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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45510/psn-pdf
    October 19, 2016 - How to perform a root cause analysis for workup and future prevention of medical errors: a review. October 19, 2016 Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20. doi:10.1186/s13037-016-0107-8. …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37400/psn-pdf
    June 30, 2011 - Errors in cancer diagnosis: current understanding and future directions. June 30, 2011 Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J Clin Oncol. 2007;25(31):5009-18. https://psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47748/psn-pdf
    June 14, 2019 - The impact of health information technology on the management and follow-up of test results—a systematic review. June 14, 2019 Georgiou A, Li J, Thomas J, et al. The impact of health information technology on the management and follow-up of test results - a systematic review. J Am Med Inform Assoc. 2019;26(7):678-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48066/psn-pdf
    July 24, 2019 - What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives. July 24, 2019 Wright B, Faulkner N, Bragge P, et al. What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectiv…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847541/psn-pdf
    April 12, 2023 - Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. April 12, 2023 Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622. https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46550/psn-pdf
    November 15, 2017 - "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. November 15, 2017 Wu MS, Rawal S. "It's the difference between life and death": The views of professional medical interpreters on th…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866194/psn-pdf
    June 26, 2024 - Patient safety and satisfaction with fully remote management of radiation oncology care. June 26, 2024 Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570. doi:10.1001/jamanetworkopen.2024.16570. https://…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36262/psn-pdf
    August 04, 2009 - Safety in the academic medical center: transforming challenges into ingredients for improvement. August 4, 2009 Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22. https://psnet.ahrq.gov/issue/safety-academic-medical-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866119/psn-pdf
    June 12, 2024 - Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. June 12, 2024 Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An American College of Physicians Policy Position Paper. Ann Intern Med. 2024;177(7):964…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867234/psn-pdf
    December 04, 2024 - Survey results reveal tubing misconnections are common and underreported—Parts I and II. December 4, 2024 Survey results reveal tubing misconnections are common and underreported—Parts I and II. ISMP Medication Safety Alert! Acute Care. October 31, 2024;29(22 & 23):1-5;1-4. https://psnet.ahrq.gov/issue/survey-resu…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74200/psn-pdf
    January 01, 2022 - Association of surgeon-patient sex concordance with postoperative outcomes. December 22, 2021 Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339. https://psnet.ahrq.gov/issue/association-s…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73067/psn-pdf
    March 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. March 24, 2021 LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47947/psn-pdf
    May 29, 2019 - Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability. May 29, 2019 Sowan AK, Vera A, Malshe A, et al. Transcription Errors of Blood Glucose Values and Insulin Errors in an Intensive Care Unit…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50882/psn-pdf
    February 12, 2020 - Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study February 12, 2020 Montoy JCC, Coralic Z, Herring AA, et al. Association of Default Electronic Medical Record Settings With Health …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73980/psn-pdf
    October 20, 2021 - Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. October 20, 2021 Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. J Patient Saf…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46346/psn-pdf
    October 29, 2017 - Root cause analysis of ICU adverse events in the Veterans Health Administration. October 29, 2017 Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.jcjq.2017.04.009. https://psnet.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46559/psn-pdf
    December 22, 2018 - Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. December 22, 2018 Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866280/psn-pdf
    July 10, 2024 - Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. July 10, 2024 Shennan S, Coyle N, Lockwood B, et al. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. J Patient …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845353/psn-pdf
    March 01, 2023 - Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. March 1, 2023 Washington, DC: VA Office of the Inspector General; February 2, 2023. Report no. 22-01363-52. https://psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60518/psn-pdf
    May 27, 2020 - Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. May 27, 2020 Washington, DC: United States Government Accountability Office; May 20, 2020. Publication GAO-20- 576R.    https://psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespre…
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