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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35424/psn-pdf
    April 09, 2013 - Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. April 9, 2013 Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13. https://psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837193/psn-pdf
    May 25, 2022 - Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. May 25, 2022 Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44103/psn-pdf
    July 08, 2015 - Results of survey on pediatric medication safety—part 1 and part 2. July 8, 2015 ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5. https://psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2 Hospitalized children are susceptible to medication …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40122/psn-pdf
    February 01, 2011 - Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital. February 1, 2011 Azzopardi P, Kinney S, Moulden A, et al. Attitudes and barriers to a Medical Emergency Team system at a tertiary paediatric hospital. Resuscitation. 2011;82(2):167-74. doi:10.1016/j.resuscitation.2010.10.01…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48193/psn-pdf
    August 28, 2019 - Automated detection of wrong-drug prescribing errors. August 28, 2019 Lambert BL, Galanter W, Liu KL, et al. Automated detection of wrong-drug prescribing errors. BMJ Qual Saf. 2019;28(11):908-915. doi:10.1136/bmjqs-2019-009420. https://psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors Look-al…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47247/psn-pdf
    December 19, 2018 - Preventing central line–associated bloodstream infections in the intensive care unit: application of high- reliability principles. December 19, 2018 McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Application of High-Reliability Princi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43679/psn-pdf
    May 22, 2015 - Patient safety goals for the proposed Federal Health Information Technology Safety Center. May 22, 2015 Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform Assoc. 2015;22(2):472-8. doi:10.1136/amiajnl-2014-002988. https://psnet.a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61018/psn-pdf
    October 14, 2020 - Association of current opioid use with serious adverse events among older adult survivors of breast cancer. October 14, 2020 Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open. 2020;3(9):e2016858. doi:10.100…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42789/psn-pdf
    December 04, 2013 - Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. December 4, 2013 Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. J Patient Saf. 2013…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46547/psn-pdf
    April 16, 2018 - Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. April 16, 2018 Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments i…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39581/psn-pdf
    January 03, 2017 - An implementation strategy for a multicenter pediatric rapid response system in Ontario. January 3, 2017 Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient Safety. 2016;36(6). doi:10.1016/s1553…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840170/psn-pdf
    November 16, 2022 - Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). November 16, 2022 Ashour A, Phipps DL, Ashcroft DM. PLoS ONE. 2022;17(1):e0261672. https://psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-…
  13. digital.ahrq.gov/sites/default/files/docs/page/tool-7-4-sample-md-pharmacy-outreach.docx
    June 16, 2021 - Tool 7.4: Sample MD to Pharmacy Outreach Tool 7.4: Sample MD to Pharmacy Outreach To Our Valued Pharmacy Partner: We would like to let you know that physicians at our practice are now able to send electronic prescriptions to pharmacies connected to a health information network (placeholder). This means that our ph…
  14. digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-74-sample-md-pharmacy-outreach
    January 01, 2023 - Tool 7.4: Sample MD to Pharmacy Outreach To Our Valued Pharmacy Partner: We would like to let you know that physicians at our practice are now able to send electronic prescriptions to pharmacies connected to a health information network ( placeholder ). This means that our physicians wil…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37130/psn-pdf
    March 24, 2011 - Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. March 24, 2011 Pierson S, Hansen RA, Greene SB, et al. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. Qual Saf Health …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60837/psn-pdf
    August 26, 2020 - Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic. August 26, 2020 Ripp JA, Peccoralo L, Charney D. Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic. Acad M…
  17. digital.ahrq.gov/organization/university-south-florida
    January 01, 2023 - University of South Florida Utilizing Health Information Technology to Improve Health Care Quality - 2012 Principal Investigator Storch, Eric Project Name Utilizing Health Information Technology to Improve Health Care Quality Evaluation an…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42588/psn-pdf
    September 18, 2013 - Cognitive debiasing; part 1 and part 2. September 18, 2013 Croskerry P, Singhal G, Mamede S. Cognitive debiasing 1: origins of bias and theory of debiasing. BMJ Qual Saf. 2013;22 Suppl 2:ii58-ii64. doi:10.1136/bmjqs-2012-001712. https://psnet.ahrq.gov/issue/cognitive-debiasing-part-1-and-part-2 Experienced diagnos…
  19. www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
    January 01, 2024 - The most challenging elements of shared decision making were establishing the patient role, encouraging … related to preference-sensitive treatment options by distributing a patient activation tool as well as establishing … implementation of SDM in the spine clinics suggests that the most challenging elements of SDM were establishing
  20. digital.ahrq.gov/sites/default/files/docs/publication/r01hs015054-keenan-final-report-2008.pdf
    January 01, 2008 - Most importantly, appropriateness cannot be determined without first establishing that the care provided … "Establishing the validity, reliability, and sensitivity of NOC in home care settings." … "Establishing the validity, reliability, and sensitivity of NOC in an adult care nurse practitioner