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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73984/psn-pdf
    October 20, 2021 - Analyzing diagnostic errors in the acute setting: a process-driven approach. October 20, 2021 Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a process-driven approach. Diagnosis (Berl). 2022;9(1):77-88. doi:10.1515/dx-2021-0033. https://psnet.ahrq.gov/issue/analyzing-diagno…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60894/psn-pdf
    September 09, 2020 - Increased patient safety-related incidents following the transition into Daylight Savings Time. September 9, 2020 Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):51-54. doi:10.1007/s11606-020-0…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47212/psn-pdf
    July 11, 2018 - Medicine and the rise of the robots: a qualitative review of recent advances of artificial intelligence in health. July 11, 2018 Loh E. BMJ Leader. 2018;2(2):59-63. https://psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial- intelligence-health Artificial intelligence (AI)…
  4. 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48062/psn-pdf
    August 07, 2019 - Ten ways to improve medication safety in community pharmacies. August 7, 2019 Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003). 2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018. https://psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies Med…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50848/psn-pdf
    January 29, 2020 - Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. January 29, 2020 Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 7, 2020. Report No. 19-00468-67. https://psnet.ahrq.gov/issue/deficiencies-care-co…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867097/psn-pdf
    November 06, 2024 - Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. November 6, 2024 Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024. h…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43532/psn-pdf
    June 23, 2017 - The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. June 23, 2017 Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an organizational resource for asses…
  9. 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 …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44186/psn-pdf
    November 10, 2015 - A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. November 10, 2015 Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. Crit…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45745/psn-pdf
    August 02, 2017 - Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. August 2, 2017 Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. Br J Gen Pract. 2017;67(65…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40435/psn-pdf
    July 22, 2011 - How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research. July 22, 2011 Ovretveit JC, Shekelle PG, Dy SM, et al. How does context affect interventions to improve patient safety? An assessment of evidence from…
  13. 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…
  14. 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…
  15. 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;…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60353/psn-pdf
    May 20, 2020 - Adverse events after transition from ICU to hospital ward: a multicenter cohort study. May 20, 2020 Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.0000000000004327. https://psnet.ahrq.gov…
  17. 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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50569/psn-pdf
    October 23, 2019 - Design and implementation of a tool for pharmacists to register potential errors in prescribed medication. October 23, 2019 Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication. Stud Health Technol Inform. 2019;264:581-585. d…
  19. 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37277/psn-pdf
    July 28, 2010 - Drug selection errors in relation to medication labels: a simulation study. July 28, 2010 Garnerin P, Perneger T, Chopard P, et al. Drug selection errors in relation to medication labels: a simulation study. Anaesthesia. 2007;62(11):1090-4. https://psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-lab…

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