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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44229/psn-pdf
    October 13, 2015 - Patterns and predictors of medication discrepancies in primary care. October 13, 2015 Coletti DJ, Stephanou H, Mazzola N, et al. Patterns and predictors of medication discrepancies in primary care. J Eval Clin Pract. 2015;21(5):831-9. doi:10.1111/jep.12387. https://psnet.ahrq.gov/issue/patterns-and-predictors-medi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74021/psn-pdf
    October 25, 2021 - They keep looking at the issues and they keep evaluating what's going right and what's going wrong,
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867451/psn-pdf
    January 21, 2025 - Engineering Safety into Practice through Implementation of the EHR SAFER Guides. January 8, 2025 National Action Alliance for Patient and Workforce Safety. Engineering Safety into Practice through Implementation of the EHR SAFER Guides. January 21, 2025, 12:00 - 1:00 PM (eastern). https://psnet.ahrq.gov/issue/engi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73613/psn-pdf
    August 18, 2021 - Implementing universal suicide risk screening in a pediatric hospital. August 18, 2021 Sullivant SA, Brookstein D, Camerer M, et al. Implementing universal suicide risk screening in a pediatric hospital. Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001. https://psnet.ahrq.gov/issue/im…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34909/psn-pdf
    February 27, 2009 - Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. February 27, 2009 Chern C-H, How C-K, Wang L-M, et al. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. Ann Emerg Med. 200…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47960/psn-pdf
    May 15, 2019 - A systematic review of clinical decision support systems for clinical oncology practice. May 15, 2019 Pawloski PA, Brooks GA, Nielsen ME, et al. A Systematic Review of Clinical Decision Support Systems for Clinical Oncology Practice. J Natl Compr Canc Netw. 2019;17(4):331-338. doi:10.6004/jnccn.2018.7104. https://…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37135/psn-pdf
    October 04, 2011 - Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. October 4, 2011 Forster AJ, O'Rourke K, Shojania KG, et al. Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event class…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35176/psn-pdf
    June 23, 2009 - Mapping changes in surgical mortality over 9 years by peer review audit. June 23, 2009 Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. https://psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-re…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39838/psn-pdf
    September 15, 2010 - A multicenter trial of aviation-style training for surgical teams. September 15, 2010 Catchpole K, Dale TJ, Hirst G, et al. A multicenter trial of aviation-style training for surgical teams. J Patient Saf. 2010;6(3):180-6. doi:10.1097/PTS.0b013e3181f100ea. https://psnet.ahrq.gov/issue/multicenter-trial-aviation-st…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35749/psn-pdf
    May 09, 2014 - Chemotherapy dose limits set by users of a computer order entry system. May 9, 2014 DuBeshter B; Griggs J; Angel C; Loughner J. https://psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system To avoid excessive dosing of chemotherapeutic agents, standardized dose limits must be agreed u…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42660/psn-pdf
    October 16, 2013 - Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. October 16, 2013 Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. Acad…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44057/psn-pdf
    June 03, 2015 - Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. June 3, 2015 Castner J, Dean-Baar S. Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. J Nurs Manag. 2014;22(3):421-437. https://psnet.ahrq.gov/issue/measuring-nursing-error-p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38904/psn-pdf
    September 02, 2009 - Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. September 2, 2009 Mihai R, Scott SD, Cook TM. Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2009;64(8):829-35. doi:10.1111/j.1365-2044.20…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45970/psn-pdf
    March 22, 2017 - A learning health care system using computer-aided diagnosis. March 22, 2017 Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet Res. 2017;19(3):e54. doi:10.2196/jmir.6663. https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis Although…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44227/psn-pdf
    November 19, 2018 - A scholarly pathway in quality improvement and patient safety. November 19, 2018 Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772. https://psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50671/psn-pdf
    November 20, 2019 - Critical errors in infrequently performed trauma procedures after training. November 20, 2019 Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031. https://psnet.ahrq.gov/issue/cri…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74703/psn-pdf
    January 26, 2022 - Research to improve diagnosis: time to study the real world. January 26, 2022 Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071. https://psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world Diagnostic …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34646/psn-pdf
    July 01, 2015 - The attributes of medical event reporting systems. July 1, 2015 Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicine. Arch Pathol Lab Med. 1998;122(3):231-8. https://psnet.ahrq.gov/iss…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839814/psn-pdf
    January 01, 2023 - Influencing a culture of quality and safety through huddles. November 9, 2022 McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642. https://psnet.ahrq.gov/issue/influencing-culture-quality-a…
  20. 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/…

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