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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866938/psn-pdf
    October 09, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception towards Co-Design. October 9, 2024 Epstein HM, Haskell H, Hemmelgarn C, et al. The Patient’s Role In Diagnostic Safety And Excellence: From Passive Reception Towards Co-Design. Rockville, MD: Agency for Healthcare Research and Quality; …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47284/psn-pdf
    December 05, 2018 - Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. December 5, 2018 Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Analysis. Jt Comm J Qual Patient Sa…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34653/psn-pdf
    March 07, 2005 - Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. March 7, 2005 Gaba DM. California Manage Rev. 2000;43(1):83-102. https://psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care- other-high-hazard Gaba ana…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46000/psn-pdf
    April 26, 2017 - Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient clinic. April 26, 2017 Moonen P-J, Mercelina L, Boer W, et al. Diagnostic error in the Emergency Department: follow up of patients with minor trauma in the outpatient clinic. Scand J Trauma Resusc Emerg Med. 2017…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37992/psn-pdf
    August 20, 2008 - Medication errors reported by US family physicians and their office staff. August 20, 2008 Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. https://psnet.ahrq.gov/issue/medic…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41464/psn-pdf
    November 26, 2014 - Risk of unintentional overdose with non-prescription acetaminophen products. November 26, 2014 Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen products. J Gen Intern Med. 2012;27(12):1587-93. doi:10.1007/s11606-012-2096-3. https://psnet.ahrq.gov/issue/risk-uni…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46917/psn-pdf
    April 18, 2018 - Consumer mobile apps for potential drug–drug interaction check: systematic review and content analysis using the Mobile App Rating Scale (MARS). April 18, 2018 Kim BY, Sharafoddini A, Tran N, et al. Consumer Mobile Apps for Potential Drug-Drug Interaction Check: Systematic Review and Content Analysis Using the Mob…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46570/psn-pdf
    April 12, 2019 - Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. April 12, 2019 Martin SK, Tulla K, Meltzer DO, et al. Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision: A Mixed Methods Stud…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50576/psn-pdf
    October 23, 2019 - Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. October 23, 2019 Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provider encounter are a frequent sou…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46818/psn-pdf
    April 18, 2018 - Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework. April 18, 2018 Mekonnen AB, McLachlan AJ, Brien J-AE, et al. Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a q…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851663/psn-pdf
    July 26, 2023 - Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023 Washington, DC: VA Office of the Inspector General; June 28, 2023. Report no. 22-02725-132. https://psnet.ahrq.gov/issue/quality-care-concerns-and-facility-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45591/psn-pdf
    January 11, 2017 - Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis. January 11, 2017 Shaheed CA, Maher CG, Williams KA, et al. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A Systematic Review and Meta-analys…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47204/psn-pdf
    July 18, 2018 - The burden of opioid-related mortality in the United States. July 18, 2018 Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States. JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217. https://psnet.ahrq.gov/issue/burden-opioid-related-mortality-unite…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60881/psn-pdf
    September 02, 2020 - Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report. September 2, 2020 Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality’s Making Healthcare Safer III Report. J Patient Saf. 2020;16(3S Suppl 1):s1-s56. doi:1…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73136/psn-pdf
    April 14, 2021 - Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. April 14, 2021 Campbell AA, Harlan T, Campbell M, et al. Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. J Nurs Scholarsh. 2021;53(3):333-342. doi:10.1111/jnu.12652. https://psn…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47195/psn-pdf
    September 12, 2018 - Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. September 12, 2018 Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter- hospital transfer outcomes: a population study. J Gen Intern Med. 2018;33(9):1447-145…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60203/psn-pdf
    April 08, 2020 - Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge. April 8, 2020 Sanson G, Marino C, Valenti A, et al. Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44599/psn-pdf
    December 09, 2015 - Association between day of delivery and obstetric outcomes: observational study. December 9, 2015 Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774. https://psnet.ahrq.gov/issue/association-between-day-delivery-…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50866/psn-pdf
    February 05, 2020 - Effectiveness of acute care remote triage systems: a systematic review. February 5, 2020 Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4. https://psnet.ahrq.gov/issue/effectiveness-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837677/psn-pdf
    July 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022 Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186. https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-…
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