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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854259/psn-pdf
    January 01, 2024 - The power of written word: reflection reduces errors of omission. October 4, 2023 Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission. Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630. https://psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38046/psn-pdf
    September 10, 2008 - Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. September 10, 2008 Pinto Carvalho FL, Cordeiro JA, Cury PM. Clinical and pathological disagreement upon the cause of death in a teaching hospital: Analysis of 100 autopsy cas…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44520/psn-pdf
    September 30, 2015 - Patient safety in dermatologic surgery: parts 1 and 2. September 30, 2015 Lolis M, Dunbar SW, Goldberg DJ, et al. J Am Acad Dermatol. 2015;73(1):1-26. https://psnet.ahrq.gov/issue/patient-safety-dermatologic-surgery-part-1-patient-safety-procedural- dermatology-part-2 This two-part review series explores patient s…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46050/psn-pdf
    August 03, 2017 - Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital. August 3, 2017 Bonafide CP, Localio R, Holmes JH, et al. Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children's Hospital. JAMA Pediatr. 2017;171(6):524-531. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841790/psn-pdf
    September 01, 2021 - Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. September 1, 2021 Ibrahim SA, Pronovost PJ. Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. JAMA Health Forum. 2021;2(9):e212430. doi:10.1001/jamahealthforum.20…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41801/psn-pdf
    October 31, 2012 - First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes. October 31, 2012 Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes. Clin Otolaryngol. 2012;37(4):30…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45588/psn-pdf
    January 23, 2017 - Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. January 23, 2017 Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasurg.2016.2839. https://psnet.ahrq…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866171/psn-pdf
    June 19, 2024 - Keeping Children and Young People with Mental Health Needs Safe: the Design of the Paediatric Ward. June 19, 2024 Dorset, UK: Health Services Safety Investigations Body; May 2024 https://psnet.ahrq.gov/issue/keeping-children-and-young-people-mental-health-needs-safe-design- paediatric-ward Acute mental health car…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44149/psn-pdf
    June 03, 2015 - Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. June 3, 2015 Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;19 Suppl 1:S59-70. doi:10.1111/hdi.12248. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866195/psn-pdf
    June 26, 2024 - The exaggerated benefits of failure. June 26, 2024 Eskreis-Winkler L, Woolley K, Erensoy E, et al. The exaggerated benefits of failure. J Exp Psychol Gen. 2024;153(7):1920-1937. doi:10.1037/xge0001610. https://psnet.ahrq.gov/issue/exaggerated-benefits-failure Failure can be considered a learning opportunity under …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43616/psn-pdf
    October 29, 2014 - Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program. October 29, 2014 Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Infect Control Hosp Epidemiol. 2014;35(suppl 3):S1- S141. https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lesson…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861294/psn-pdf
    January 24, 2024 - Shining a glaring light on surgery: technology that records every move aims to improve safety. January 24, 2024 Freyer FJ. Boston Globe. January 13, 2024. https://psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve- safety The surgical black box uses cameras and microphon…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39922/psn-pdf
    October 13, 2010 - What’s past is prologue: organizational learning from a serious patient injury. October 13, 2010 Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005. https://psnet.ahrq.gov/issue/whats-past-prologue-or…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46670/psn-pdf
    December 18, 2017 - A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. December 18, 2017 Reeve E, Moriarty F, Nahas R, et al. A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. Expert Opin Drug Saf. 2…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74081/psn-pdf
    November 17, 2021 - The influence of the availability heuristic on physicians in the emergency department. November 17, 2021 Ly DP. The influence of the availability heuristic on physicians in the emergency department. Ann Emerg Med. 2021;78(5):650-657. doi:10.1016/j.annemergmed.2021.06.012. https://psnet.ahrq.gov/issue/influence-ava…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46717/psn-pdf
    April 16, 2018 - Reduction in opioid prescribing through evidence-based prescribing guidelines. April 16, 2018 Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436. https://psnet.ahrq.gov/issue/reductio…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45941/psn-pdf
    March 08, 2017 - Medication errors associated with transition from insulin pens to insulin vials. March 8, 2017 Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726. https://psnet.ahrq.gov/issue/medication-er…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35417/psn-pdf
    February 15, 2010 - Errors in laboratory medicine: practical lessons to improve patient safety. February 15, 2010 Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patie…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46676/psn-pdf
    December 13, 2017 - Diagnostic errors by medical students: results of a prospective qualitative study. December 13, 2017 Braun LT, Zwaan L, Kiesewetter J, et al. Diagnostic errors by medical students: results of a prospective qualitative study. BMC Med Educ. 2017;17(1):191. doi:10.1186/s12909-017-1044-7. https://psnet.ahrq.gov/issue/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38534/psn-pdf
    January 31, 2013 - Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. January 31, 2013 Koppel R, Kreda D. Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. JAMA. 2009;301(12):1276-8. doi:10.1001/jama.2009.398. https…

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