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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46468/psn-pdf
    December 13, 2017 - The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. December 13, 2017 Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:10.1016/j.annemergmed.2017.03.0…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60607/psn-pdf
    June 17, 2020 - When health care moves online, many patients are left behind. June 17, 2020 Renault M. When health care moves online, many patients are left behind. Wired Online. 2020;(June 8, 2020). https://psnet.ahrq.gov/issue/when-health-care-moves-online-many-patients-are-left-behind The emergence of telemedicine as a primar…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837038/psn-pdf
    May 04, 2022 - Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. May 4, 2022 London UK: Patient Safety Learning: 2022. https://psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs Unsafe care affects a wide range of individuals and organizations physically, emotionally, and financi…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72711/psn-pdf
    February 03, 2021 - Never Events Analysis of HSIB's National Investigations Report. February 3, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.   https://psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report Never events provide organizations with motivation to analyze a…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47642/psn-pdf
    April 07, 2019 - Identification of warning signs during selection of surgical trainees. April 7, 2019 Hagelsteen K, Johansson B-M, Bergenfelz A, et al. Identification of Warning Signs During Selection of Surgical Trainees. J Surg Educ. 2019;76(3):684-693. doi:10.1016/j.jsurg.2018.12.002. https://psnet.ahrq.gov/issue/identification…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838191/psn-pdf
    September 28, 2022 - Improved Diagnostic Accuracy Through Probability- Based Diagnosis. September 28, 2022 Rockville, MD: Agency for Healthcare Research and Quality; September 2022. AHRQ Publication No. 22- 0026-3-EF. https://psnet.ahrq.gov/issue/improved-diagnostic-accuracy-through-probability-based-diagnosis Correct consideration o…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853630/psn-pdf
    September 20, 2023 - California pharmacies are making millions of mistakes. They’re fighting to keep that secret. September 20, 2023 Peterson M. Los Angeles Times. September 5, 2023. https://psnet.ahrq.gov/issue/california-pharmacies-are-making-millions-mistakes-theyre-fighting-keep-secret Safe practice in community pharmacy is challe…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845078/psn-pdf
    February 22, 2023 - Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. February 22, 2023 Kennedy-Moulton K, Miller S, Persson P, et al. Cambridge, MA: National Bureau of Economic Research; 2022. NBER Working Paper No. 30693. https://psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40913/psn-pdf
    December 31, 2014 - Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. December 31, 2014 Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic heal…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74846/psn-pdf
    February 16, 2022 - Weight-based Medication Errors in Children. February 16, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. https://psnet.ahrq.gov/issue/weight-based-medication-errors-children Weight-calculation errors can result in pediatric patient harm as they affect medication prescribing, dispensing…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47339/psn-pdf
    October 24, 2018 - Benefactor or burden: exploring the professional identity of safety professionals. October 24, 2018 Provan DJ, Dekker SWA, Rae AJ. Benefactor or burden: Exploring the professional identity of safety professionals. J Safety Res. 2018;66:21-32. doi:10.1016/j.jsr.2018.05.005. https://psnet.ahrq.gov/issue/benefactor-o…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866823/psn-pdf
    September 25, 2024 - Understanding human factors in patient safety when prescribing. September 25, 2024 Coon R, Holden K. Understanding human factors in patient safety when prescribing. Pharmaceutical Journal. September 2024;313(7989). https://psnet.ahrq.gov/issue/understanding-human-factors-patient-safety-when-prescribing Prescripti…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47669/psn-pdf
    July 17, 2019 - Evaluating a handheld decision support device in pediatric intensive care settings. July 17, 2019 Reynolds TL, DeLucia PR, Esquibel KA, et al. JAMIA Open. 2019;2:49-61. https://psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings This pre–post mixed-methods implementat…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47299/psn-pdf
    March 20, 2019 - Unintentionally retained guidewires: a descriptive study of 73 sentinel events. March 20, 2019 Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.003. https://psnet.ahrq.gov/issue/…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50940/psn-pdf
    February 26, 2020 - The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units. February 26, 2020 Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing students' performance in prevent…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74765/psn-pdf
    February 09, 2022 - Whose responsibility is it to address bullying in health care? February 9, 2022 Whose responsibility is it to address bullying in health care? AMA J Ethics. 2022;23(12):E931-936. doi:10.1001/amajethics.2021.931. https://psnet.ahrq.gov/issue/whose-responsibility-it-address-bullying-health-care Disrespectful behavi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45135/psn-pdf
    September 27, 2017 - Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. September 27, 2017 Alemzadeh H, Raman J, Leveson N, et al. Adverse Events in Robotic Surgery: A Retrospective Study of 14 Years of FDA Data. PLoS One. 2016;11(4):e0151470. doi:10.1371/journal.pone.0151470. https://psnet.ahrq.gov/issu…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45150/psn-pdf
    October 13, 2018 - Pain as the neglected patient safety concern: five years on. October 13, 2018 Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. https://psnet.ahrq.gov/issue/pain-neglected-patient-safety-conce…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838196/psn-pdf
    July 01, 2019 - The impact of racism on child and adolescent health. July 1, 2019 Trent M, Dooley DG, Dougé J, et al. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765. doi:10.1542/peds.2019-1765. https://psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health Children and adolescents a…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44385/psn-pdf
    October 13, 2015 - Same-hospital readmission rates as a measure of pediatric quality of care. October 13, 2015 Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric Quality of Care. JAMA Pediatr. 2015;169(10):905-12. doi:10.1001/jamapediatrics.2015.1129. https://psnet.ahrq.gov/issue/same…
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