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1821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50874/psn-pdf
      February 05, 2020 - Checking In on the Checklist. February 5, 2020 Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020. https://psnet.ahrq.gov/issue/checking-checklist Checklists are integrated into error reduction strategies and healthcare team communication efforts worldwide but implementation and impact of the tool varies …

1822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34992/psn-pdf
      September 29, 2017 - Lessons from the war on cancer: the need for basic research on safety. September 29, 2017 Cook RI. J Patient Saf. 2005.1(1):7-8 https://psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety The author examines parallels between President Nixon's "War on Cancer" and the work of patient safety today, p…

1823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60563/psn-pdf
      June 03, 2020 - ‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths. June 3, 2020 Andrews M. Kaiser News Network. May 19, 2020. https://psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths Post-mortem examination is an important tool for determining if misdiagnos…

1824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34679/psn-pdf
      February 09, 2011 - Patient complaints and malpractice risk. February 9, 2011 Hickson GB, Federspiel CF, Pichert JW, et al. Patient complaints and malpractice risk. JAMA. 2002;287(22):2951-7. https://psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk This study examines the association between physicians’ patient complaint …

1825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37109/psn-pdf
      July 15, 2013 - Putting the sleepy resident issue to bed: federal legislation is not the answer to excessive medical resident working hours. July 15, 2013 Stone JD. https://psnet.ahrq.gov/issue/putting-sleepy-resident-issue-bed-federal-legislation-not-answer-excessive- medical-resident This article examines work-hour reduction …

1826. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60855/psn-pdf
      August 26, 2020 - The paradoxes of defensive medicine. August 26, 2020 Saks MJ, Landsman S. Health Matrix: J Law-Med. 2020;30(1):25-84. https://psnet.ahrq.gov/issue/paradoxes-defensive-medicine Defensive medicine behaviors seeking to avoid malpractice risk due to care omissions challenge patient safety and value narratives. This le…

1827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37432/psn-pdf
      November 29, 2009 - The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. November 29, 2009 Hanlon C; Rosenthal J. Portland, ME: National Academy for State Health Policy; 2007. https://psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate…

1828. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43597/psn-pdf
      November 04, 2014 - The lost art of the history and physical. November 4, 2014 Natt B, Szerlip HM. The lost art of the history and physical. Am J Med Sci. 2014;348(5):423-5. doi:10.1097/MAJ.0000000000000326. https://psnet.ahrq.gov/issue/lost-art-history-and-physical Highlighting concerns about over-reliance on laboratory tests to for…

1829. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837644/psn-pdf
      July 06, 2022 - Reducing administrative harm in medicine - clinicians and administrators together. July 6, 2022 O’Donnell WJ. Reducing administrative harm in medicine - clinicians and administrators together. N Engl J Med. 2022;386(25):2429-2432. doi:10.1056/nejmms2202174. https://psnet.ahrq.gov/issue/reducing-administrative-harm…

1830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61055/psn-pdf
      October 21, 2020 - How administrative burdens can harm health. October 21, 2020 Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020. https://psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health The crossover of health equity concepts to patient safety has emerged as a consideration for improvement. Thi…

1831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35680/psn-pdf
      March 03, 2011 - Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. March 3, 2011 Choudhry NK, Anderson G, Laupacis A, et al. Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. BMJ. 2006;332(7534):141-5. https://ps…

1832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853627/psn-pdf
      September 20, 2023 - Understanding And Addressing Pre-Hospital Diagnostic Delays. September 20, 2023 Health Affairs Forefront; May-September 2023. https://psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays Diagnostic delays stem from both human and process failures. This series of articles examines how s…

1833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41710/psn-pdf
      November 08, 2012 - Improving teamwork on general medical units: when teams do not work face-to-face. November 8, 2012 McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478. https://psnet.ahrq.gov/issue/improving-tea…

1834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35946/psn-pdf
      July 26, 2010 - A review of educational philosophies as applied to radiation safety training at medical institutions. July 26, 2010 Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at medical institutions. Health Phys. 2006;90(5 Suppl):S67-72. https://psnet.ahrq.gov/issue/review…

1835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34640/psn-pdf
      March 02, 2011 - The hazards of hospitalization. March 2, 2011 Schimmel E. THE HAZARDS OF HOSPITALIZATION. Ann Intern Med. 1964;60:100-110. https://psnet.ahrq.gov/issue/hazards-hospitalization This article examines a prospective study of more than 1000 patients admitted to a university medical service. The author studied the type …

1836. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40516/psn-pdf
      July 15, 2013 - Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. July 15, 2013 Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. J Nurs Educ. 2011;50(8):437-46. doi:10.3928/…

1837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50739/psn-pdf
      December 11, 2019 - Medical error and moral luck. December 11, 2019 Allhoff F. Medical Error and Moral Luck. Kennedy Inst Ethics J. 2019;29(3):187-203. doi:10.1353/ken.2019.0022. https://psnet.ahrq.gov/issue/medical-error-and-moral-luck Medical error is an important problem but there has been little examination of associated conceptu…

1838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38619/psn-pdf
      May 07, 2018 - Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2. https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea- involuntary-manslaughter …

1839. Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives. | PSNet
      psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
      July 20, 2009 - Resources From the Same Author(s) Database construction for improving patient safety by examining

1840. "Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs. | PSNet
      psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs
      April 17, 2019 - November 4, 2014 Examining the diagnostic justification abilities of fourth-year medical