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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37114/psn-pdf
    October 04, 2011 - A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. October 4, 2011 Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36047/psn-pdf
    September 28, 2010 - When policy meets physiology: the challenge of reducing resident work hours. September 28, 2010 Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing resident work hours. Clin Orthop Relat Res. 2006;449:116-127. https://psnet.ahrq.gov/issue/when-policy-meets-physiology…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863747/psn-pdf
    March 06, 2024 - "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. March 6, 2024 Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. J Gen Intern Med. 2024;39(9):1575-1582. doi:10.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46358/psn-pdf
    December 22, 2017 - We want to know: eliciting hospitalized patients' perspectives on breakdowns in care. December 22, 2017 Fisher K, Smith KM, Gallagher TH, et al. We want to know: eliciting hospitalized patients' perspectives on breakdowns in care. J Hosp Med. 2017;12(8):603-609. doi:10.12788/jhm.2783. https://psnet.ahrq.gov/issue/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48061/psn-pdf
    June 12, 2019 - Interventions to reduce burnout and improve resilience: impact on a health system's outcomes. June 12, 2019 Moffatt-Bruce SD, Nguyen MC, Steinberg B, et al. Interventions to Reduce Burnout and Improve Resilience: Impact on a Health System's Outcomes. Clin Obstet Gynecol. 2019;62(3):432-443. doi:10.1097/GRF.0000000…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850160/psn-pdf
    June 07, 2023 - The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. June 7, 2023 Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvement Project: initial results of a sta…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43583/psn-pdf
    October 08, 2014 - Emergency hospitalizations for unsupervised prescription medication ingestions by young children. October 8, 2014 Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Pediatrics. 2014;134(4):e1009-16. doi:10.1542/peds.2014-0840. h…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50814/psn-pdf
    January 22, 2020 - Evaluation of the extended-release/long-acting opioid prescribing Risk Evaluation and Mitigation Strategy Program by the US Food and Drug Administration: a review. January 22, 2020 Heyward J, Olson L, Sharfstein JM, et al. Evaluation of the Extended-Release/Long-Acting Opioid Prescribing Risk Evaluation and Mitig…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853963/psn-pdf
    September 27, 2023 - Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. September 27, 2023 DeCoster MM, Spiller HA, Badeti J, et al. Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Pediatrics. 2023;152(4):e2023061942. doi:10.1542/peds.2023-061942. https://p…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42068/psn-pdf
    April 09, 2013 - Wisdom through adversity: learning and growing in the wake of an error. April 9, 2013 Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006. https://psnet.ahrq.gov/issue/wisdom-through-adversity-l…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38621/psn-pdf
    February 18, 2011 - Process of care failures in breast cancer diagnosis. February 18, 2011 Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis Di…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37808/psn-pdf
    February 22, 2011 - How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? February 22, 2011 Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(5):623-8. doi:10.1007/s11606-007-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36013/psn-pdf
    September 22, 2010 - A new safety event reporting system improves physician reporting in the surgical intensive care unit. September 22, 2010 Schuerer DJE, Nast PA, Harris CB, et al. A new safety event reporting system improves physician reporting in the surgical intensive care unit. J Am Coll Surg. 2006;202(6):881-887. https://psnet.…
  14. psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
    October 30, 2024 - In Conversation with Elizabeth Salisbury-Afshar about Harm Reduction Strategies to Improve Safety for People Who Use Substances Elizabeth Salisbury-Afshar, MD, MPH, Bryan Gale, MA, Sarah Mossburg, Phd | October 30, 2024  Also Read the Essay View more articles from the same auth…
  15. psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
    October 30, 2024 - Harm Reduction Strategies to Improve Safety for People Who Use Substances Elizabeth Salisbury-Afshar, MD, MPH, Bryan Gale, MA, Sarah Mossburg, Phd | October 30, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Salisbury-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49477/psn-pdf
    April 01, 2005 - Hold the tPA April 1, 2005 Fagan SC. Hold the tPA. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/hold-tpa The Case A 74-year-old woman with a history of atrial fibrillation on warfarin therapy came to the emergency department (ED) 1 hour after the sudden onset of aphasia and right-sided weakness. A non-co…
  17. psnet.ahrq.gov/primer/opioid-safety
    December 15, 2024 - Opioid Safety Citation Text: Opioid Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Ci…
  18. psnet.ahrq.gov/web-mm/confusion-acetaminophen
    December 01, 2009 - Confusion With Acetaminophen Citation Text: Heubi JE. Confusion With Acetaminophen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  19. psnet.ahrq.gov/web-mm/outpatient-zebra
    January 23, 2020 - An Outpatient 'Zebra' Citation Text: Berkowitz L. An Outpatient 'Zebra'. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49503/psn-pdf
    February 01, 2006 - Workaround Error February 1, 2006 Pape T. Workaround Error. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/workaround-error The Case A retired 81-year-old physician with metastatic colon cancer was admitted to an acute care hospital with pneumonia and congestive heart failure (CHF). After his acute hospita…

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