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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34700/psn-pdf
    January 04, 2017 - Reducing adverse drug events: lessons from a breakthrough series collaborative. January 4, 2017 Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31. https://psnet.ahrq.gov/issue/reducing-adverse-drug-event…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60736/psn-pdf
    July 29, 2020 - Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. July 29, 2020 Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster ra…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47816/psn-pdf
    June 26, 2019 - Clinical reasoning assessment methods: a scoping review and practical guidance. June 26, 2019 Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. Acad Med. 2019;94(6):902-912. doi:10.1097/ACM.0000000000002618. https://psnet.ahrq.gov/issue/clinical-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45819/psn-pdf
    March 15, 2017 - How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program. March 15, 2017 Kliegman RM, Bordini BJ, Basel D, et al. How Doctors Think: Common Diagnostic Errors in Clinical Judgment-Lessons from an Undiagnosed and Rare Disease Program. Pediatr Clin North A…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73568/psn-pdf
    August 04, 2021 - Coping strategies in health care providers as second victims: a systematic review. August 4, 2021 Kappes M, Romero?García M, Delgado?Hito P. Coping strategies in health care providers as second victims: a systematic review. Int Nurs Rev. 2021;68(4):471-481. doi:10.1111/inr.12694. https://psnet.ahrq.gov/issue/copin…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35928/psn-pdf
    June 09, 2011 - Clinical pharmacists and inpatient medical care: a systematic review. June 9, 2011 Kaboli PJ, Hoth AB, McClimon BJ, et al. Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med. 2006;166(9):955-64. https://psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systemat…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61017/psn-pdf
    October 14, 2020 - Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis. October 14, 2020 Naseralallah LM, Hussain TA, Jaam M, et al. Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-an…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36496/psn-pdf
    February 28, 2011 - Literacy and misunderstanding prescription drug labels. February 28, 2011 Davis TC, Wolf MS, Bass PF, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med. 2006;145(12):887-94. https://psnet.ahrq.gov/issue/literacy-and-misunderstanding-prescription-drug-labels Poor health literacy has been…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47012/psn-pdf
    August 01, 2018 - Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. August 1, 2018 Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on identifying potentially preventable ad…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47638/psn-pdf
    February 06, 2019 - Decreasing surgical site infections by developing a high reliability culture. February 6, 2019 Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. https://psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-hi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73611/psn-pdf
    August 18, 2021 - Racial disparities in diagnostic delay among women with breast cancer. August 18, 2021 Miller-Kleinhenz JM, Collin LJ, Seidel R, et al. Racial disparities in diagnostic delay among women with breast cancer. J Am Coll Radiol. 2021;18(10):1384-1393. doi:10.1016/j.jacr.2021.06.019. https://psnet.ahrq.gov/issue/racial…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37721/psn-pdf
    April 30, 2008 - Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. April 30, 2008 Bognár A, Barach P, Johnson J, et al. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. Ann Thorac Surg. 2008;…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44130/psn-pdf
    May 13, 2015 - Recent Evidence That Health IT Improves Patient Safety: Issue Brief. May 13, 2015 Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. https://psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief Rapid implementatio…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39298/psn-pdf
    June 11, 2010 - Medication error reporting in nursing homes: identifying targets for patient safety improvement. June 11, 2010 Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19(3):218-22. doi:10.1136/qshc.2008.031…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848092/psn-pdf
    April 26, 2023 - Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. April 26, 2023 Gillispie-Bell V. USA Today. April 14, 2023. https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn Structural racism and implicit biases can lead to poor quality of care …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73164/psn-pdf
    April 21, 2021 - Effectiveness of communication interventions in obstetrics--a systematic review. April 21, 2021 Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616. https://psnet.ahrq.go…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866439/psn-pdf
    August 07, 2024 - Associations between negative patient safety climate and infection prevention practices. August 7, 2024 Johnson CT, Hessels AJ. Associations between negative patient safety climate and infection prevention practices. Am J Infect Control. 2024;52(9):1102-1104. doi:10.1016/j.ajic.2024.06.010. https://psnet.ahrq.gov/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42362/psn-pdf
    July 10, 2013 - How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. July 10, 2013 Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding and what role does the electronic p…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74097/psn-pdf
    November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. November 24, 2021 De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508. https://psnet.ahrq.gov/iss…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44199/psn-pdf
    September 09, 2015 - Raising the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care on surgical wards. September 9, 2015 Johnston MJ, Davis R, Arora S, et al. Raising the Alarm: A Cross-Sectional Study Exploring the Factors Affecting Patients' Willingness to Escalate Care on Surgical …

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