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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46900/psn-pdf
    August 29, 2018 - Developing agreement on never events in primary care dentistry: an international eDelphi study. August 29, 2018 Ensaldo-Carrasco E, Carson-Stevens A, Cresswell K, et al. Developing agreement on never events in primary care dentistry: an international eDelphi study. Br Dent J. 2018;224(9):733-740. doi:10.1038/sj.bd…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50870/psn-pdf
    February 05, 2020 - A survey of outpatient internal medicine clinician perceptions of diagnostic error. February 5, 2020 Matulis JC, Kok SN, Dankbar EC, et al. A survey of outpatient Internal Medicine clinician perceptions of diagnostic error. Diagnosis. 2020;7(2):107-114. doi:10.1515/dx-2019-0070. https://psnet.ahrq.gov/issue/survey…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866406/psn-pdf
    July 31, 2024 - Impact of a daily huddle on safety in perioperative services. July 31, 2024 Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012. https://psnet.ahrq.gov/issue/impact-daily-huddle-s…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42931/psn-pdf
    April 20, 2014 - Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. April 20, 2014 Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf. 2014;40(2):77-82. https://psnet.…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41087/psn-pdf
    November 26, 2014 - Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. November 26, 2014 Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2012;27(3):287-91. doi:10.1007/s…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42206/psn-pdf
    April 24, 2013 - Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. April 24, 2013 March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open. 2013;3(4). doi:10.1136/bmjopen-2013-002549. ht…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44559/psn-pdf
    April 15, 2016 - Diagnostic errors related to acute abdominal pain in the emergency department. April 15, 2016 Medford-Davis L, Park E, Shlamovitz G, et al. Diagnostic errors related to acute abdominal pain in the emergency department. Emerg Med J. 2016;33(4):253-9. doi:10.1136/emermed-2015-204754. https://psnet.ahrq.gov/issue/dia…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60914/psn-pdf
    September 16, 2020 - Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. September 16, 2020 Barreveld AM, McCarthy RJ, Elkassabany N, et al. Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. Anesthesiology. 2020;132(6):1558-1568. do…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44785/psn-pdf
    January 27, 2016 - Reducing Adverse Drug Events Related to Opioids Implementation Guide. January 27, 2016 Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015. https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide Opioids are high-risk medication…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851194/psn-pdf
    July 05, 2023 - The additional cost of perioperative medication errors July 5, 2023 Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136. https://psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors Prev…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46254/psn-pdf
    October 09, 2017 - Using risk stratification to reduce medical errors in cervical cancer prevention. October 9, 2017 Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed.2017.3999. https://psnet.ahrq.gov/is…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44994/psn-pdf
    October 11, 2017 - Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. October 11, 2017 Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335. doi:10.1177/1062860616638413. ht…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44365/psn-pdf
    November 20, 2015 - A prospective study of suicide screening tools and their association with near-term adverse events in the ED. November 20, 2015 Chang BP, Tan TM. Suicide screening tools and their association with near-term adverse events in the ED. Am J Emerg Med. 2015;33(11):1680-1683. doi:10.1016/j.ajem.2015.08.013. https://psn…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43298/psn-pdf
    June 25, 2014 - Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. June 25, 2014 Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspect Health Inf Manag. 2014;11:1g. htt…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72697/psn-pdf
    February 03, 2021 - Culture of safety: impact on improvement in infection prevention process and outcomes. February 3, 2021 Braun B, Chitavi SO, Suzuki H, et al. Culture of Safety: Impact on Improvement in Infection Prevention Process and Outcomes. Curr Infect Dis Rep. 2020;22(12):34. doi:10.1007/s11908-020-00741-y. https://psnet.ahr…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42967/psn-pdf
    February 26, 2014 - Managing competing demands through task-switching and multitasking: a multi-setting observational study of 200 clinicians over 1000 hours. February 26, 2014 Walter SR, Li L, Dunsmuir WTM, et al. Managing competing demands through task-switching and multitasking: a multi-setting observational study of 200 clinician…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46380/psn-pdf
    September 06, 2017 - What defines a high-performing health system: a systematic review. September 6, 2017 Ahluwalia SC, Damberg CL, Silverman M, et al. What Defines a High-Performing Health Care Delivery System: A Systematic Review. Jt Comm J Qual Patient Saf. 2017;43(9):450-459. doi:10.1016/j.jcjq.2017.03.010. https://psnet.ahrq.gov…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852803/psn-pdf
    August 23, 2023 - Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. August 23, 2023 Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Jt Comm J Qual Patient Saf. 2023;49(12):724-729. doi:10.1016/j.jcjq.2023.07.006. https://psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-sa…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42623/psn-pdf
    October 02, 2013 - Unintended adverse consequences of introducing electronic health records in residential aged care homes. October 2, 2013 Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82(9):772-88. doi:10.1016/j.ijmedinf.…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866815/psn-pdf
    September 25, 2024 - Why a sociotechnical framework is necessary to address diagnostic error. September 25, 2024 Ladell MM, Yale S, Bordini BJ, et al. Why a sociotechnical framework is necessary to address diagnostic error. BMJ Qual Saf. 2024;33(12):823-828. doi:10.1136/bmjqs-2024-017231. https://psnet.ahrq.gov/issue/why-sociotechnica…
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