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2881. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35264/psn-pdf
      June 29, 2009 - The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  June 29, 2009 Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive care. Crit Care M…

2882. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866556/psn-pdf
      August 21, 2024 - Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. August 21, 2024 Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. J Med Internet Res. 2024…

2883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47845/psn-pdf
      April 24, 2019 - Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. April 24, 2019 Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 2019;2(4):e191912. doi:10.1001/jama…

2884. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74228/psn-pdf
      January 12, 2022 - Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. January 12, 2022 Hallvik SE, El Ibrahimi S, Johnston K, et al. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. Pain. 2022;163(1):83-90. doi:10.1097/j.pain.0000000000002298. https://psne…

2885. 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…

2886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842419/psn-pdf
      January 11, 2023 - Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. January 11, 2023 Bloomer A, Wally M, Bailey G, et al. Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients.…

2887. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47720/psn-pdf
      March 06, 2019 - Hospital infection prevention: how much can we prevent and how hard should we try? March 6, 2019 Bearman G, Doll M, Cooper K, et al. Hospital Infection Prevention: How Much Can We Prevent and How Hard Should We Try? Curr Infect Dis Rep. 2019;21(1):2. doi:10.1007/s11908-019-0660-2. https://psnet.ahrq.gov/issue/hosp…

2888. 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…

2889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73702/psn-pdf
      January 01, 2022 - Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). September 15, 2021 Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional st…

2890. 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…

2891. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73090/psn-pdf
      March 31, 2021 - Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. March 31, 2021 Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a systematic review of learning tools that co…

2892. Improving Diagnostic Safety and Quality | PSNet
      psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
      January 31, 2024 - Few studies examining cognitive checklists found improved diagnosis; task-based checklists were more

2893. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848107/psn-pdf
      April 26, 2023 - Few studies examining cognitive checklists found improved diagnosis; task-based checklists were more

2894. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867672/psn-pdf
      February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations February 26, 2025 Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. 2025. https://psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction…

2895. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
      May 01, 2017 - PowerPoint Presentation Spotlight Diagnostic Delay in the Emergency Department 1 Source and Credits This presentation is based on the May 2017 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Kyle Marshall, MD, Geisinger Medical Center, Danv…

2896. A Real Heartache | PSNet
      psnet.ahrq.gov/web-mm/real-heartache
      October 01, 2018 - A Real Heartache Citation Text: Polevoi SK. A Real Heartache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

2897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850916/psn-pdf
      June 21, 2023 - Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. June 21, 2023 Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. JAMA Health Forum. 2023;4(6):e231197. d…

2898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41876/psn-pdf
      December 04, 2016 - Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. December 4, 2016 Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care…

2899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72498/psn-pdf
      January 01, 2021 - Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy. November 25, 2020 Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency medical admissions to 20 hos…

2900. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73206/psn-pdf
      May 05, 2021 - Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). May 5, 2021 Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). Ann Intern Med. 2021;174(7):927-…