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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841472/psn-pdf
    December 14, 2022 - Reducing potential errors associated with insulin administration: an integrative review. December 14, 2022 Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668. https://psnet.ahrq.gov/issue/reducing-pote…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44245/psn-pdf
    July 15, 2015 - Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. July 15, 2015 Payne VL, Singh H, Meyer AND, et al. Patient-Initiated Second Opinions: Systematic Review of Characteristics and Impact on Diagnosis, Treatment, and Satisfaction. Mayo Clinic …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38347/psn-pdf
    May 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. May 24, 2015 Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF. https://psnet.ahrq.gov/issue/usin…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60981/psn-pdf
    October 07, 2020 - Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, October 7, 2020 Bartholomew AJ, Zeymo A, Chan KS, et al. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,. Ann Surg. 2020;272(4):612-619. doi:10.109…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861277/psn-pdf
    January 24, 2024 - Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. January 24, 2024 Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out?of ?hospital context: a scoping review. J Clin Nurs. 2024;33(3):874-889. doi:10.1111/joc…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46858/psn-pdf
    May 11, 2019 - Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.  May 11, 2019 Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Healthcare Research and Quality Safety …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47015/psn-pdf
    May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal error. May 9, 2018 Porter S. HealthLeaders Media. April 26, 2018. https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45733/psn-pdf
    December 07, 2016 - Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high- income countries. December 7, 2016 group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth. 2016;117(5):601-609. doi:10.109…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836810/psn-pdf
    March 30, 2022 - Periodic resuscitation cart checks and nurse situational awareness: an observational study. March 30, 2022 Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12.002. https://psnet.ahrq.gov/issu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43780/psn-pdf
    September 09, 2015 - Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors. September 9, 2015 Kitto S, Marshall SD, McMillan SE, et al. Rapid response systems and collective (in)competence: An exploratory analysis of intraprofessional and interprofes…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73675/psn-pdf
    September 08, 2021 - A system-wide hospital child maltreatment patient safety program. September 8, 2021 Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. https://psnet.ahrq.gov/issue/system-wide-hospital-child-ma…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866447/psn-pdf
    August 07, 2024 - Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. August 7, 2024 Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; https://psnet.ahrq.gov/issue/older-adults-are-often-misdiagnos…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854635/psn-pdf
    January 01, 2024 - CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. October 18, 2023 Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136/bmjqs-2023-016030. https://psn…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46844/psn-pdf
    March 07, 2018 - Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. March 7, 2018 Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience. Health Aff (Millwood). 2018;37(2):205-212. doi:10.1377/hlthaff.2017.1144. https…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46184/psn-pdf
    January 01, 2018 - A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. December 19, 2017 Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. Ergonomics. 2018;61(1):104…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35739/psn-pdf
    July 15, 2010 - CT for suspected appendicitis in children: an analysis of diagnostic errors. July 15, 2010 Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of diagnostic errors. Pediatr Radiol. 2006;36(4):331-7. https://psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analy…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844777/psn-pdf
    September 18, 2019 - Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. September 18, 2019 Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Saf. 2019;15(3):191-197. doi:10…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848089/psn-pdf
    April 26, 2023 - Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. April 26, 2023 Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. Aesthetic Plast Surg. 2023;47(3):123…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852287/psn-pdf
    August 09, 2023 - Electronic health record usability contributions to patient safety and clinician burnout: a path forward. August 9, 2023 Schwappach DLB, Ratwani RM. Electronic health record usability contributions to patient safety and clinician burnout: a path forward. J Patient Saf. 2023;19(5):38-39. doi:10.1097/pts.000000000000…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38310/psn-pdf
    June 03, 2010 - The relationship between early emergency team calls and serious adverse events. June 3, 2010 Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3. https://psnet.ahrq.gov/issue/relati…