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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46901/psn-pdf
    May 30, 2018 - Physician resiliency and wellness for transforming a health system. May 30, 2018 Armato CS, Jenike TE. NEJM Catalyst. May 2, 2018. https://psnet.ahrq.gov/issue/physician-resiliency-and-wellness-transforming-health-system Physician burnout can contribute to medical errors. This article discusses an organizational e…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73579/psn-pdf
    August 11, 2021 - A systematic review on pediatric medication errors by parents or caregivers at home. August 11, 2021 Lopez-Pineda A, Gonzalez de Dios J, Guilabert Mora M, et al. A systematic review on pediatric medication errors by parents or caregivers at home. Expert Opin Drug Saf. 2021:1-11. doi:10.1080/14740338.2021.1950138. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35340/psn-pdf
    July 10, 2008 - Posthospital medication discrepancies: prevalence and contributing factors. July 10, 2008 Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med. 2005;165(16):1842-1847. https://psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prev…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850911/psn-pdf
    June 21, 2023 - International perspectives on modifications to the surgical safety checklist. June 21, 2023 Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist. JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183. https://psnet.ahrq.gov/issue/internatio…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35440/psn-pdf
    May 27, 2011 - Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care. May 27, 2011 Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the long-term care setting: insights from the …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38650/psn-pdf
    May 20, 2009 - Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. May 20, 2009 Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adeq…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764409/psn-pdf
    March 02, 2022 - She was headed to a locked psych ward. Then an ER doctor made a startling discovery. March 2, 2022 Boodman SG. Washington Post. February 12, 2022. https://psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery Misdiagnosis over a long period of time can be exacerbated by stig…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43955/psn-pdf
    December 04, 2016 - For Colorado mom, story of daughter's hospital death is key to others' safety. December 4, 2016 Daley J. Colorado Public Radio. February 17, 2015. https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety Patient and family stories of harm are increasingly promoted as a strategy to…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39275/psn-pdf
    February 03, 2010 - Medical librarians supporting information systems project lifecycles toward improved patient safety. February 3, 2010 Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles toward improved patient safety. Medical librarians possess expertise to navigate various s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44161/psn-pdf
    December 19, 2018 - Among the elderly, many mental illnesses go undiagnosed. December 19, 2018 Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727- 31. doi:10.1377/hlthaff.2015.0314. https://psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed This commentary spot…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840163/psn-pdf
    November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846460/psn-pdf
    March 22, 2023 - I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. March 22, 2023 Tamayo-Sarver J. Fast Company. March 13, 2023. https://psnet.ahrq.gov/issue/im-er-doctor-heres-what-i-found-when-i-asked-chatgpt-diagnose-my-patients Artificial intelligence (AI) harbors risks and biases that can mis…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45015/psn-pdf
    July 18, 2016 - Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. July 18, 2016 Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:10.1002/jhm.2577. https://psnet.ahr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47473/psn-pdf
    December 05, 2018 - Holding out for an apology. December 5, 2018 Holding out for an apology. BMJ. 2018;363:k3033. doi:10.1136/bmj.k3033. https://psnet.ahrq.gov/issue/holding-out-apology Patients who experience care complications are vulnerable to psychological consequences that can affect their relationship with their clinical teams.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47641/psn-pdf
    March 20, 2019 - Guided reflection interventions show no effect on diagnostic accuracy in medical students. March 20, 2019 Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297. https://psnet.ahrq.gov/issue/gu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44712/psn-pdf
    December 09, 2015 - The effect of contact precautions on frequency of hospital adverse events. December 9, 2015 Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192. https://psnet.ahrq.gov/issue/effec…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41545/psn-pdf
    December 29, 2014 - Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications. December 29, 2014 Smith EG, Zhao S, Rosen AK. Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clini…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851646/psn-pdf
    January 01, 2024 - Burden of serious harms from diagnostic error in the USA. July 28, 2023 Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130. https://psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47958/psn-pdf
    June 26, 2019 - Patient safety professionals as the third victims of adverse events. June 26, 2019 Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914. https://psnet.ahrq.gov/issue/patient-safety-professionals-third-vict…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47060/psn-pdf
    April 25, 2018 - Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. April 25, 2018 Mimmo L, Harrison R, Hinchcliff R. Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. BMJ…

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