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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46097/psn-pdf
    August 09, 2017 - Administering and monitoring high-alert medications in acute care. August 9, 2017 Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand. 2017;31(47):42-52. doi:10.7748/ns.2017.e10849. https://psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44317/psn-pdf
    August 19, 2015 - Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. August 19, 2015 Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-24. doi:10.1016/j.ssci.2015.03.01…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60802/psn-pdf
    August 12, 2020 - Race, postoperative complications, and death in apparently healthy children. August 12, 2020 Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy children. Pediatrics. 2020;146(2):e20194113. doi:10.1542/peds.2019-4113. https://psnet.ahrq.gov/issue/race-postoperative-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50398/psn-pdf
    October 02, 2019 - Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. October 2, 2019 Barbash IJ, Kahn JM. Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. J Crit Care. 2019;54:88-93. doi:10.1016/j.jcrc.2019.08.009. https://psnet.ahrq.gov/issue/sep…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48035/psn-pdf
    May 29, 2019 - Is the future of medical diagnosis in computer algorithms? May 29, 2019 Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15- e16. doi:10.1016/s2589-7500(19)30011-1. https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms Artificial intelligence…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47950/psn-pdf
    August 21, 2019 - Safety of care by caregivers of cancer patients. August 21, 2019 Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379. doi:10.1016/j.soncn.2019.06.011. https://psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients Cancer patients often rely on family members or paid…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46013/psn-pdf
    January 01, 2018 - The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. December 19, 2017 Pickup L, Lang A, Atkinson S, et al. The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. Ergonomics. 2018…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45844/psn-pdf
    February 15, 2017 - Responsible e-prescribing needs e-discontinuation. February 15, 2017 Fischer SH, Rose AJ. Responsible e-Prescribing Needs e-Discontinuation. JAMA. 2017;317(5):469-470. doi:10.1001/jama.2016.19908. https://psnet.ahrq.gov/issue/responsible-e-prescribing-needs-e-discontinuation E-prescribing is a key strategy to impr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46693/psn-pdf
    December 20, 2017 - Coupling policymaking with evaluation—the case of the opioid crisis. December 20, 2017 Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis. New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014. https://psnet.ahrq.gov/issue/coupling-policymaking-evalu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44828/psn-pdf
    November 18, 2016 - The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service monitoring and organisational learning. November 18, 2016 Gillespie A, Reader TW. The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service monitoring and organisational l…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46425/psn-pdf
    September 13, 2017 - Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals. September 13, 2017 Brindley P, Cardinal P, eds. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada; 2017. ISBN: 9781926588414. https://psnet.ahrq.gov/issue/opti…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47181/psn-pdf
    August 22, 2018 - Critical role of the surgeon–anesthesiologist relationship for patient safety. August 22, 2018 Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology. 2018;129(3):402-405. doi:10.1097/ALN.0000000000002324. https://psnet.ahrq.gov/issue/critical-role-surgeon-anesthes…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46522/psn-pdf
    October 29, 2017 - Public reporting of surgical outcomes: surgeons, hospitals, or both? October 29, 2017 Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429- 1430. doi:10.1001/jama.2017.13815. https://psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47771/psn-pdf
    April 24, 2019 - The impact of errors on healthcare professionals in the critical care setting. April 24, 2019 Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001. https://psnet.ahrq.gov/issue/impact-err…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43835/psn-pdf
    February 11, 2015 - Doctors' experiences of adverse events in secondary care: the professional and personal impact. February 11, 2015 Harrison R, Lawton R, Stewart K. Doctors' experiences of adverse events in secondary care: the professional and personal impact. Clin Med (Lond). 2014;14(6):585-90. doi:10.7861/clinmedicine.14-6-585. h…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42915/psn-pdf
    January 01, 2016 - Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. February 5, 2014 McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204, AP2. doi:10.1016/s1553- 7250(14)40026-6. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837740/psn-pdf
    July 27, 2022 - Reducing near miss medication events using an evidence-based approach. July 27, 2022 Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630. https://psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-e…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837348/psn-pdf
    June 08, 2022 - Does malpractice liability make healthcare safer? Aligning law and policy with evidence. June 8, 2022 Saks MJ, Landsman S. Wake Forest J Law Policy. 2022;12:205-257.   https://psnet.ahrq.gov/issue/does-malpractice-liability-make-healthcare-safer-aligning-law-and-policy- evidence The malpractice liability sys…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45794/psn-pdf
    February 15, 2017 - Teaching the diagnostic process as a model to improve medical education. February 15, 2017 Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med. 2017;92(1):1-4. doi:10.1097/ACM.0000000000001481. https://psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-ed…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44675/psn-pdf
    July 05, 2016 - Why July matters. July 5, 2016 Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196. https://psnet.ahrq.gov/issue/why-july-matters Studies have reached conflicting conclusions about whether the "July Effect"—the belief that inpatient mortality increa…