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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866867/psn-pdf
    October 02, 2024 - Report links Georgia's abortion ban to preventable deaths. October 2, 2024 Yang J, Surana K. Report links Georgia's abortion ban to preventable deaths. PBS News Hour. 2024. https://psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths Poorly implemented and communicated policy can affect the a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853247/psn-pdf
    September 06, 2023 - Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis. September 6, 2023 West S. KFF Health News. August 24, 2023. https://psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable- health-crisis The challenge of unsafe maternal care is gai…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34781/psn-pdf
    June 23, 2015 - Standards for patient monitoring during general anesthesia at Harvard Medical School. June 23, 2015 Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. https://psnet.ahrq.gov/issue/standards-patient-monitoring-during-gen…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44520/psn-pdf
    September 30, 2015 - Patient safety in dermatologic surgery: parts 1 and 2. September 30, 2015 Lolis M, Dunbar SW, Goldberg DJ, et al. J Am Acad Dermatol. 2015;73(1):1-26. https://psnet.ahrq.gov/issue/patient-safety-dermatologic-surgery-part-1-patient-safety-procedural- dermatology-part-2 This two-part review series explores patient s…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38101/psn-pdf
    December 17, 2009 - The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. December 17, 2009 Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration. Int J Med Inform. 2008;78. doi:10.1016/j.i…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60904/psn-pdf
    September 09, 2020 - Two pandemics, same story: the potentially dangerous overuse of antibiotics and 'the road to medical hell'. September 9, 2020 Fauber J, Chen D. Milwaukee Journal Sentinel. August 31, 2020. https://psnet.ahrq.gov/issue/two-pandemics-same-story-potentially-dangerous-overuse-antibiotics-and- road-medical-hell Antibi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44578/psn-pdf
    February 24, 2016 - A new frontier in healthcare risk management: working to reduce avoidable patient suffering. February 24, 2016 Card AJ, Klein VR. A new frontier in healthcare risk management: Working to reduce avoidable patient suffering. J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.21207. https://psnet.ahrq.gov/issue/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861291/psn-pdf
    January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to keep people safe. January 24, 2024 Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36017/psn-pdf
    June 14, 2006 - Medical errors and quality of care: from control to commitment. June 14, 2006 Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment. California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353. https://psnet.ahrq.gov/issue/medical-errors-and-quality-care-control…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61063/psn-pdf
    October 28, 2020 - The radiology impact of healthcare errors during shift work. October 28, 2020 Elliott J, Williamson K. The radiology impact of healthcare errors during shift work. Radiography. 2020;26(3):248-253. doi:10.1016/j.radi.2019.12.007. https://psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work Ext…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60622/psn-pdf
    January 01, 2021 - Managing teamwork in the face of pandemic: evidence- based tips. June 24, 2020 Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence- based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447. https://psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-ev…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72728/psn-pdf
    February 10, 2021 - Risk of misdiagnosis and delayed diagnosis with COVID- 19: a syndemic approach. February 10, 2021 Muhrer JC. Risk of misdiagnosis and delayed diagnosis with COVID-19. Nurs Pract. 2021;46(2):44-49. doi:10.1097/01.npr.0000731572.91985.98. https://psnet.ahrq.gov/issue/risk-misdiagnosis-and-delayed-diagnosis-covid-19-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35023/psn-pdf
    March 04, 2011 - Building a framework for trust: critical event analysis of deaths in surgical care. March 4, 2011 Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60617/psn-pdf
    June 24, 2020 - Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. June 24, 2020 Hado E, Friss Feinberg L. Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. J…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44872/psn-pdf
    February 12, 2016 - Reducing preventable harm in hospitals. February 12, 2016 Bornstein D. New York Times. January 26, and February 2, 2016. https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals Discussing the importance of designing safeguards to prevent system failures that can result in patient harm, this two-part newsp…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35635/psn-pdf
    June 24, 2010 - Patient safety problems in adolescent medical care. June 24, 2010 Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care Using data from the Colorado and Utah Medical Prac…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44512/psn-pdf
    September 23, 2015 - Increased mortality associated with weekend hospital admission: a case for expanded seven day services? September 23, 2015 Freemantle N, Ray D, McNulty D, et al. Increased mortality associated with weekend hospital admission: a case for expanded seven day services? BMJ. 2015;351:h4596. doi:10.1136/bmj.h4596. https…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45546/psn-pdf
    October 05, 2016 - Using standardized OR checklists and creating extended time-out checklists. October 5, 2016 Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007. https://psnet.ahrq.gov/issue/using-standardized-or-checklists-and-cr…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72723/psn-pdf
    February 10, 2021 - The impact of critical incidents on nurses and midwives: a systematic review. February 10, 2021 Buhlmann M, Ewens B, Rashidi A. The impact of critical incidents on nurses and midwives: A systematic review. J Clin Nurs. 2020;30(9-10):1195-1205. doi:10.1111/jocn.15608. https://psnet.ahrq.gov/issue/impact-critical-in…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36558/psn-pdf
    May 27, 2011 - The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. May 27, 2011 Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entry. J Patient Saf. 2008;2(4). doi:10.10…