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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849328/psn-pdf
    May 24, 2023 - Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments May 24, 2023 Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments. J Healthc Risk Manag. 2023;43(1):26-31. doi:…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45836/psn-pdf
    July 02, 2017 - Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. July 2, 2017 Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 2017;30(3):309-313. doi:10.1007/s10278…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841471/psn-pdf
    December 14, 2022 - Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting. December 14, 2022 Ahmajärvi K, Isoherranen K, Venermo M. Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting. BMJ Open. 2022;12(11):e…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60208/psn-pdf
    April 08, 2020 - Factors associated with potentially missed diagnosis of appendicitis in the emergency department. April 8, 2020 Mahajan P, Basu T, Pai C-W, et al. Factors associated with potentially missed diagnosis of appendicitis in the emergency department. JAMA Netw Open. 2020;3(3):e200612. doi:10.1001/jamanetworkopen.2020.06…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37468/psn-pdf
    April 11, 2011 - Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes. April 11, 2011 Hunt EA, Walker AR, Shaffner DH, et al. Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the fir…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47016/psn-pdf
    June 25, 2018 - U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. June 25, 2018 Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for Digital Health Software: Weighing the Benefits and Risks. Ann Intern Med. 2018;168…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42909/psn-pdf
    December 12, 2014 - Does applying technology throughout the medication use process improve patient safety with antineoplastics? December 12, 2014 Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process improve patient safety with antineoplastics? J Oncol Pharm Pract. 2014;20(6):445-60. do…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73887/psn-pdf
    September 29, 2021 - Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. September 29, 2021 Kim S, Goelz L, Münn F, et al. Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. BMC Musculoskelet Disord. 2021;22(1):589. doi:10.1186/s12891-021-04425-z. htt…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60015/psn-pdf
    March 04, 2020 - Uncertainty in decision making in medicine: a scoping review and thematic analysis of conceptual models. March 4, 2020 Helou MA, DiazGranados D, Ryan MS, et al. Uncertainty in Decision Making in Medicine. Acad Med. 2020;95(1):157-165. doi:10.1097/acm.0000000000002902. https://psnet.ahrq.gov/issue/uncertainty-decis…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866563/psn-pdf
    August 21, 2024 - Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. August 21, 2024 Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2024;44(1):17-23. doi:10.1002/jhrm…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74132/psn-pdf
    December 01, 2021 - Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence December 1, 2021 Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39913/psn-pdf
    October 13, 2010 - The frequency of diagnostic errors in radiologic reports depends on the patient's age. October 13, 2010 Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age. Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192. https://psnet.ahrq.gov/issue/frequency-di…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861763/psn-pdf
    January 31, 2024 - The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis. January 31, 2024 Haylor H, Sparkes T, Armitage G, et al. The process and perspective of serious incident investigations in adult community mental health services: integrative …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854247/psn-pdf
    October 04, 2023 - Cognitive biases regarding utilization of Emergency Severity Index among emergency nurses. October 4, 2023 Essa CD, Victor G, Khan SF, et al. Cognitive biases regarding utilization of emergency severity index among emergency nurses. Am J Emerg Med. 2023;73:63-68. doi:10.1016/j.ajem.2023.08.021. https://psnet.ahrq.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864853/psn-pdf
    March 20, 2024 - Question answering systems for health professionals at the point of care - a systematic review. March 20, 2024 Kell G, Roberts A, Umansky S, et al. Question answering systems for health professionals at the point of care—a systematic review. J Am Med Inform Assoc. 2024;31(4):1009-1024. doi:10.1093/jamia/ocae015. h…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47325/psn-pdf
    January 01, 2020 - What can apologies in the electronic health record tell us about health care quality, processes, and safety? August 29, 2018 Matulis JC, North F. What Can Apologies in the Electronic Health Record Tell Us About Health Care Quality, Processes, and Safety? J Patient Saf. 2020;16(3):e187-e193. doi:10.1097/pts.00000000…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44818/psn-pdf
    February 24, 2018 - Economic evaluation of interventions for prevention of hospital acquired infections: a systematic review. February 24, 2018 Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381. doi:10.1371/jour…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864848/psn-pdf
    March 20, 2024 - An mHealth design to promote medication safety in children with medical complexity. March 20, 2024 Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000. https://psnet.ahrq.gov/issue/mh…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73323/psn-pdf
    May 26, 2021 - Associations between healthcare environment design and adverse events in intensive care unit. May 26, 2021 Sundberg F, Fridh I, Lindahl B, et al. Associations between healthcare environment design and adverse events in intensive care unit. Nurs Crit Care. 2020;26(2):86-93. doi:10.1111/nicc.12513. https://psnet.ahr…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40355/psn-pdf
    July 09, 2012 - The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. July 9, 2012 Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalSmarts; 2011. https://psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives Silence Kills was a 2005 report that highligh…

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