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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853970/psn-pdf
    September 27, 2023 - Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. September 27, 2023 Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologist…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836718/psn-pdf
    March 09, 2022 - Systems engineering analysis of diagnostic referral closed-loop processes. March 9, 2022 Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603. https://psnet.ahrq.gov/issue/systems-engineering-an…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34662/psn-pdf
    December 24, 2008 - User's manual for the IOM's 'Quality Chasm' report. December 24, 2008 Berwick DM. A user's manual for the IOM's 'Quality Chasm' report. Health Aff (Millwood). 2002;21(3):80-90. https://psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report Fifteen months after releasing its report on patient safety (To Err Is …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852464/psn-pdf
    August 16, 2023 - Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care. August 16, 2023 Rockville, MD: Agency for Research and Quality; July 27, 2023. Notice Number NOT-HS-23-018. https://psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announceme…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50424/psn-pdf
    September 04, 2019 - From box ticking to the black box: the evolution of operating room safety. September 4, 2019 Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5. https://psnet.ahrq.gov/issue/box-ticking-black-box-e…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866247/psn-pdf
    July 10, 2024 - Analysis of critical incident reports using natural language processing. July 10, 2024 Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002. https://psnet.ahrq.gov/issue/analysis-critical-incident-reports-using…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45584/psn-pdf
    November 02, 2016 - Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions. November 2, 2016 Raphael BP, Murphy M, Gura KM, et al. Discrepancies Between Prescribed and Actual Pediatric Home Parenteral Nutrition Solutions. Nutr Clin Pract. 2016;31(5):654-658. doi:10.1177/0884533616639410. https://psn…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44290/psn-pdf
    April 10, 2023 - Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management. April 10, 2023 Copeland AW. UpToDate. April 10, 2023. https://psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items- prevention-and Retained surgical items are rare and potent…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44677/psn-pdf
    June 07, 2016 - Computerised prescribing for safer medication ordering: still a work in progress. June 7, 2016 Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004677. https://psnet.ahrq.gov/issue/comput…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866648/psn-pdf
    September 04, 2024 - ACOG Committee Statement No. 10: Racial and Ethnic Inequities in Obstetrics and Gynecology. September 4, 2024 ACOG Committee Statement No. 10: Racial and Ethnic Inequities in Obstetrics and Gynecology. Obstet Gynecol. 2024;144(3):e62-e74. doi:10.1097/aog.0000000000005678. https://psnet.ahrq.gov/issue/acog-committe…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839322/psn-pdf
    November 02, 2022 - A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis. November 2, 2022 Roberts TJ, Sellars MC, Sands JM, et al. A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis. JCO Oncol Pract. 2022;18(12):833-839. doi:10.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867146/psn-pdf
    November 13, 2024 - Language discordance and patient care-Babel. November 13, 2024 Huson TA. Language discordance and patient care-Babel. JAMA Intern Med. 2024;184(11):1287-1288. doi:10.1001/jamainternmed.2024.4273. https://psnet.ahrq.gov/issue/language-discordance-and-patient-care-babel Equitable, safe health care is affected by myr…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46175/psn-pdf
    September 24, 2017 - Applying lessons from social psychology to transform the culture of error disclosure. September 24, 2017 Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. https://psnet.ahrq.gov/issue/applying-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849123/psn-pdf
    May 17, 2023 - Maximizing student potential: lessons for pharmacy programs from the patient safety movement. May 17, 2023 Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:100216. doi:10.1016/j.rcsop.2022.100216. htt…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46426/psn-pdf
    September 28, 2017 - Toward more proactive approaches to safety in the electronic health record era. September 28, 2017 Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005. https://psnet.ahrq.gov/issue/toward…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46707/psn-pdf
    October 13, 2018 - Medication errors involving nursing students: a systematic review. October 13, 2018 Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. https://psnet.ahrq.gov/issue/medication-errors-i…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863217/psn-pdf
    February 28, 2024 - Interpreting and coding causal relationships for quality and safety using ICD-11. February 28, 2024 Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12911-023-02363-5. https://psnet.ahrq…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865705/psn-pdf
    May 01, 2024 - Healthcare team resilience during COVID-19: a qualitative study. May 1, 2024 Ambrose JW, Catchpole K, Evans HL, et al. Healthcare team resilience during COVID-19: a qualitative study. BMC Health Serv Res. 2024;24(1):459. doi:10.1186/s12913-024-10895-3. https://psnet.ahrq.gov/issue/healthcare-team-resilience-during…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73524/psn-pdf
    July 21, 2021 - Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. July 21, 2021 Allen LV, Jr. Int J Pharm Compd. 2021;25:131-139; 222-229. https://psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error- prevention-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45740/psn-pdf
    January 23, 2017 - Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. January 23, 2017 Parsonage RK, Hiscock J, Law R-J, et al. Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. Br J Gen Pract. 2017;67(654):e49-e56…