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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848365/psn-pdf
    May 03, 2023 - Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. May 3, 2023 Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations for rapid response systems–a rapid review of the l…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45939/psn-pdf
    March 01, 2017 - Examining the Copy and Paste Function in the Use of Electronic Health Records. March 1, 2017 Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and Technology, United States Department of Commerce; January 19, 2017. NIST Interagency/Internal Report (NISTIR)-8166. https://p…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60896/psn-pdf
    January 01, 2021 - Bias at warp speed: how AI may contribute to the disparities gap in the time of COVID-19. September 9, 2020 Röösli E, Rice B, Hernandez-Boussard T. Bias at Warp Speed: How AI may Contribute to the Disparities Gap in the Time of COVID-19. J Am Med Inform Assoc. 2021;28(1):190-192. doi:10.1093/jamia/ocaa210. https:/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47857/psn-pdf
    June 14, 2019 - The wicked problem of patient misidentification: how could the technological revolution help address patient safety? June 14, 2019 Ferguson C, Hickman L, Macbean C, et al. The wicked problem of patient misidentification: How could the technological revolution help address patient safety? J Clin Nurs. 2019;28(13-14…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47679/psn-pdf
    April 03, 2019 - 'So why didn't you think this baby was ill?' Decision- making in acute paediatrics. April 3, 2019 Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-313199. https://psnet.ahrq.gov/iss…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44587/psn-pdf
    December 09, 2015 - Morbidity and mortality conference in emergency medicine residencies and the culture of safety. December 9, 2015 Aaronson E, Wittels KA, Nadel ES, et al. Morbidity and Mortality Conference in Emergency Medicine Residencies and the Culture of Safety. West J Emerg Med. 2015;16(6):810-7. doi:10.5811/westjem.2015.8.26…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43342/psn-pdf
    July 16, 2014 - Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. July 16, 2014 Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK- hospitalised children detected by the Paediatric Trigger Tool. BMJ Open. 2014;4…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35207/psn-pdf
    December 19, 2009 - Patient safety concerns arising from test results that return after hospital discharge. December 19, 2009 Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143(2):121-128. https://psnet.ahrq.gov/issue/patient-safety-concer…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46249/psn-pdf
    July 12, 2017 - Zero preventable deaths after traumatic injury: an achievable goal. July 12, 2017 Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8. doi:10.1097/ta.0000000000001425. https://psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal Criti…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853244/psn-pdf
    September 06, 2023 - Error traps in pediatric patient blood management in the perioperative period. September 6, 2023 Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683. https://psnet.ahrq.gov/issue/error-traps-pe…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43860/psn-pdf
    March 25, 2015 - Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. March 25, 2015 Webb J. Drug Topics. March 10, 2015. https://psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic- vigilance Pharmacies can serve as gatekeepers to ensure patients receive the corre…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837433/psn-pdf
    June 15, 2022 - Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. June 15, 2022 Bamberger E, Bamberger P. Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. BMJ Qual Saf. 2022;31(9):638-641. doi:10.1136/bmjqs-2021-014157. https://psnet.ahrq…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35977/psn-pdf
    February 17, 2011 - Making patient safety the centerpiece of medical liability reform. February 17, 2011 Clinton HR, Obama B. Making Patient Safety the Centerpiece of Medical Liability Reform. New England Journal of Medicine. 2006;354(21). doi:10.1056/nejmp068100. https://psnet.ahrq.gov/issue/making-patient-safety-centerpiece-medical…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844789/psn-pdf
    January 01, 2021 - Patient preferences in cases of Inter-system Medical Error Discovery (IMED). September 11, 2019 Antunez AG, Saari A, Miller J, et al. Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). Ann Surg. 2021;273(3):516-522. doi:10.1097/SLA.0000000000003507. https://psnet.ahrq.gov/issue/patient-pr…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848084/psn-pdf
    April 26, 2023 - Cognitive bias and dissonance in surgical practice: a narrative review. April 26, 2023 Richburg CE, Dossett LA, Hughes TM. Cognitive bias and dissonance in surgical practice: a narrative review. Surg Clin North Am. 2023;103(2):271-285. doi:10.1016/j.suc.2022.11.003. https://psnet.ahrq.gov/issue/cognitive-bias-and-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47024/psn-pdf
    November 28, 2018 - FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. November 28, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pum…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60941/psn-pdf
    September 23, 2020 - Wrong-patient ordering errors in peripartum mother- newborn pairs: a unique patient-safety challenge in obstetrics. September 23, 2020 Kern-Goldberger AR, Adelman JS, Applebaum JR, et al. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics. Obstet Gynec…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60947/psn-pdf
    September 23, 2020 - FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. September 23, 2020 ISMP Medication Safety Alert! Acute care edition. September 10, 2020;25(18) https://psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use- authorizatio…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34796/psn-pdf
    November 18, 2015 - The business case for quality: case studies and an analysis. November 18, 2015 Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30. https://psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis This comprehens…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37430/psn-pdf
    February 01, 2011 - Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. February 1, 2011 Wald HL, Kramer AM. Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. JAMA. 2007;298(23):2782-4. doi:10.1001/jama.298.23.2782. https://psnet.ahrq.gov/issue/…