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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37098/psn-pdf
    October 04, 2011 - How residents think and make medical decisions: implications for education and patient safety. October 4, 2011 Young JS, Smith RL, Guerlain S, et al. How residents think and make medical decisions: implications for education and patient safety. Am Surg. 2007;73(6):548-553; discussion 553-4. https://psnet.ahrq.gov/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40237/psn-pdf
    February 23, 2011 - The impact of the medical emergency team on the resuscitation practice of critical care nurses. February 23, 2011 Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. doi:10.1136/bmjqs.2008.029876. ht…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44058/psn-pdf
    July 03, 2016 - Metric units and the preferred dosing of orally administered liquid medications. July 3, 2016 Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542/peds.2015- 0072. https://psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications Accident…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866823/psn-pdf
    September 25, 2024 - Understanding human factors in patient safety when prescribing. September 25, 2024 Coon R, Holden K. Understanding human factors in patient safety when prescribing. Pharmaceutical Journal. September 2024;313(7989). https://psnet.ahrq.gov/issue/understanding-human-factors-patient-safety-when-prescribing Prescripti…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46837/psn-pdf
    March 21, 2018 - Drug shortages: effect on parenteral nutrition therapy. March 21, 2018 Holcombe B, Mattox TW, Plogsted S. Drug Shortages: Effect on Parenteral Nutrition Therapy. Nutr Clin Pract. 2018;33(1):53-61. doi:10.1002/ncp.10052. https://psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy Shortages of me…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865682/psn-pdf
    April 24, 2024 - Global Medical Supply Chain Security. April 24, 2024 Cadwallader AB, ed. AMA J Ethics. 2024;26(4):e275-e359. https://psnet.ahrq.gov/issue/global-medical-supply-chain-security Drug shortages are a known problem that gained patient safety prominence during the COVID-19 pandemic. This special issue covers a rang…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40002/psn-pdf
    January 19, 2011 - Considerations for the design of safe and effective consumer health IT applications in the home. January 19, 2011 Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67. doi:10.1136/qshc.2010.041897. ht…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34870/psn-pdf
    April 18, 2016 - Unintended medication discrepancies at the time of hospital admission. April 18, 2016 Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. https://psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospita…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45619/psn-pdf
    August 16, 2017 - Checking the lists: a systematic review of electronic checklist use in health care. August 16, 2017 Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006. https://psnet.ahrq.gov/issue/checking-lists-s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38907/psn-pdf
    January 03, 2017 - Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. January 3, 2017 Young JQ, Wachter R. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Jt Comm J Qual Patient Saf. 2009;35(9):439-448. https…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859345/psn-pdf
    January 01, 2024 - Interventions to promote safety culture in cancer care: a systematic review. December 20, 2023 Le D, Lim CH, Fazelzad R, et al. Interventions to promote safety culture in cancer care: a systematic review. J Patient Saf. 2024;20(1):48-56. doi:10.1097/pts.0000000000001181. https://psnet.ahrq.gov/issue/interventions-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46831/psn-pdf
    April 18, 2018 - Guideline Summary: Medication Safety. April 18, 2018 Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096. https://psnet.ahrq.gov/issue/guideline-summary-medication-safety Perioperative medication errors can result in patient harm as well as emotional distress among clinical te…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73498/psn-pdf
    July 14, 2021 - Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error July 14, 2021 ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2. https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error High-alert medication misadministration i…
  14. psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
    January 19, 2012 - October 31, 2014 Why Current Breast Pathology Practices Must Be Evaluated.
  15. psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
    May 01, 2013 - December 27, 2014 Why Current Breast Pathology Practices Must Be Evaluated.
  16. psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
    March 28, 2012 - April 9, 2013 Why Current Breast Pathology Practices Must Be Evaluated.
  17. psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
    October 04, 2011 - June 18, 2013 Why Current Breast Pathology Practices Must Be Evaluated.
  18. psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
    April 21, 2011 - October 4, 2011 Why Current Breast Pathology Practices Must Be Evaluated.
  19. psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
    May 05, 2010 - October 31, 2014 Why Current Breast Pathology Practices Must Be Evaluated.
  20. psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
    November 03, 2015 - April 9, 2013 Why Current Breast Pathology Practices Must Be Evaluated.

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