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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38630/psn-pdf
    May 13, 2009 - Seasoned surgeons assessed in a laparoscopic surgical crisis. May 13, 2009 Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1. https://psnet.ahrq.gov/issue/seasoned-surgeons-assessed-lapa…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37479/psn-pdf
    February 22, 2011 - Performance of a web-based clinical diagnosis support system for internists. February 22, 2011 Graber ML, Mathew A. Performance of a web-based clinical diagnosis support system for internists. J Gen Intern Med. 2008;23 Suppl 1:37-40. doi:10.1007/s11606-007-0271-8. https://psnet.ahrq.gov/issue/performance-web-based…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35147/psn-pdf
    June 22, 2009 - Accuracy of adverse-drug-event reports collected using an automated dispensing system. June 22, 2009 Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80. https://psnet.ahrq.gov/issue/accuracy-adverse-drug-event-repo…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35317/psn-pdf
    July 14, 2009 - Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills. July 14, 2009 Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical Skills Competency Compliance: Urologic Surgical Skills. J Am Coll Surg. 2005;201(3). …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866839/psn-pdf
    September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September 25, 2024 Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…
  6. psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
    January 01, 2024 - Spotlight Spotlight Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations 1 Source and Credits This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: David…
  7. psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
    February 26, 2025 - radiologist follow-up recommendation rates may be due to lack of consensus on best practices even when evaluating
  8. psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
    August 14, 2024 - Evaluating risk factors for re-exploration due to postoperative neck hematoma after thyroid surgery:
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846770/psn-pdf
    March 29, 2023 - to improve outcomes.4,5 Risk factors Risk factors intrinsic to the patient must be assessed when evaluating
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73971/psn-pdf
    October 13, 2021 - Safety culture as a patient safety practice for alarm fatigue. October 13, 2021 Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45367/psn-pdf
    September 28, 2016 - How PSOs Help Health Care Organizations Improve Patient Safety Culture. September 28, 2016 Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. No. 16-0026-EF. https://psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture Patient safety organization…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45503/psn-pdf
    October 29, 2017 - All CLEAR? Preparing for IT downtime. October 29, 2017 Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546. https://psnet.ahrq.gov/issue/all-clear-preparing-it-downtime Due to the increasing integration of health care proc…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72601/psn-pdf
    January 01, 2021 - Increasing physician reporting of diagnostic learning opportunities. December 23, 2020 Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. https://psnet.ahrq.gov/issue/increasing-physician-reporting…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44999/psn-pdf
    August 03, 2017 - An analysis of electronic health record–related patient safety incidents. August 3, 2017 Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072. https://psnet.ahrq.gov/issue/analysis-e…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40527/psn-pdf
    June 15, 2011 - Online medication error graphic reports: a pilot in North Carolina nursing homes. June 15, 2011 Greene SB, Williams CE, Pierson S, et al. Online medication error graphic reports: a pilot in North Carolina nursing homes. J Patient Saf. 2011;7(2):92-8. doi:10.1097/PTS.0b013e31821b4eab. https://psnet.ahrq.gov/issue/o…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74009/psn-pdf
    October 27, 2021 - Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. October 27, 2021 Morse KE, Chadwick WA, Paul W, et al. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Pediatr Qual Saf. 2021;6(4):e436. doi:10.1097/pq9.0000000000000436. https://psnet.ahrq.gov/issue/q…
  17. psnet.ahrq.gov/issue/special-issue-health-information-technology
    August 22, 2007 - June 29, 2022 Scoping review of studies evaluating frailty and its association with medication
  18. psnet.ahrq.gov/issue/digital-healthcare-research
    December 24, 2008 - August 19, 2020 Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
  19. psnet.ahrq.gov/issue/grants-line-database-gold
    December 24, 2008 - September 22, 2021 Novel, High-Impact Studies Evaluating Health System and Healthcare
  20. psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
    September 30, 2009 - June 21, 2017 Medication safety at the interface: evaluating risks associated with discharge

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