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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38255/psn-pdf
    December 03, 2008 - The effect of clinical experience on the error rate of emergency physicians. December 3, 2008 Berk WA, Welch RD, Levy PD, et al. The effect of clinical experience on the error rate of emergency physicians. Ann Emerg Med. 2008;52(5):497-501. doi:10.1016/j.annemergmed.2008.01.329. https://psnet.ahrq.gov/issue/effect…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39510/psn-pdf
    September 24, 2016 - Interruptions and distractions in healthcare: review and reappraisal. September 24, 2016 Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2009.033282. https://psnet.ahrq.gov/issue/interruptions-and-distr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47340/psn-pdf
    February 22, 2019 - Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. February 22, 2019 Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44(11):674-682. doi:10.1016/j.jc…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60520/psn-pdf
    May 27, 2020 - Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. May 27, 2020 Chou R, Dana T, Buckley DI, et al. Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. Ann Intern Med. 2020;173(2):120-136. doi:10.7326/m20-163…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853069/psn-pdf
    August 30, 2023 - Estimating breast cancer overdiagnosis after screening mammography among older women in the United States. August 30, 2023 Richman IB, Long JB, Soulos PR, et al. Estimating breast cancer overdiagnosis after screening mammography among older women in the United States. Ann Intern Med. 2023;176(9):1172-1180. doi:10.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72469/psn-pdf
    November 18, 2020 - Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. November 18, 2020 Mekonnen B, Wang G, Rajbhandari-Thapa J, et al. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. J Stroke Cerebrovasc Dis. 2020;2…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843415/psn-pdf
    February 01, 2023 - Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands. February 1, 2023 Van der Voorden M, Ahaus K, Franx A. Explaining the negative effects of patient participation in patient safety: an exploratory…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862997/psn-pdf
    February 21, 2024 - What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. February 21, 2024 Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866745/psn-pdf
    September 18, 2024 - State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. September 18, 2024 Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Pu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47886/psn-pdf
    April 24, 2019 - Clinical impact of intraoperative electronic health record downtime on surgical patients. April 24, 2019 Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933. doi:10.1093/jamia/ocz029. https:…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39106/psn-pdf
    June 30, 2011 - Uncomfortable prescribing decisions in hospitals: the impact of teamwork. June 30, 2011 Lewis PJ, Tully MP. Uncomfortable prescribing decisions in hospitals: the impact of teamwork. J R Soc Med. 2009;102(11):481-8. doi:10.1258/jrsm.2009.090150. https://psnet.ahrq.gov/issue/uncomfortable-prescribing-decisions-hospi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60033/psn-pdf
    March 11, 2020 - Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta- analysis. March 11, 2020 Tecklenborg S, Byrne C, Cahir C, et al. Interventions to Reduce Adverse Drug Event-Related Outcomes in Older Adults: A Systematic Review and Meta-analysis. Drugs Aging. 2020;37(2):91-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43173/psn-pdf
    June 04, 2014 - Barriers to the implementation of checklists in the office- based procedural setting. June 4, 2014 Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141. https://psnet.ahrq.gov/issue/bar…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839323/psn-pdf
    November 02, 2022 - Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. November 2, 2022 See H, Shreve L, Hartzell S, et al. Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. JAMA Netw Open. 2022;5(10):e2236621. doi:10.1001/j…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50736/psn-pdf
    December 11, 2019 - Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review. December 11, 2019 Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Medication Errors and Preventable Adverse Drug Events in Paediatric and Neon…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866076/psn-pdf
    June 05, 2024 - Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. June 5, 2024 Ferguson J, Stringer G, Walshe K, et al. Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. BMJ Qual Saf. 2024;33(6):354-362. doi:10.1136/bmjqs-20…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33928/psn-pdf
    June 23, 2015 - Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. June 23, 2015 Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Anesthesiology. 2002;97(6):1609-17. https://psnet.ahrq.gov/issue/anes…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47346/psn-pdf
    February 22, 2019 - The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis. February 22, 2019 Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in Hospital Wards with and without Heal…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851200/psn-pdf
    July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. July 5, 2023 Washington DC:  Department of Veterans Affairs, Office of Inspector General; May 10, 2023.  Report no. 22-01116-110. https://psnet.ahrq.gov/issue/defi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837500/psn-pdf
    June 22, 2022 - Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. June 22, 2022 Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. JAM…

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