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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44654/psn-pdf
    November 11, 2015 - Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. November 11, 2015 Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44. https://psnet.ahrq.gov/issue/reduction-chemo…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46682/psn-pdf
    January 24, 2018 - AHRQ Safety Program for Surgery. January 24, 2018 Rockville, MD: Agency for Healthcare Research and Quality. December 2017. AHRQ Publication No. 16(18)-0004-1-EF. https://psnet.ahrq.gov/issue/ahrq-safety-program-surgery Large-scale collaboratives have achieved success in implementing patient safety improvements. T…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61047/psn-pdf
    October 21, 2020 - COVID-19: an emerging threat to antibiotic stewardship in the emergency department. October 21, 2020 Pulia M, Wolf I, Schulz L, et al. COVID-19: an emerging threat to antibiotic stewardship in the emergency department. West J Emerg Med. 2020;21(5):1283-1286. doi:10.5811/westjem.2020.7.48848. https://psnet.ahrq.gov…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60718/psn-pdf
    July 22, 2020 - First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. July 22, 2020 Cumberlege J. London, England, Crown Copyright. July 8, 2020. https://psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety- review Implicit biases are known to affect…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73922/psn-pdf
    October 06, 2021 - Leading causes of anesthesia-related liability claims in ambulatory surgery centers. October 6, 2021 Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000000000431. https://psnet.ahrq.go…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43976/psn-pdf
    November 16, 2015 - Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. November 16, 2015 Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handover…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61097/psn-pdf
    November 04, 2020 - Obstetrician-gynecologist views of pregnancy-related medication safety. November 4, 2020 SteelFisher GK, Hero JO, Caporello HL, et al. Obstetrician-gynecologist views of pregnancy-related medication safety. J Womens Health (Larchmt). 2020;29(8):1113-1121. doi:10.1089/jwh.2019.8007. https://psnet.ahrq.gov/issue/obs…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44341/psn-pdf
    July 22, 2015 - Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients. July 22, 2015 Bydon M, Abt NB, De la Garza-Ramos R, et al. Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients. J NeuroSurg. 2…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40162/psn-pdf
    December 29, 2014 - Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. December 29, 2014 Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. Int J Qual Health Care…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44862/psn-pdf
    March 16, 2016 - Patient safety science in cardiothoracic surgery: an overview. March 16, 2016 Sanchez JA, Ferdinand FD, Fann J. Patient Safety Science in Cardiothoracic Surgery: An Overview. Ann Thorac Surg. 2016;101(2):426-33. doi:10.1016/j.athoracsur.2015.12.034. https://psnet.ahrq.gov/issue/patient-safety-science-cardiothoraci…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46699/psn-pdf
    March 20, 2018 - Disclosure of harmful medical error to patients: a review with recommendations for pathologists. March 20, 2018 Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/PAP.0000000000000181. https://psnet…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839312/psn-pdf
    November 02, 2022 - Documenting the indication for antimicrobial prescribing: a scoping review. November 2, 2022 Saini S, Leung V, Si E, et al. Documenting the indication for antimicrobial prescribing: a scoping review. BMJ Qual Saf. 2022;31(11):787-799. doi:10.1136/bmjqs-2021-014582. https://psnet.ahrq.gov/issue/documenting-indicati…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838637/psn-pdf
    October 19, 2022 - Patient safety and legal regulations: a total-scale analysis of the scientific literature. October 19, 2022 Yeung AWK, Kletecka-Pulker M, Klager E, et al. Patient safety and legal regulations: a total-scale analysis of the scientific literature. J Patient Saf. 2022;18(7):e1116-e1123. doi:10.1097/pts.000000000000104…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44088/psn-pdf
    May 13, 2015 - Safety culture and care: a program to prevent surgical errors. May 13, 2015 Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. https://psnet.ahrq.gov/issue/safety-culture-and-care-program-prev…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844793/psn-pdf
    September 11, 2019 - PC standards for maternal safety. September 11, 2019 The Joint Commission. R3 Report. August 21, 2019;24:1-6. https://psnet.ahrq.gov/issue/pc-standards-maternal-safety Maternal safety in the United States is gaining momentum as a system-level patient safety concern. This report reviews the new Joint Commission Pro…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46734/psn-pdf
    February 07, 2018 - To err is human: use of simulation to enhance training and patient safety in anaesthesia. February 7, 2018 Higham H, Baxendale B. To err is human: use of simulation to enhance training and patient safety in anaesthesia. Br J Anaesth. 2017;119(suppl_1):i106-i114. doi:10.1093/bja/aex302. https://psnet.ahrq.gov/issue…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46640/psn-pdf
    August 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842434/psn-pdf
    June 01, 2024 - AHRQ Safety Program for Telemedicine. January 22, 2024 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-safety-program-telemedicine Telemedicine efforts harbor both risk and reward to patients and clinicians. The AHRQ Safety Program for Telemedicine is a national effort to develop and …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45896/psn-pdf
    March 15, 2017 - Medication governance: preventing errors and promoting patient safety. March 15, 2017 Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159. https://psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44557/psn-pdf
    November 20, 2015 - Reforming the Veterans Health Administration—beyond palliation of symptoms. November 20, 2015 Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438. https://psnet.ahrq.gov/issue/reforming-veterans-health-admi…

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