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6961. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836871/psn-pdf
      April 06, 2022 - The spectrum of harm associated with modern medicine. April 6, 2022 Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664- 667. doi:10.1007/s11606-021-06997-x. https://psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine Interest in harm resulting from medical…

6962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43057/psn-pdf
      January 01, 2015 - Health care huddles: managing complexity to achieve high reliability. December 12, 2014 Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009. https://psnet.ahrq.gov/issue/health-care-h…

6963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46462/psn-pdf
      April 11, 2018 - Speaking up: an ethical action exercise. April 11, 2018 Dwyer J, Faber-Langendoen K. Speaking Up: An Ethical Action Exercise. Acad Med. 2018;93(4):602-605. doi:10.1097/ACM.0000000000002047. https://psnet.ahrq.gov/issue/speaking-ethical-action-exercise Speaking up about concerns is a cornerstone to safety improveme…

6964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851195/psn-pdf
      July 05, 2023 - Clinician factors associated with delayed diagnosis of appendicitis. July 5, 2023 Michelson KA, McGarghan FLE, Patterson EE, et al. Clinician factors associated with delayed diagnosis of appendicitis. Diagnosis (Berl). 2023;10(2):183-186. doi:10.1515/dx-2022-0119. https://psnet.ahrq.gov/issue/clinician-factors-ass…

6965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842431/psn-pdf
      January 11, 2023 - Confronting racism in pediatric care. January 11, 2023 Danielson B. Confronting racism in pediatric care. Health Affairs. 2022;41(11):1681-1685. doi:10.1377/hlthaff.2022.01157. https://psnet.ahrq.gov/issue/confronting-racism-pediatric-care Racism is a patient safety issue that is gaining the increased attention ne…

6966. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38225/psn-pdf
      February 16, 2011 - Changing conversations: teaching safety and quality in residency training. February 16, 2011 Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8. https://psnet.ahrq.gov/issue/changing-convers…

6967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40928/psn-pdf
      May 04, 2012 - Decision-making processes used by nurses during intravenous drug preparation and administration. May 4, 2012 Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1111/j.1365-2648.2011.05838.x. https://…

6968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38853/psn-pdf
      January 04, 2010 - Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. January 4, 2010 Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. J Nurs Care Qual. 2010;25(1):73-79. doi:10.1097/NCQ.0b013e3…

6969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38641/psn-pdf
      September 02, 2009 - Assessing the value of electronic prescribing in ambulatory care: A focus group study. September 2, 2009 Weingart SN, Massagli M, Cyrulik A, et al. Assessing the value of electronic prescribing in ambulatory care: a focus group study. Int J Med Inform. 2009;78(9):571-8. doi:10.1016/j.ijmedinf.2009.03.007. https://…

6970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45477/psn-pdf
      October 05, 2016 - Promoting safety through well-being: an experience in healthcare. October 5, 2016 Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208. https://psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare Th…

6971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838929/psn-pdf
      October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care. October 26, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…

6972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44846/psn-pdf
      August 31, 2016 - Making health care safer: protect patients from antibiotic resistance. August 31, 2016 CDC; Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/making-health-care-safer-protect-patients-antibiotic-resistance Health care–associated infections (HAI) are a worldwide patient safety problem. This a…

6973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41838/psn-pdf
      December 04, 2016 - Modern palliative radiation treatment: do complexity and workload contribute to medical errors? December 4, 2016 D'Souza N, Holden L, Robson S, et al. Modern palliative radiation treatment: do complexity and workload contribute to medical errors? Int J Radiat Oncol Biol Phys. 2012;84(1):e43-8. doi:10.1016/j.ijrobp…

6974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/858173/psn-pdf
      December 13, 2023 - Measurement of ambulatory medication errors in children: a scoping review. December 13, 2023 Rickey L, Auger K, Britto MT, et al. Measurement of ambulatory medication errors in children: a scoping review. Pediatrics. 2023;152(6):e2023061281. doi:10.1542/peds.2023-061281. https://psnet.ahrq.gov/issue/measurement-am…

6975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39955/psn-pdf
      October 27, 2010 - What is the safety of nonemergent operative procedures performed at night? October 27, 2010 Turrentine FE, Wang H, Young JS, et al. What is the safety of nonemergent operative procedures performed at night? A study of 10,426 operations at an academic tertiary care hospital using the American College of Surgeons na…

6976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47353/psn-pdf
      October 03, 2018 - The need for cognition and the curse of cognition. October 3, 2018 Croskerry P. The need for cognition and the curse of cognition. Diagnosis (Berl). 2018;5(3):91-94. doi:10.1515/dx-2018-0072. https://psnet.ahrq.gov/issue/need-cognition-and-curse-cognition Cognitive bias is increasingly receiving recognition as a b…

6977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43424/psn-pdf
      August 13, 2014 - Office-based anesthesia: safety and outcomes. August 13, 2014 Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276- 285. doi:10.1213/ane.0000000000000313. https://psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes Office-based anesthesia has become more w…

6978. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50786/psn-pdf
      January 08, 2020 - Patient Safety. January 8, 2020 Halamek LP, ed. Semin Perinatol. 2019;43(8):151172-151182.   https://psnet.ahrq.gov/issue/patient-safety-18 The neonatal intensive care unit (NICU) is a complex environment that serves a vulnerable population at increased risk for harm should errors occur. This special iss…

6979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42414/psn-pdf
      July 31, 2013 - Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative. July 31, 2013 Rosen MJ, Hoberman AJ, Ruiz RE, et al. Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative. Jt Comm J Qual Patient Saf. 2013;39(7):328-336. https://psnet.…

6980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836720/psn-pdf
      March 09, 2022 - Reliability, uncertainty and the management of error: new perspectives in the COVID-19 era. March 9, 2022 Schulman PR. Reliability, uncertainty and the management of error: new perspectives in the COVID?19 era. J Contingencies Crisis Manage. 2022;30(1):92-101. doi:10.1111/1468-5973.12356. https://psnet.ahrq.gov/is…