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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42637/psn-pdf
    December 29, 2014 - Approaches for improving continuity of care in medication management: a systematic review. December 29, 2014 Spinewine A, Claeys C, Foulon V, et al. Approaches for improving continuity of care in medication management: a systematic review. Int J Qual Health Care. 2013;25(4):403-17. doi:10.1093/intqhc/mzt032. https…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35193/psn-pdf
    July 10, 2008 - Diagnostic error in internal medicine. July 10, 2008 Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499. https://psnet.ahrq.gov/issue/diagnostic-error-internal-medicine This study identified 100 cases of diagnostic error in internal medicine and conducte…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40425/psn-pdf
    August 02, 2012 - Incidence and impact of physician and nurse disruptive behaviors in the emergency department. August 2, 2012 Rosenstein AH, Naylor B. Incidence and impact of physician and nurse disruptive behaviors in the emergency department. J Emerg Med. 2012;43(1):139-48. doi:10.1016/j.jemermed.2011.01.019. https://psnet.ahrq.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34636/psn-pdf
    June 14, 2011 - The wrong patient. June 14, 2011 Chassin MR, Becher EC. The wrong patient. Ann Intern Med. 2002;136(11):826-833. https://psnet.ahrq.gov/issue/wrong-patient This case study describes the events of a patient who underwent an unintended invasive cardiac electrophysiology study. While reviewing the details of the case…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49579/psn-pdf
    March 21, 2009 - These "ring downs" are necessarily brief, do not include identifying information (beyond patient age
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35228/psn-pdf
    March 04, 2011 - Best practices for safe handling of products containing concentrated potassium. March 4, 2011 Tubman M, Majumdar SR, Lee D, et al. Best practices for safe handling of products containing concentrated potassium. BMJ. 2005;331(7511):274-7. https://psnet.ahrq.gov/issue/best-practices-safe-handling-products-containing…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43846/psn-pdf
    January 21, 2015 - Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. January 21, 2015 Carter JL, Coletti RJ, Harris RP. Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. BMJ. 2015;350:g7773. doi:10.1136/bmj.g7773. https://psnet.ahrq.gov/issue/qua…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39169/psn-pdf
    December 09, 2009 - Exploring the concept of medication discrepancy within the context of patient safety to improve population health. December 9, 2009 Murphy CR, Corbett CL, Setter SM, et al. Exploring the concept of medication discrepancy within the context of patient safety to improve population health. ANS Adv Nurs Sci. 2009;32(4)…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34117/psn-pdf
    December 23, 2016 - Sentinel Event. December 23, 2016 The Joint Commission. https://psnet.ahrq.gov/issue/sentinel-event Since 1998, The Joint Commission has issued sentinel event alerts in response to unexpected incidents involving death or serious physical or psychological injury (or risk thereof). These events are identified as se…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42089/psn-pdf
    March 06, 2013 - Organizational culture: an important context for addressing and improving hospital to community patient discharge. March 6, 2013 Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community patient discharge. Med Care. 2013;51(…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44284/psn-pdf
    September 09, 2015 - Operating room to intensive care unit handoffs and the risks of patient harm. September 9, 2015 McElroy LM, Collins KM, Koller FL, et al. Operating room to intensive care unit handoffs and the risks of patient harm. Surgery. 2015;158(3):588-594. doi:10.1016/j.surg.2015.03.061. https://psnet.ahrq.gov/issue/operatin…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39333/psn-pdf
    May 04, 2010 - Explaining ethnic disparities in patient safety: a qualitative analysis. May 4, 2010 Suurmond J, Uiters E, de Bruijne M, et al. Explaining ethnic disparities in patient safety: a qualitative analysis. Am J Public Health. 2010;100 Suppl 1:S113-7. doi:10.2105/AJPH.2009.167064. https://psnet.ahrq.gov/issue/explaining…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60889/psn-pdf
    January 01, 2021 - Expert consensus on currently accepted measures of harm. September 9, 2020 Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754. https://psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measu…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836864/psn-pdf
    April 06, 2022 - Improving the specificity of drug-drug interaction alerts: can it be done? April 6, 2022 Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045. https://psnet.ahrq.gov/issue/improving-specif…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46767/psn-pdf
    January 17, 2018 - What this computer needs is a physician: humanism and artificial intelligence. January 17, 2018 Verghese A, Shah NH, Harrington RA. What This Computer Needs Is a Physician: Humanism and Artificial Intelligence. JAMA. 2018;319(1):19-20. doi:10.1001/jama.2017.19198. https://psnet.ahrq.gov/issue/what-computer-needs-p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42562/psn-pdf
    June 09, 2015 - Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. June 9, 2015 Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. Acad Med. 2013;88(8):1149-5…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45916/psn-pdf
    March 08, 2017 - Feeling unsafe in the healthcare setting: patients' perspectives. March 8, 2017 Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs. 2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143. https://psnet.ahrq.gov/issue/feeling-unsafe-healthcare-setting-patients-p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73447/psn-pdf
    June 30, 2021 - Errors in adult trauma resuscitation: a systematic review. June 30, 2021 Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7. https://psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review Trauma …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36691/psn-pdf
    January 18, 2011 - The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. January 18, 2011 Tipping B, Kalula S, Badri M. The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. S Afr Med J. 2006;96(12):1255-1259. https://psnet.ah…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47826/psn-pdf
    March 27, 2019 - Office-based surgery and patient outcomes. March 27, 2019 Young S, Shapiro FE, Urman RD. Office-based surgery and patient outcomes. Curr Opin Anaesthesiol. 2018;31(6):707-712. doi:10.1097/ACO.0000000000000655. https://psnet.ahrq.gov/issue/office-based-surgery-and-patient-outcomes Office-based surgery is increasing…

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