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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43931/psn-pdf
    March 04, 2015 - Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. March 4, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; February 23, 2015. https://psnet.ahrq.gov/issue/design-endoscopic-retrograde-cholangiopancreatography-ercp- duode…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46760/psn-pdf
    January 24, 2018 - Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. January 24, 2018 Hedlund N, Beer I, Hoppe-Tichy T, et al. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. B…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43625/psn-pdf
    October 29, 2014 - Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. October 29, 2014 Seelandt JC, Tschan F, Keller S, et al. Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. BMJ Qual Saf. 2014;23(11):918-29. doi:10.11…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845657/psn-pdf
    March 08, 2023 - Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). March 8, 2023 Rockville, MD: Agency for Healthcare Research and Quality. February 15, 2023. RFA-HS-23-002. https://psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-base…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851652/psn-pdf
    July 26, 2023 - Breast cancer missed at screening; hindsight or mistakes? July 26, 2023 Hovda T, Larsen M, Romundstad L, et al. Breast cancer missed at screening; hindsight or mistakes? Eur J Radiol. 2023;165:110913. doi:10.1016/j.ejrad.2023.110913. https://psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72606/psn-pdf
    December 23, 2020 - Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020 Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; December 2020. https://psnet.ahrq.gov/issue/best-practices-d…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836757/psn-pdf
    March 16, 2022 - Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. March 16, 2022 Weiseth A, Plough A, Aggarwal R, et al. Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. Birth. 2022;49(4):637-647. doi:10.1111/birt.12630. https://psn…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865419/psn-pdf
    March 27, 2024 - Do Not Miss Sepsis Needles in Viral Haystacks! March 27, 2024 Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks Disclosure of Relevant Financial Relationships: As a provider accredited by the Accredit…
  9. psnet.ahrq.gov/web-mm/stroke-error
    February 01, 2016 - SPOTLIGHT CASE A Stroke of Error Citation Text: Barrett KM. A Stroke of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
  10. psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
    January 29, 2021 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon Citation Text: Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
  11. psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
    July 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery Citation Text: Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862984/psn-pdf
    February 21, 2024 - Machine learning in medication prescription: a systematic review. February 21, 2024 Iancu A, Leb I, Prokosch H-U, et al. Machine learning in medication prescription: a systematic review. Int J Med Inform. 2023;180:105241. doi:10.1016/j.ijmedinf.2023.105241. https://psnet.ahrq.gov/issue/machine-learning-medication-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44867/psn-pdf
    March 23, 2016 - Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. March 23, 2016 Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333. https://psnet.ahrq.gov/issue/understand…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867529/psn-pdf
    January 15, 2025 - “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. January 15, 2025 Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. doi:10.1007/s11606-024-09058-1. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42627/psn-pdf
    October 02, 2013 - How much diagnostic safety can we afford, and how should we decide? A health economics perspective. October 2, 2013 Newman-Toker DE, McDonald KM, Meltzer DO. How much diagnostic safety can we afford, and how should we decide? A health economics perspective. BMJ Qual Saf. 2013;22(Suppl 2):ii11-ii20. doi:10.1136/bmj…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60597/psn-pdf
    June 17, 2020 - Organisational factors associated with safety climate, patient satisfaction and self-reported medicines adherence in community pharmacies. June 17, 2020 Jacobs S, Hann M, Bradley F, et al. Organisational factors associated with safety climate, patient satisfaction and self-reported medicines adherence in community…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845300/psn-pdf
    March 01, 2023 - The impact of medication reconciliation and review in patients using oral chemotherapy. March 1, 2023 Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.1177/10781552211066959. https://psnet…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837501/psn-pdf
    June 22, 2022 - Development and validation of a brief culture-of-safety survey. June 22, 2022 Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006. https://psnet.ahrq.gov/issue/development-and-validati…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45626/psn-pdf
    October 29, 2017 - The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy. October 29, 2017 Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chem…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853974/psn-pdf
    January 01, 2024 - Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. September 27, 2023 Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. J Adv Nu…

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