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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46184/psn-pdf
    January 01, 2018 - A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. December 19, 2017 Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. Ergonomics. 2018;61(1):104…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844777/psn-pdf
    September 18, 2019 - Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. September 18, 2019 Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Saf. 2019;15(3):191-197. doi:10…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848089/psn-pdf
    April 26, 2023 - Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. April 26, 2023 Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. Aesthetic Plast Surg. 2023;47(3):123…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852287/psn-pdf
    August 09, 2023 - Electronic health record usability contributions to patient safety and clinician burnout: a path forward. August 9, 2023 Schwappach DLB, Ratwani RM. Electronic health record usability contributions to patient safety and clinician burnout: a path forward. J Patient Saf. 2023;19(5):38-39. doi:10.1097/pts.000000000000…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46911/psn-pdf
    May 02, 2018 - Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice. May 2, 2018 Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin Prescriptions in Patients With Cor…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38310/psn-pdf
    June 03, 2010 - The relationship between early emergency team calls and serious adverse events. June 3, 2010 Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3. https://psnet.ahrq.gov/issue/relati…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35544/psn-pdf
    March 29, 2010 - How surgeons disclose medical errors to patients: a study using standardized patients.   March 29, 2010 Chan DK, Gallagher TH, Reznick R, et al. How surgeons disclose medical errors to patients: a study using standardized patients. Surgery. 2005;138(5):851-8. https://psnet.ahrq.gov/issue/how-surgeons-disclose-medi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38157/psn-pdf
    October 22, 2008 - Contributing factors identified by hospital incident report narratives. October 22, 2008 Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721. https://psnet.ahrq.gov/issue/contributing-f…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867015/psn-pdf
    October 23, 2024 - Supporting perioperative safety during a disaster through clinical crisis education. October 23, 2024 Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. https://psnet.ahrq.gov/issue/supporting-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45726/psn-pdf
    December 14, 2016 - National Cancer Institute–American Society of Clinical Oncology Teams in Cancer Care Project. December 14, 2016 J Oncol Pract. 2016;12(11):955-1194. https://psnet.ahrq.gov/issue/national-cancer-institute-american-society-clinical-oncology-teams-cancer- care-project Team-based care has been adopted in various spec…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34055/psn-pdf
    March 07, 2005 - What is driving hospitals' patient-safety efforts? March 7, 2005 Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15. https://psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts This study evaluated the role professionalism, regulati…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865967/psn-pdf
    May 29, 2024 - Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. May 29, 2024 Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. Diagnosis…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73659/psn-pdf
    September 01, 2021 - Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond. September 1, 2021 Li L, Childs AW. J Psychiatr Pract. 2021;27(4):245-253. https://psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-m…
  14. psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
    February 26, 2025 - You're not doing anyone a favor by rigorously evaluating something that's not going to work.
  15. psnet.ahrq.gov/web-mm/listen-family
    April 15, 2015 - Listen to the Family Citation Text: Campbell D. Listen to the Family. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49394/psn-pdf
    April 01, 2003 - Premature or Overdue? April 1, 2003 Thomas J, Hannah M. Premature or Overdue? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/premature-or-overdue The Case A 32-year-old woman, gravida 3, para 1, presented for prenatal care at 24 weeks. Her past medical history was unremarkable, and results of her prenatal …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49788/psn-pdf
    March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention March 1, 2017 Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention The Case A 48-year…
  18. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
    April 01, 2015 - PowerPoint Presentation Spotlight Dissecting the Presentation * This presentation is based on the April 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Shirley Beng Suat Ooi, MBBS (S'pore), Emergency Medicine Department, National Univers…
  19. psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
    September 01, 2006 - Anesthesia: A Weighty Issue Citation Text: Sinha AC. Anesthesia: A Weighty Issue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
  20. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
    October 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case October 2007 Do Not Disturb! Source and Credits This presentation is based on the October 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and…

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