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2341. 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/…

2342. 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…

2343. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34780/psn-pdf
      March 28, 2005 - Disseminating innovations in health care. March 28, 2005 Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. https://psnet.ahrq.gov/issue/disseminating-innovations-health-care This commentary and review discusses the ability to adopt growing numbers of …

2344. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37761/psn-pdf
      May 14, 2008 - Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the third-year surgery clerkship. May 14, 2008 Newell P, Harris S, Aufses A, et al. Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the third-year surgery clerkship. J Surg …

2345. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46582/psn-pdf
      February 14, 2018 - Technological distractions—part 1 and part 2. February 14, 2018 Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. Crit Care Med. 2017;45(9):1481-1488. doi:1…

2346. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50398/psn-pdf
      October 02, 2019 - Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. October 2, 2019 Barbash IJ, Kahn JM. Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. J Crit Care. 2019;54:88-93. doi:10.1016/j.jcrc.2019.08.009. https://psnet.ahrq.gov/issue/sep…

2347. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854256/psn-pdf
      October 04, 2023 - Enhancing safety of a system-wide in situ simulation program using no-go considerations. October 4, 2023 Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/sih.0000000000000711. https://psne…

2348. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39021/psn-pdf
      October 14, 2009 - Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008. October 14, 2009 Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improvi…

2349. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34890/psn-pdf
      February 17, 2011 - Electronic alerts to prevent venous thromboembolism among hospitalized patients. February 17, 2011 Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969-77. https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thro…

2350. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34894/psn-pdf
      July 10, 2008 - Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. July 10, 2008 Lau DT, Kasper JD, Potter DEB, et al. Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. A…

2351. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34654/psn-pdf
      June 16, 2011 - Risk mitigation in large scale systems: lessons from high reliability organizations. June 16, 2011 Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-161. https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations The authors examine high-reliability organizations,…

2352. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44651/psn-pdf
      December 09, 2015 - Measurement of diagnostic errors is a key first step to their reduction. December 9, 2015 Singh H. National Quality Measures Expert Commentaries. November 23, 2015. https://psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction Recently, diagnostic error has garnered much discussion and …

2353. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45388/psn-pdf
      December 07, 2016 - Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. December 7, 2016 Wunsch H, Wijeysundera DN, Passarella MA, et al. Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. JAMA. 2016;315(15):1654-7. doi:10.1001/jama.2016.0130. https://psnet.ahrq.g…

2354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44691/psn-pdf
      December 02, 2015 - Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. December 2, 2015 Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(21):1809-15. doi:10.2106/JBJS.O.0…

2355. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73463/psn-pdf
      July 07, 2021 - Structural racism and the COVID-19 experience in the United States. July 7, 2021 Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031. https://psnet.ahrq.gov/issue/structural-racism-and-covid-19-e…

2356. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72735/psn-pdf
      February 10, 2021 - Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. February 10, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 5, 2021. Report No. 20-01521-48. …

2357. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45032/psn-pdf
      July 21, 2016 - From tokenism to empowerment: progressing patient and public involvement in healthcare improvement. July 21, 2016 Ocloo J, Matthews R. From tokenism to empowerment: progressing patient and public involvement in healthcare improvement. BMJ Qual Saf. 2016;25(8):626-32. doi:10.1136/bmjqs-2015-004839. https://psnet.ah…

2358. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73674/psn-pdf
      September 08, 2021 - Perceptions of working conditions and safety concerns in community pharmacy. September 8, 2021 Clabaugh M, Beal JL, Illingworth Plake KS. Perceptions of working conditions and safety concerns in community pharmacy. J Am Pharm Assoc (2003). 2021;61(6):761-771. doi:10.1016/j.japh.2021.06.011. https://psnet.ahrq.gov/…

2359. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73222/psn-pdf
      May 05, 2021 - Fatal mistakes: why do ten-fold medication errors in children keep happening? May 5, 2021 Parry C. The Pharmaceutical Journal.  April 22 2021. https://psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening Weight-based prescribing in children harbors challenges to accura…

2360. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46402/psn-pdf
      March 20, 2018 - Safety events in pediatric out-of-hospital cardiac arrest. March 20, 2018 Hansen M, Eriksson C, Skarica B, et al. Safety events in pediatric out-of-hospital cardiac arrest. Am J Emerg Med. 2018;36(3):380-383. doi:10.1016/j.ajem.2017.08.028. https://psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-a…