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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47963/psn-pdf
    June 02, 2019 - Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. June 2, 2019 Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Br J Anaesth. 2019;122(6):723-725. doi:10.1016/j.bja.2019.02…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72481/psn-pdf
    November 18, 2020 - Computer-based simulation to reduce EHR-related chemotherapy ordering errors. November 18, 2020 Wyatt KD, Freedman EB, Arteaga GM, et al. Computer?based simulation to reduce EHR?related chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496. https://psnet.ahrq.gov/issue/computer-base…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42191/psn-pdf
    June 25, 2013 - Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate. June 25, 2013 Watts RG, Parsons K. Chemotherapy medication errors in a pediatric cancer treatment center: pro…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60891/psn-pdf
    September 09, 2020 - Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. September 9, 2020 Covin Y, Longo P, Wick N, et al. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. Di…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46964/psn-pdf
    April 11, 2018 - The gaps in specialists' diagnoses. April 11, 2018 Scott IA, Campbell DA. The gaps in specialists' diagnoses. Med J Aust. 2018;208(5):196-197. https://psnet.ahrq.gov/issue/gaps-specialists-diagnoses Leaders in the effort to improve diagnosis have heralded diagnosis as a team activity. This commentary suggests that…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46922/psn-pdf
    January 01, 2019 - Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. March 21, 2018 Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/pq9.0000000000000053. https://ps…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50744/psn-pdf
    December 18, 2019 - EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived December 18, 2019 Arditi L. Peoples Public Radio. December 3, 2019. https://psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them- survived Emergency medical services are often p…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36529/psn-pdf
    August 09, 2011 - 5 Million Lives Campaign. August 9, 2011 Institute for Healthcare Improvement; IHI https://psnet.ahrq.gov/issue/5-million-lives-campaign The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than 3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849326/psn-pdf
    May 24, 2023 - Proactive patient safety: focusing on what goes right in the perioperative environment. May 24, 2023 Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.0000000000001113. https://psnet.ahrq.gov/…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44548/psn-pdf
    November 20, 2015 - Safety-II and resilience: the way ahead in patient safety in anaesthesiology. November 20, 2015 Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252. https://psnet.ahrq.gov/issue/safety-ii-and-resilience…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843087/psn-pdf
    January 25, 2023 - Interventions to increase patient safety in long-term care facilities-umbrella review. January 25, 2023 ?witalski J, Wnuk K, Tatara T, et al. Interventions to increase patient safety in long-term care facilities- umbrella review. Int J Environ Res Public Health. 2022;19(22):15354. doi:10.3390/ijerph192215354. http…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47217/psn-pdf
    June 27, 2018 - Drug shortages roundtable: minimizing the impact on patient care. June 27, 2018 Drug shortages roundtable: Minimizing the impact on patient care. Am J Health Syst Pharm. 2018;75(11):816-820. doi:10.2146/ajhp180048. https://psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care This commenta…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45325/psn-pdf
    April 08, 2018 - Diagnosis is a team sport—partnering with allied health professionals to reduce diagnostic errors: a case study on the role of a vestibular therapist in diagnosing dizziness. April 8, 2018 Thomas DB, Newman-Toker DE. Diagnosis is a team sport - partnering with allied health professionals to reduce diagnostic erro…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47888/psn-pdf
    May 11, 2019 - Achieving dialysis safety: the critical role of higher- functioning teams. May 11, 2019 Wong LP. Achieving dialysis safety: The critical role of higher-functioning teams. Semin Dial. 2019;32(3):266-273. doi:10.1111/sdi.12778. https://psnet.ahrq.gov/issue/achieving-dialysis-safety-critical-role-higher-functioning-t…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47271/psn-pdf
    August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid Epidemic. August 8, 2018 National Academy of Medicine; Aspen Institute. https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the Un…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46865/psn-pdf
    March 07, 2018 - Chasing the 6-sigma: drawing lessons from the cockpit culture. March 7, 2018 Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture. J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097. https://psnet.ahrq.gov/issue/chasing-6-sigma-drawing-lessons…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47087/psn-pdf
    May 02, 2018 - The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. May 2, 2018 Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisation for Economic Co-operation and Development; 2018. https://psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind The global eco…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47294/psn-pdf
    November 19, 2018 - 2017 John M. Eisenberg Patient Safety and Quality Awards. November 19, 2018 Jt Comm J Qual Patient Saf. 2018;44(7):373-400. https://psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-awards The Eisenberg Award honors individuals and organizations who have made unique and sustained contributions…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47270/psn-pdf
    August 08, 2018 - A method to identify pediatric high-risk diagnoses missed in the emergency department. August 8, 2018 Sundberg M, Perron CO, Kimia A, et al. A method to identify pediatric high-risk diagnoses missed in the emergency department. Diagnosis (Berl). 2018;5(2):63-69. doi:10.1515/dx-2018-0005. https://psnet.ahrq.gov/iss…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45421/psn-pdf
    December 14, 2016 - The medication reconciliation process and classification of discrepancies: a systematic review. December 14, 2016 Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. doi:10.1111/bcp.13017. https://p…

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