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  1. 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/…
  2. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34707/psn-pdf
    September 29, 2017 - National Patient Safety Foundation agenda for research and development in patient safety. September 29, 2017 Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and development in patient safety. MedGenMed. 2000;2(3):E38. https://psnet.ahrq.gov/issue/national-patient-safe…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60297/psn-pdf
    January 01, 2021 - A call for the application of patient safety culture in medical humanitarian action: a literature review. May 6, 2020 Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737. doi:10.10…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836998/psn-pdf
    April 27, 2022 - How will state medical boards handle cases involving disclosure and apology for medical errors? April 27, 2022 Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160435211070096. https://psnet.ahrq.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41245/psn-pdf
    March 29, 2012 - The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. March 29, 2012 James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. J …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47385/psn-pdf
    April 27, 2019 - Reasons for repeat rapid response team calls, and associations with in-hospital mortality. April 27, 2019 Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005. h…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865920/psn-pdf
    May 22, 2024 - Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. May 22, 2024 Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processes as predictors of resident physic…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39872/psn-pdf
    February 25, 2013 - The Essential Guide for Patient Safety Officers, Second Edition. February 25, 2013 Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute for Healthcare Improvement; 2013. ISBN: 9781599407036. https://psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-se…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60958/psn-pdf
    September 30, 2020 - Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retrospective case series. September 30, 2020 Bergrath S, Aretz O, Haake H, et al. Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retr…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45855/psn-pdf
    March 15, 2017 - The development and implementation of cognitive aids for critical events in pediatric anesthesia: the Society for Pediatric Anesthesia Critical Events Checklists. March 15, 2017 Clebone A, Burian BK, Watkins SC, et al. The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus Patent Ductus Arteriosus Characteristics ■ A persistent open connection beyond 3 months of age between the pulmonary artery and the aorta with blood flow from the aorta to the pulmonary artery. ■ An open ductus may lead to: – Congestive heart…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-weaning.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Weaning Weaning Description ■ The introduction of solid food feedings and the gradual replacement of milk by solid food as the main source of energy and nutrients. ■ Shared pleasure in eating and feeding enhances the relationship between infants and their caregivers. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38517/psn-pdf
    February 17, 2011 - Use of electronic health records in US hospitals. February 17, 2011 Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592. https://psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals Increasing the use of electronic health records (EHRs)…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47027/psn-pdf
    June 19, 2018 - Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. June 19, 2018 Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/bmjqs-2017-007571. https://psnet.ahrq.go…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47479/psn-pdf
    December 12, 2018 - "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. December 12, 2018 Shenvi EC, Feupe SF, Yang H, et al. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Diagnosis (Berl). 2018;5(4):235-242. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47391/psn-pdf
    September 12, 2018 - Improving diagnosis by improving education: a policy brief on education in healthcare professions. September 12, 2018 Graber ML, Rencic J, Rusz D, et al. Improving diagnosis by improving education: a policy brief on education in healthcare professions. Diagnosis (Berl). 2018;5(3):107-118. doi:10.1515/dx-2018-0033. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837027/psn-pdf
    May 04, 2022 - Association of measured quality with financial health among U.S. hospitals. May 4, 2022 Enumah SJ, Resnick AS, Chang DC. Association of measured quality with financial health among U.S. hospitals. PLOS ONE. 2022;17(4):e0266696. doi:10.1371/journal.pone.0266696. https://psnet.ahrq.gov/issue/association-measured-qua…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44104/psn-pdf
    July 16, 2015 - Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. July 16, 2015 Paull DE, Mazzia L, Neily J, et al. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration.…