136. doi:10.1136/bmjopen-2023-072136. https://psnet.ahrq.gov/issu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46258/psn-pdf
    January 01, 2021 - Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity. August 30, 2017 Guzmán MDT, Banqueri MG, Otero MJ, et al. Development of a Trigger Tool to Identify Adverse Drug Events in Elderly Patients With Multimorbidity. J Patient Saf. 2021;17(6):e475-e482. doi:10.1097/PT…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36505/psn-pdf
    February 16, 2011 - Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. February 16, 2011 Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictions: restructuring the 80-hour w…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47179/psn-pdf
    September 26, 2018 - Classification of patient-safety incidents in primary care. September 26, 2018 Cooper J, Williams H, Hibbert P, et al. Classification of patient-safety incidents in primary care. Bull World Health Organ. 2018;96(7):498-505. doi:10.2471/BLT.17.199802. https://psnet.ahrq.gov/issue/classification-patient-safety-incide…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34652/psn-pdf
    March 04, 2011 - Epidemiology of medical error. March 4, 2011 Weingart SN, Wilson R, Gibberd RW, et al. Epidemiology of medical error. BMJ. 2000;320(7237):774-7. https://psnet.ahrq.gov/issue/epidemiology-medical-error This article summarizes the epidemiology of medical errors. The authors provide findings from benchmark studies to…
  19. psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
    February 26, 2025 - [Available at] Summary This innovation describes the Veteran Health Administration (VHA) National
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49393/psn-pdf
    April 01, 2003 - The Commentary This case describes an uncommon but much feared complication in laparoscopic surgery—creation

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