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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854385/psn-pdf
    October 11, 2023 - Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. October 11, 2023 Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. 2023;4(3):e321. doi:10.1097/as9.…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47184/psn-pdf
    August 08, 2018 - Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. August 8, 2018 Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. Acad Med. 2018;93(6):898-903. doi…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844548/psn-pdf
    February 15, 2023 - Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. February 15, 2023 Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital adm…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853066/psn-pdf
    August 30, 2023 - Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. August 30, 2023 Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. doi:10.1002/jhm.13103. https://psn…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41646/psn-pdf
    September 05, 2012 - Interventions to increase clinical incident reporting in health care. September 5, 2012 Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2. https://psnet.ahrq.gov/issue/in…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34085/psn-pdf
    February 09, 2011 - Discussion of medical errors in morbidity and mortality conferences. February 9, 2011 Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842. https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-confer…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45490/psn-pdf
    September 01, 2018 - Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. September 1, 2018 Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability Following Medical Errors: The …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859349/psn-pdf
    January 01, 2024 - Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. December 20, 2023 Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-an…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74141/psn-pdf
    December 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021 Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46653/psn-pdf
    July 02, 2019 - Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. July 2, 2019 Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):841-847. doi:10.1093/jamia/ocy026. h…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852285/psn-pdf
    August 09, 2023 - Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. August 9, 2023 ISMP Medication Safety Alert! Acute care edition. July 13, 2023;(4):1-3;July 27, 2023;(5):1-5. https://psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety- part…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853617/psn-pdf
    September 20, 2023 - Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case- control study. September 20, 2023 Ivanovic V, Broadhead K, Beck R, et al. Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control st…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861289/psn-pdf
    January 01, 2025 - Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. January 24, 2024 Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846751/psn-pdf
    March 29, 2023 - High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. March 29, 2023 El Hussein MT, Hirst SP. High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. J Nurs Reg. 2023;13(4):54-65. doi:10.1016/s2155-8256(23)00028-5. https://psnet.ahrq.gov…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47536/psn-pdf
    March 09, 2019 - Evaluation of wound photography for remote postoperative assessment of surgical site infections. March 9, 2019 Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124. doi:10.1001/jamasurg.2018.3861. htt…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864857/psn-pdf
    March 20, 2024 - Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care. March 20, 2024 Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the factors influencing medical registrars’ provision of saf…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47567/psn-pdf
    June 26, 2019 - A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." June 26, 2019 Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45399/psn-pdf
    November 01, 2017 - A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. November 1, 2017 Mathew R, Gundy S, Ulic D, et al. A Reduced Duty Hours Model for Senior Internal Medicine Residents: A Qualitative Analysis of Residents' Experiences and Perceptions…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45991/psn-pdf
    April 05, 2017 - Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review. April 5, 2017 Chen C, Kan T, Li S, et al. Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review. Am J Emerg Med. 201…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866077/psn-pdf
    June 05, 2024 - Associations between patient safety culture and workplace safety culture in hospital settings. June 5, 2024 Hesgrove B, Zebrak K, Yount N, et al. Associations between patient safety culture and workplace safety culture in hospital settings. BMC Health Serv Res. 2024;24(1):568. doi:10.1186/s12913-024-10984-3. https…
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