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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73463/psn-pdf
    July 07, 2021 - Structural racism and the COVID-19 experience in the United States. July 7, 2021 Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031. https://psnet.ahrq.gov/issue/structural-racism-and-covid-19-e…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836986/psn-pdf
    April 27, 2022 - Habit and automaticity in medical alert override: cohort study. April 27, 2022 Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med Internet Res. 2022;24(2):e23355. doi:10.2196/23355. https://psnet.ahrq.gov/issue/habit-and-automaticity-medical-alert-override-cohort-s…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60828/psn-pdf
    August 19, 2020 - When COVID-19 hit, many elderly were left to die. August 19, 2020 Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8. https://psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die Residential care facilities have been challenged by C…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36046/psn-pdf
    June 21, 2006 - The Future of Emergency Care in the United States Health System. June 21, 2006 Institute of Medicine. Washington DC; National Academies Press: 2007. https://psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system In September 2003, an Institute of Medicine (IOM) committee began a detailed examinatio…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39261/psn-pdf
    February 03, 2010 - Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? February 3, 2010 Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Burn Care Res. 2010;31(1):125-9. do…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860731/psn-pdf
    January 17, 2024 - Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. January 17, 2024 Tran Y, Ellis LA, Clay-Williams R, eds. Lausanne, Switzerland: Frontiers Media SA; 2023. ISBN 9782832540770. https://psnet.ahrq.gov/issue/occupational-health-and-organizational-cult…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854256/psn-pdf
    October 04, 2023 - Enhancing safety of a system-wide in situ simulation program using no-go considerations. October 4, 2023 Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/sih.0000000000000711. https://psne…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50885/psn-pdf
    February 12, 2020 - Impact of staff turnover during cardiac surgical procedures. February 12, 2020 Bloom JP, Moonsamy P, Gartland RM, et al. Impact of staff turnover during cardiac surgical procedures. J Thorac Cardiovasc Surg. 2019. doi:10.1016/j.jtcvs.2019.11.051. https://psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-su…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39021/psn-pdf
    October 14, 2009 - Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008. October 14, 2009 Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improvi…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44235/psn-pdf
    January 22, 2016 - Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta- analysis. January 22, 2016 Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic review and meta-analysis. Int J…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44765/psn-pdf
    November 23, 2016 - Communication relating to family members' involvement and understandings about patients' medication management in hospital. November 23, 2016 Manias E. Communication relating to family members' involvement and understandings about patients' medication management in hospital. Health Expect. 2015;18(5):850-66. doi:1…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50398/psn-pdf
    October 02, 2019 - Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. October 2, 2019 Barbash IJ, Kahn JM. Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. J Crit Care. 2019;54:88-93. doi:10.1016/j.jcrc.2019.08.009. https://psnet.ahrq.gov/issue/sep…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866195/psn-pdf
    June 26, 2024 - The exaggerated benefits of failure. June 26, 2024 Eskreis-Winkler L, Woolley K, Erensoy E, et al. The exaggerated benefits of failure. J Exp Psychol Gen. 2024;153(7):1920-1937. doi:10.1037/xge0001610. https://psnet.ahrq.gov/issue/exaggerated-benefits-failure Failure can be considered a learning opportunity under …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34890/psn-pdf
    February 17, 2011 - Electronic alerts to prevent venous thromboembolism among hospitalized patients. February 17, 2011 Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969-77. https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thro…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60056/psn-pdf
    March 18, 2020 - Overprescribing of opioids to adults by dentists in the U.S., 2011-2015. March 18, 2020 Suda KJ, Zhou J, Rowan SA, et al. Overprescribing of opioids to adults by dentists in the U.S., 2011-2015. Am J Prev Med. 2020;58(4):473-486. doi:10.1016/j.amepre.2019.11.006. https://psnet.ahrq.gov/issue/overprescribing-opioid…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35038/psn-pdf
    January 02, 2017 - Using Six Sigma to reduce medication errors in a home- delivery pharmacy service. January 2, 2017 Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. https://psnet.ahrq.gov/issue/using-six-sigma-redu…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50417/psn-pdf
    September 04, 2019 - Communicating uncertainty: a narrative review and framework for future research. September 4, 2019 Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8. https://psnet.ahrq.gov/issue/communi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865702/psn-pdf
    May 01, 2024 - Judgment errors in surgical care. May 1, 2024 Marsh KM, Turrentine FE, Jin R, et al. Judgment errors in surgical care. J Am Coll Surg. 2024;238(5):874- 879. doi:10.1097/xcs.0000000000001011. https://psnet.ahrq.gov/issue/judgment-errors-surgical-care Knowing when judgment errors are more likely to occur can increas…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34654/psn-pdf
    June 16, 2011 - Risk mitigation in large scale systems: lessons from high reliability organizations. June 16, 2011 Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-161. https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations The authors examine high-reliability organizations,…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73328/psn-pdf
    May 26, 2021 - Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. May 26, 2021 Washington DC:  Department of Veterans Affairs. Office of Inspector General; May 11, 2021. Report No. 20-03593-140. https://psnet.ahrq.gov/issue/care-and-oversigh…
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