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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60188/psn-pdf
    January 01, 2021 - Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. April 1, 2020 Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. https://psnet.ahrq.gov/issue/uncertai…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73883/psn-pdf
    September 29, 2021 - Emergency departments are higher-risk locations for wrong blood in tube errors. September 29, 2021 Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher?risk locations for wrong blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588. https://psnet.ahrq.gov/issue/e…

  3. 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…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866695/psn-pdf
    September 11, 2024 - Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. September 11, 2024 Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line?associated bloodstream infections: a family?centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. doi:10.1002/pbc.31064. https:…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73067/psn-pdf
    March 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. March 24, 2021 LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34952/psn-pdf
    November 17, 2011 - Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. November 17, 2011 Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance pr…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861767/psn-pdf
    January 31, 2024 - Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial. January 31, 2024 Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinica…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38054/psn-pdf
    July 05, 2013 - Ticket to ride: reducing handoff risk during hospital patient transport. July 5, 2013 Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5. https://psnet.ahrq.gov/issue/ticket-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837851/psn-pdf
    August 17, 2022 - Medication errors in intensive care units: an umbrella review of control measures. August 17, 2022 Dionisi S, Giannetta N, Liquori G, et al. Medication errors in intensive care units: an umbrella review of control measures. Healthcare (Basel). 2022;10(7):1221. doi:10.3390/healthcare10071221. https://psnet.ahrq.gov…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34889/psn-pdf
    March 04, 2011 - Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. March 4, 2011 Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581. https://psnet.ahrq.gov/issue/effec…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37051/psn-pdf
    February 24, 2011 - Clinical oversight: conceptualizing the relationship between supervision and safety. February 24, 2011 Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between supervision and safety. J Gen Intern Med. 2007;22(8):1080-5. https://psnet.ahrq.gov/issue/clinical-oversight-c…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74132/psn-pdf
    December 01, 2021 - Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence December 1, 2021 Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836749/psn-pdf
    March 16, 2022 - Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. March 16, 2022 Clift K, Macklin-Mantia S, Barnhorst M, et al. Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. J…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73311/psn-pdf
    January 01, 2022 - Key considerations in ensuring a safe regional telehealth care model: a systematic review. May 26, 2021 Haveland S, Islam S. Key considerations in ensuring a safe regional telehealth care model: a systematic review. Telemed J E Health. 2022;28(5):602-612. doi:10.1089/tmj.2020.0580. https://psnet.ahrq.gov/issue/key…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47996/psn-pdf
    January 01, 2021 - Building an ambulatory safety program at an academic health system. May 15, 2019 Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. https://psnet.ahrq.gov/issue/building-ambulatory-safety-program-a…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852269/psn-pdf
    August 09, 2023 - Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. August 9, 2023 Hogerwaard M, Stolk M, Dijk L van, et al. Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. BMJ Open Qual. 2023;12(2):e002023.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37640/psn-pdf
    April 02, 2008 - An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. April 2, 2008 France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with perioperative safety practices after crew resource management traini…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42621/psn-pdf
    October 31, 2014 - The global burden of unsafe medical care: analytic modelling of observational studies. October 31, 2014 Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf. 2013;22(10):809-15. doi:10.1136/bmjqs-2012-001748. https://psnet…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46862/psn-pdf
    February 21, 2018 - Considering human factors and developing systems- thinking behaviours to ensure patient safety. February 21, 2018 Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical Pharmacist. 2018;10(2). https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-syste…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46423/psn-pdf
    December 16, 2017 - Ethical considerations on disclosure when medical error is discovered during medicolegal death investigation. December 16, 2017 Wolf DA, Drake SA, Snow FK. Ethical Considerations on Disclosure When Medical Error Is Discovered During Medicolegal Death Investigation. Am J Forensic Med Pathol. 2017;38(4):294-297. doi…
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