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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45230/psn-pdf
    July 20, 2016 - Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. July 20, 2016 Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.0000000000000532. https://psnet.ahrq.gov/issu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46905/psn-pdf
    October 13, 2018 - Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. October 13, 2018 Hemmila MR, Cain-Nielsen AH, Jakubus JL, et al. Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patient Outcomes. JAMA Surg. 2018;153…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34694/psn-pdf
    February 10, 2011 - Computerized surveillance of adverse drug events in hospital patients. February 10, 2011 Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266(20):2847-51. https://psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73534/psn-pdf
    July 28, 2021 - "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. July 28, 2021 Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. J Surg Educ. 2021;78(6):2020-2…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46087/psn-pdf
    September 24, 2017 - Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. September 24, 2017 Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Important Legal Precedent From the da…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47121/psn-pdf
    August 08, 2018 - Assessment of programs aimed to decrease or prevent mistreatment of medical trainees. August 8, 2018 Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870. doi:10.1001/jamanetworkopen.2018.0870. https…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46835/psn-pdf
    February 28, 2018 - Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. February 28, 2018 Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. Am J Health Syst Pharm. 2018;75…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45490/psn-pdf
    September 01, 2018 - Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. September 1, 2018 Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability Following Medical Errors: The …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46873/psn-pdf
    June 27, 2018 - Diagnostic errors and the bedside clinical examination. June 27, 2018 Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007. https://psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination Diag…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46290/psn-pdf
    January 01, 2021 - Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. August 2, 2017 Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and Critical Appraisal. J Patient Saf. 2021…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46066/psn-pdf
    August 03, 2017 - The potential of collective intelligence in emergency medicine. August 3, 2017 Kämmer JE, Hautz WE, Herzog SM, et al. The Potential of Collective Intelligence in Emergency Medicine: Pooling Medical Students' Independent Decisions Improves Diagnostic Performance. Med Decis Making. 2017;37(6):715-724. doi:10.1177/02…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47249/psn-pdf
    July 25, 2018 - Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. July 25, 2018 ISMP Medication Safety Alert! Acute care edition. July 12, 2018;23:1-4. https://psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored- improve-safety Smart pump…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47083/psn-pdf
    June 21, 2018 - Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system. June 21, 2018 Anderson AM, Matsumoto M, Saul MI, et al. Accuracy of Skin Cancer Diagnosis by Physician Assistants Compared With Dermatologists in a Large Health Care System. JAMA Dermatol. 2018;154…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45432/psn-pdf
    September 14, 2016 - Clinical decision support: a 25 year retrospective and a 25 year vision. September 14, 2016 Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. https://psnet.ahrq.gov/issue/clinical-decision-s…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47440/psn-pdf
    April 07, 2019 - Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. April 7, 2019 Sulkers H, Tajirian T, Paterson J, et al. JAMIA Open. 2019;2:35–39. https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process- obtaining-himss-sta…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46849/psn-pdf
    May 23, 2018 - 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). May 23, 2018 Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018;44(5):260-269. doi:10.1016/j.jcjq.2017.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844765/psn-pdf
    September 18, 2019 - Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. September 18, 2019 Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting. Crit Care Med. 2019;47(7):e597-e601…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47523/psn-pdf
    December 05, 2018 - Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Providers and the Emergency Department…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46365/psn-pdf
    September 06, 2017 - Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students. September 6, 2017 Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve Safer Patient Care: An Interprofess…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46631/psn-pdf
    March 20, 2018 - Simulation-based education to ensure provider competency within the healthcare system. March 20, 2018 Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10.1111/acem.13322. https://psnet.ahrq.g…

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