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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45013/psn-pdf
    April 13, 2016 - Good Practice Guides on Medication Errors: Part 1 and Part 2. April 13, 2016 Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264- 016-0410-4. https://psnet.ahrq.gov/issue/go…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837735/psn-pdf
    July 27, 2022 - A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. July 27, 2022 Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to improve compliance. Int J Qual Health Care. 2022;34(3). doi:10.1093/intqhc…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44688/psn-pdf
    February 23, 2018 - Improving diagnosis in health care—the next imperative for patient safety. February 23, 2018 Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp1512241. https://psnet.ahrq.gov/issue/improving-diagnosis-health-care…
  4. 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…
  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/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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46370/psn-pdf
    November 08, 2017 - Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. November 8, 2017 Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. B…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60522/psn-pdf
    May 27, 2020 - Nursing turbulence in critical care: relationships with nursing workload and patient safety. May 27, 2020 Browne J, Braden CJ. Nursing turbulence in critical care: relationships with nursing workload and patient safety. Am J Crit Care. 2020;29(3):182-191. doi:10.4037/ajcc2020180. https://psnet.ahrq.gov/issue/nursi…
  10. 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…
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48019/psn-pdf
    June 26, 2019 - Please reconcile, not wait a while. June 26, 2019 Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356. https://psnet.ahrq.gov/issue/please-reconcile-not-wait-while Medication reconciliation to ensure ac…
  13. 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…
  14. 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50651/psn-pdf
    November 13, 2019 - How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. November 13, 2019 Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic rev…
  16. 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…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46133/psn-pdf
    May 24, 2017 - Implementing smart infusion pumps with dose-error reduction software: real-world experiences. May 24, 2017 Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. https://psnet.ahrq.gov/issue/implementing…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44257/psn-pdf
    November 06, 2015 - A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. November 6, 2015 Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. J Healthc Qual. 2015;37(3):…
  19. 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-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43281/psn-pdf
    May 28, 2015 - A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. May 28, 2015 Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/jep.12272. https://psnet.ahrq.gov/issue/m…