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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47846/psn-pdf
    March 06, 2019 - Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl products. March 6, 2019 Rollman JE, Heyward J, Olson L, et al. Assessment of the FDA Risk Evaluation and Mitigation Strategy for Transmucosal Immediate-Release Fentanyl Products. JAMA. 2019;321(7):676-685. do…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837663/psn-pdf
    July 13, 2022 - Long-term risk of overdose or mental health crisis after opioid dose tapering. July 13, 2022 Fenton JJ, Magnan E, Tseregounis IE, et al. Long-term risk of overdose or mental health crisis after opioid dose tapering. JAMA Netw Open. 2022;5(6):e2216726. doi:10.1001/jamanetworkopen.2022.16726. https://psnet.ahrq.gov/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60725/psn-pdf
    July 29, 2020 - The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. July 29, 2020 Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decis…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60793/psn-pdf
    August 12, 2020 - Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. August 12, 2020 He M, Li Y, Fang F. Is There a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. J Am Med Dir Assoc. 2020;…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837025/psn-pdf
    May 04, 2022 - Central venous catheter guidewire retention: lessons from England's never event database. May 4, 2022 Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10.1097/pts.0000000000000826. https:/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60175/psn-pdf
    April 01, 2020 - ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. April 1, 2020 American College of Radiology. March 11, 2020. https://psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct- suspected-covid-19 As COVID-19 s…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73915/psn-pdf
    October 06, 2021 - Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. October 6, 2021 Burke HB, King HB. Responses of physicians to an objective safety and quality knowledge test: a cross- sectional study. BMJ Open. 2021;11(9):e040779. doi:10.1136/bmjopen-2020-040779. https://psnet.ah…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853431/psn-pdf
    September 13, 2023 - Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. September 13, 2023 Harada Y, Watari T, Nagano H, et al. Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. Diagnosis (Berl). 2023;10(4):329-336. doi:10.1515/dx-2023-00…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73562/psn-pdf
    August 04, 2021 - Medication safety in mental health hospitals: a mixed- methods analysis of incidents reported to the National Reporting and Learning System. August 4, 2021 Alshehri GH, Keers RN, Carson-Stevens A, et al. Medication safety in mental health hospitals: a mixed- methods analysis of incidents reported to the National R…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38193/psn-pdf
    November 05, 2008 - Hospital financial condition and the quality of patient care. November 5, 2008 Bazzoli GJ, Chen H-F, Zhao M, et al. Hospital financial condition and the quality of patient care. Health Econ. 2008;17(8):977-995. https://psnet.ahrq.gov/issue/hospital-financial-condition-and-quality-patient-care This AHRQ-funded stu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866818/psn-pdf
    September 25, 2024 - Academic half day improves resident perception of education without compromising patient safety. September 25, 2024 Spence MC, Sugarman A, Uong A, et al. Academic half day improves resident perception of education without compromising patient safety. Acad Pediatr. 2024;24(6):1010-1016. doi:10.1016/j.acap.2024.02.00…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41719/psn-pdf
    November 27, 2012 - A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. November 27, 2012 Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50889/psn-pdf
    February 12, 2020 - Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. February 12, 2020 Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A Novel Resource for Targeting Amb…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41920/psn-pdf
    October 08, 2013 - Review of computerized physician handoff tools for improving the quality of patient care. October 8, 2013 Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988. https://psnet.ahrq.gov/issue/review-com…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72848/psn-pdf
    March 17, 2021 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. March 17, 2021 Co Z, Holmgren AJ, Classen DC, et al. The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. Appl Clin Inform. 2021;12(01):153-163. doi:10.1055…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36314/psn-pdf
    June 13, 2011 - Discontinuity of chronic medications in patients discharged from the intensive care unit. June 13, 2011 Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41. https://psnet.ahrq.gov/issue/discontinuity-chro…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837423/psn-pdf
    June 15, 2022 - Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study. June 15, 2022 Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes created by online and offline speech recogniti…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72798/psn-pdf
    March 03, 2021 - Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. March 3, 2021 Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observationa…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36262/psn-pdf
    August 04, 2009 - Safety in the academic medical center: transforming challenges into ingredients for improvement. August 4, 2009 Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22. https://psnet.ahrq.gov/issue/safety-academic-medical-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73879/psn-pdf
    September 29, 2021 - Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. September 29, 2021 Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2021;17(8):e1285-e1295. doi:10.…