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3381. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73475/psn-pdf
      July 07, 2021 - Opioids in the United Kingdom: safety and surveillance during COVID-19. July 7, 2021 Osborne V. Opioids in the United Kingdom: safety and surveillance during COVID-19. Curr Opin Psychiatry. 2021;34(4):357-362. doi:10.1097/yco.0000000000000719. https://psnet.ahrq.gov/issue/opioids-united-kingdom-safety-and-surveill…

3382. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42962/psn-pdf
      September 07, 2016 - Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. September 7, 2016 Washington, DC: United States Government Accountability Office; February 10, 2014. Publication GAO-14- 194. https://psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-effor…

3383. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848827/psn-pdf
      May 10, 2023 - TQIP Mortality Reporting System Case Reports. May 10, 2023 ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023. https://psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports Anonymous case reporting provides opportunities to examine unexpected patient harm instances to pin…

3384. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46080/psn-pdf
      August 28, 2017 - A growth mindset approach to preparing trainees for medical error. August 28, 2017 Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. https://psnet.ahrq.gov/issue/growth-mindset-approach-preparing…

3385. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73396/psn-pdf
      June 16, 2021 - The impact of the built environment on patient falls in hospital rooms: an integrative review. June 16, 2021 Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi:10.1097/pts.0000000000000613. http…

3386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840492/psn-pdf
      November 30, 2022 - Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers. November 30, 2022 Eldeib D. ProPublica. November 13, 2022. https://psnet.ahrq.gov/issue/her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen- mothers Pregnancy is recognized as a high-risk condition …

3387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47018/psn-pdf
      June 13, 2018 - Opportunities to improve informed consent with AHRQ training modules. June 13, 2018 Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010. https://psnet.ahrq.gov/issue/opportuniti…

3388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43743/psn-pdf
      December 03, 2014 - Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. December 3, 2014 Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144. https://psnet.ahrq.gov/issue/conflict-int…

3389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43095/psn-pdf
      April 09, 2014 - Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. April 9, 2014 White R, Cassano-Piché A, Fields A, et al. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. J Oncol Pharm Pract. 2014;20(1…

3390. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46614/psn-pdf
      November 29, 2017 - Interventions to improve hand hygiene compliance in the ICU: a systematic review. November 29, 2017 Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691. https://psnet.ahrq.gov/issue/interventions-improve-hand…

3391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45619/psn-pdf
      August 16, 2017 - Checking the lists: a systematic review of electronic checklist use in health care. August 16, 2017 Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006. https://psnet.ahrq.gov/issue/checking-lists-s…

3392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837605/psn-pdf
      June 29, 2022 - Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. June 29, 2022 Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.  https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation Health inequities are receiving increased …

3393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851661/psn-pdf
      July 26, 2023 - Maternal Health of Women and Girls of African Descent in the Americas. July 26, 2023 New York, NY: United Nations Population Fund; July 2023. https://psnet.ahrq.gov/issue/maternal-health-women-and-girls-african-descent-americas Black women are vulnerable to unsafe health care. This report examined maternal and rep…

3394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837155/psn-pdf
      November 15, 2022 - Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. November 15, 2022  National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022. ISBN 9780309696333.  https://psnet.ahrq.gov/issue/advancing-diagnostic-excellence-ol…

3395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46330/psn-pdf
      September 24, 2017 - Systemic error in radiology. September 24, 2017 Waite S, Scott JM, Legasto A, et al. Systemic Error in Radiology. AJR Am J Roentgenol. 2017;209(3):629- 639. doi:10.2214/AJR.16.17719. https://psnet.ahrq.gov/issue/systemic-error-radiology Radiology interpretation errors can contribute to diagnostic error. This comme…

3396. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42353/psn-pdf
      September 19, 2016 - Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. September 19, 2016 Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Gen Hosp Psych. 2013;35(5):528-536. doi:10.…

3397. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60263/psn-pdf
      April 22, 2020 - Rationing protective gear means checking on coronavirus patients less often. This can be deadly. April 22, 2020 Kaplan J, Presser L, Miller M. ProPublica. April 10, 2020. https://psnet.ahrq.gov/issue/rationing-protective-gear-means-checking-coronavirus-patients-less-often-can- be-deadly Increased complexity and p…

3398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42751/psn-pdf
      November 20, 2013 - What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. November 20, 2013 Siassakos D, Fox R, Bristowe K, et al. What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. Acta Obste…

3399. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72687/psn-pdf
      January 27, 2021 - Learning from errors with the new COVID-19 vaccines. January 27, 2021 ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.   https://psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines Learning from error rests on transparency efforts buttressed by frontline reports. This a…

3400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47774/psn-pdf
      April 08, 2019 - Association of emotional intelligence with malpractice claims: a review. April 8, 2019 Shouhed D, Beni C, Manguso N, et al. Association of Emotional Intelligence With Malpractice Claims: A Review. JAMA Surg. 2019;154(3):250-256. doi:10.1001/jamasurg.2018.5065. https://psnet.ahrq.gov/issue/association-emotional-int…