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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47703/psn-pdf
    April 07, 2019 - Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit. April 7, 2019 Wong A, Rehr C, Seger DL, et al. Evaluation of Harm Associated with High Dose-Range Clinical Decision Support Overrides in the Intensive Care Unit. Drug Saf. 2019;42(4):573-579. doi:10.1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45435/psn-pdf
    August 24, 2016 - Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages. August 24, 2016 Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electronic Review Messages. PLoS One. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47010/psn-pdf
    March 13, 2019 - Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians. March 13, 2019 Barnett ML, Boddupalli D, Nundy S, et al. Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple Physicians vs Individual Physicians. JAMA Netw Open. 2019;2(3):e190096. do…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39210/psn-pdf
    January 12, 2010 - Can aviation-based team training elicit sustainable behavioral change? January 12, 2010 Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207. https://psnet.ahrq.gov/issue/can-aviation-based-team…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44376/psn-pdf
    October 08, 2016 - Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. October 8, 2016 Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46567/psn-pdf
    January 24, 2019 - Association of overlapping surgery with increased risk for complications following hip surgery. January 24, 2019 Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for Complications Following Hip Surgery: A Population-Based, Matched Cohort Study. JAMA Intern Med. 2018;17…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846158/psn-pdf
    March 15, 2023 - Safety risks and workflow implications associated with nursing-related free-text communication orders. March 15, 2023 Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841772/psn-pdf
    December 21, 2022 - Detectability of medication errors with a STOPP/START- based medication review in older people prior to a potentially preventable drug-related hospital admission. December 21, 2022 Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START- based medication review in old…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45610/psn-pdf
    November 01, 2017 - Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. November 1, 2017 Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. Am J Manag Care. 201…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46594/psn-pdf
    November 01, 2017 - Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer. November 1, 2017 Lipitz-Snyderman A, Kale M, Robbins L, et al. Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagn…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45739/psn-pdf
    July 02, 2017 - High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? July 2, 2017 Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65(3):603-607. doi:10.1111/jgs.14703. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46624/psn-pdf
    November 29, 2017 - Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy. November 29, 2017 Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):31-39. doi:10.1080/15265161.20…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39571/psn-pdf
    October 03, 2017 - Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates. October 3, 2017 Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of Malpractice Claims Rates. Journal For Healthcare Quality. 2009;32(3). doi:10.111…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46191/psn-pdf
    July 19, 2017 - Performance of a trigger tool for identifying adverse events in oncology. July 19, 2017 Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. https://psnet.ahrq.gov/issue/performance-trigger…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46948/psn-pdf
    April 16, 2018 - Opioid-related critical care resource use in US children's hospitals. April 16, 2018 Kane JM, Colvin JD, Bartlett AH, et al. Opioid-Related Critical Care Resource Use in US Children's Hospitals. Pediatrics. 2018;141(4):e20173335. doi:10.1542/peds.2017-3335. https://psnet.ahrq.gov/issue/opioid-related-critical-care…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48083/psn-pdf
    August 07, 2019 - Missed diagnosis of cancer in primary care: insights from malpractice claims data. August 7, 2019 Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385. https://psnet.ahrq.gov/issue/mis…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45666/psn-pdf
    April 24, 2018 - The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. April 24, 2018 Salyers MP, Bonfils KA, Luther L, et al. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. J Gen Intern Care. 2017;32(4):475-482. doi:10.1007/s11606-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73240/psn-pdf
    May 12, 2021 - Comparison of methods to reduce bias from clinical prediction models of postpartum depression. May 12, 2021 Park Y, Hu J, Singh M, et al. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. JAMA Netw Open. 2021;4(4):e213909. doi:10.1001/jamanetworkopen.2021.3909. https://…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40982/psn-pdf
    March 23, 2012 - Emergency hospitalizations for adverse drug events in older Americans. March 23, 2012 Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10.1056/NEJMsa1103053. https://psnet.ahrq.gov/issue/emergency-hospitali…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33859/psn-pdf
    June 01, 2018 - Ultrasound is great for getting us back to the bedside and physically examining the patient.

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