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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38055/psn-pdf
    January 12, 2009 - Improving patient safety: patient-focused, high-reliability team training. January 12, 2009 McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595. https://psnet.ahrq.gov/issue/improving-p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50580/psn-pdf
    October 23, 2019 - Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia. October 23, 2019 Rein L. Washington Post. October 5, 2019. https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding- investigation-va-hospital The Vete…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43825/psn-pdf
    January 28, 2015 - A systematic review of adult admissions to ICUs related to adverse drug events. January 28, 2015 Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5. https://psnet.ahrq.gov/issue/systema…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44606/psn-pdf
    October 28, 2015 - 'Trust but verify'—five approaches to ensure safe medical apps. October 28, 2015 Wicks P, Chiauzzi E. 'Trust but verify'--five approaches to ensure safe medical apps. BMC Med. 2015;13:205. doi:10.1186/s12916-015-0451-z. https://psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps Mobile heal…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45885/psn-pdf
    May 03, 2017 - E-collection: Safety and Error Prevention in Health. May 3, 2017 https://psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health The increasing implementation of health information technology has introduced both benefits and challenges to patient safety. Articles in this series explore the impacts of t…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43839/psn-pdf
    January 28, 2015 - Patient Safety. January 28, 2015 J Health Serv Res Policy. 2015;20(suppl 1):S1-S60. https://psnet.ahrq.gov/issue/patient-safety-11 Articles in this special supplement explore research commissioned by National Institute for Health Research in the United Kingdom to address four patient safety research gaps: how orga…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45801/psn-pdf
    August 03, 2017 - Overcoming diagnostic errors in medical practice. August 3, 2017 Bordini BJ, Stephany A, Kliegman RM. Overcoming Diagnostic Errors in Medical Practice. J Pediatr. 2017;185. doi:10.1016/j.jpeds.2017.02.065. https://psnet.ahrq.gov/issue/overcoming-diagnostic-errors-medical-practice This commentary describes a progra…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45071/psn-pdf
    April 27, 2016 - Using simulation to identify sources of medical diagnostic error in child physical abuse. April 27, 2016 Anderst J, Nielsen-Parker M, Moffatt M, et al. Using simulation to identify sources of medical diagnostic error in child physical abuse. Child Abuse Negl. 2016;52:62-69. doi:10.1016/j.chiabu.2015.12.015. https:…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45601/psn-pdf
    April 13, 2017 - Patient safety improvement interventions in children's surgery: a systematic review. April 13, 2017 Macdonald AL, Sevdalis N. Patient safety improvement interventions in children's surgery: A systematic review. J Pediatr Surg. 2017;52(3):504-511. doi:10.1016/j.jpedsurg.2016.09.058. https://psnet.ahrq.gov/issue/pat…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38842/psn-pdf
    April 18, 2011 - One-stop diagnostic breast clinics: how often are breast cancers missed? April 18, 2011 Britton P, Duffy SW, Sinnatamby R, et al. One-stop diagnostic breast clinics: how often are breast cancers missed? Br J Cancer. 2009;100(12). doi:10.1038/sj.bjc.6605082. https://psnet.ahrq.gov/issue/one-stop-diagnostic-breast-c…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867206/psn-pdf
    December 18, 2024 - Neurological Red Flags: A Missed Stroke after Intermittent Episodes of Dizziness and Headache December 18, 2024 Edlow J. Neurological Red Flags: A Missed Stroke after Intermittent Episodes of Dizziness and Headache. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-in…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867035/psn-pdf
    October 30, 2024 - A Tale of Two Falls October 30, 2024 Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/tale-two-falls The Cases Case #1: A 79-year-old woman with a history of impaired cognition at baseline was brought from a skilled nursing facility to the emergency department (ED) f…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851971/psn-pdf
    July 31, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up July 31, 2023 Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/failure-adhere-dietary-restricti…
  14. 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
  15. psnet.ahrq.gov/issue/digital-healthcare-research
    December 24, 2008 - August 19, 2020 Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
  16. psnet.ahrq.gov/issue/grants-line-database-gold
    December 24, 2008 - September 22, 2021 Novel, High-Impact Studies Evaluating Health System and Healthcare
  17. psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
    September 30, 2009 - June 21, 2017 Medication safety at the interface: evaluating risks associated with discharge
  18. psnet.ahrq.gov/issue/oncologist-perceptions-racial-disparity-racial-anxiety-and-unconscious-bias-clinical
    October 19, 2022 - Study Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes. Citation Text: Balanean A, Bland E, Gajra A, et al. Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical inter…
  19. psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
    February 15, 2011 - Study Classic 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. Citation Text: Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…
  20. psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk-assessment-techniques
    May 11, 2022 - Study Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. Citation Text: Bender JA, Kulju S, Soncrant C. Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. Jt Comm J Qua…

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