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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46503/psn-pdf
    January 31, 2018 - Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. January 31, 2018 Hussain A, Oestreicher J. Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. Surv Ophthalmol. 2018;63(1):119-124. doi:10.1016/j.survophthal.2017.08.007. https://psnet.ahrq.gov/issue/c…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40321/psn-pdf
    March 30, 2011 - Inaccuracies in assignment of clinical stage for localized prostate cancer. March 30, 2011 Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596. https://psnet.ahrq.gov/issue/inaccuracies-assignment-cli…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35417/psn-pdf
    February 15, 2010 - Errors in laboratory medicine: practical lessons to improve patient safety. February 15, 2010 Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patie…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47424/psn-pdf
    November 21, 2018 - Creating a culture of accountability promotes safe medical care. November 21, 2018 Canadian Medical Protective Association; CMPA. https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership should model just culture behaviors to encourage reporting and discussion of…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48102/psn-pdf
    August 07, 2019 - The unmeasured quality metric: burn out and the second victim syndrome in healthcare. August 7, 2019 Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare. Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.04.011. https://psnet.ahrq.gov/issue/u…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45941/psn-pdf
    March 08, 2017 - Medication errors associated with transition from insulin pens to insulin vials. March 8, 2017 Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726. https://psnet.ahrq.gov/issue/medication-er…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45465/psn-pdf
    September 07, 2016 - Improving patient safety culture in primary care: a systematic review. September 7, 2016 Verbakel NJ, Langelaan M, Verheij TJM, et al. Improving Patient Safety Culture in Primary Care: A Systematic Review. J Patient Saf. 2016;12(3):152-8. doi:10.1097/PTS.0000000000000075. https://psnet.ahrq.gov/issue/improving-pat…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866073/psn-pdf
    June 05, 2024 - Improving communication of diagnostic uncertainty to families of hospitalized children. June 5, 2024 Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088. https://psnet.ahrq.gov/iss…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34780/psn-pdf
    March 28, 2005 - Disseminating innovations in health care. March 28, 2005 Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. https://psnet.ahrq.gov/issue/disseminating-innovations-health-care This commentary and review discusses the ability to adopt growing numbers of …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45032/psn-pdf
    July 21, 2016 - From tokenism to empowerment: progressing patient and public involvement in healthcare improvement. July 21, 2016 Ocloo J, Matthews R. From tokenism to empowerment: progressing patient and public involvement in healthcare improvement. BMJ Qual Saf. 2016;25(8):626-32. doi:10.1136/bmjqs-2015-004839. https://psnet.ah…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39270/psn-pdf
    February 03, 2010 - Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. February 3, 2010 Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. BMC Med Info…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45388/psn-pdf
    December 07, 2016 - Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. December 7, 2016 Wunsch H, Wijeysundera DN, Passarella MA, et al. Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. JAMA. 2016;315(15):1654-7. doi:10.1001/jama.2016.0130. https://psnet.ahrq.g…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866966/psn-pdf
    October 16, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. October 16, 2024 Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No. 24- 0010-9-EF https://psnet.ahrq.g…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855100/psn-pdf
    November 08, 2023 - Prescription for disaster: America's broken pharmacy system in revolt over burnout and errors. November 8, 2023 Le Coz E. USA Today. October 26, 2023. https://psnet.ahrq.gov/issue/prescription-disaster-americas-broken-pharmacy-system-revolt-over-burnout- and-errors Chain pharmacies provide prescriptions in an env…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42002/psn-pdf
    May 10, 2013 - National efforts to improve health information system safety in Canada, the United States of America and England. May 10, 2013 Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and England. Int J Med Inform. 2013;82(5):…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60648/psn-pdf
    July 01, 2020 - Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. July 1, 2020 Osterholm MT, Olshaker M. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. Foreign Affairs. 2020;99:4. https://psnet.ahrq.gov/issue/chronicle-pan…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41635/psn-pdf
    January 18, 2013 - Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. January 18, 2013 Nwulu U, Nirantharakumar K, Odesanya R, et al. Improvement in the detection of adverse drug events by the use of electronic health and prescription reco…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38727/psn-pdf
    November 25, 2009 - FMEA team performance in health care: a qualitative analysis of team member perceptions. November 25, 2009 Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be. https://psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44320/psn-pdf
    October 28, 2015 - Interventions for reducing medication errors in children in hospital. October 28, 2015 Maaskant JM, Vermeulen H, Apampa B, et al. Interventions for reducing medication errors in children in hospital. Cochrane Database Syst Rev. 2015;(3):CD006208. doi:10.1002/14651858.CD006208.pub3. https://psnet.ahrq.gov/issue/int…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43937/psn-pdf
    May 05, 2018 - Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. May 5, 2018 ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1-5. https://psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices Benchmarks tracking a wide spectru…
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