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1541. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41296/psn-pdf
      April 11, 2012 - I-PASS, a mnemonic to standardize verbal handoffs. April 11, 2012 Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966. https://psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs Poor communication at…

1542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38840/psn-pdf
      August 12, 2009 - Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. August 12, 2009 Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Cytojournal. 2009;6:11. doi:10.4103/17…

1543. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847735/psn-pdf
      May 30, 2023 - SOPS Ambulatory Surgery Center Survey: What You Need to Know. May 30, 2023 Agency for Healthcare Policy and Research: April 27, 2023. https://psnet.ahrq.gov/issue/sops-ambulatory-surgery-center-survey-what-you-need-know Ambulatory surgery centers (ASC) experience a variety of error types that can be exacerbated by…

1544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44426/psn-pdf
      January 01, 2019 - Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department. October 7, 2015 Wong SSN, Cleverly S, Tan KT, et al. Impact and Culture Change After the Implementation of a Preprocedural Checklist in an Interventional Radiology Department. J Patient Saf. 2…

1545. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? | PSNet
      psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
      March 31, 2021 - This practice generally leads to more efficient consultation from the emergency department and less confusion

1546. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
      March 27, 2024 - In some cases, just taking that second look at a problem with this set of AI-fueled lenses leads us to

1547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865524/psn-pdf
      April 10, 2024 - Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. April 10, 2024 Patel K, Smith DJ, Huntley CC, et al. Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. PLoS ONE. 2024;19(3):e0298432. doi:10.1371/journal.pone.0298432. https://psnet.ahrq.gov/issue/expl…

1548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73678/psn-pdf
      September 08, 2021 - A report of information technology and health deficiencies in U.S. nursing homes. September 8, 2021 Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. https://psnet.ahrq.gov/issue/report-i…

1549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74261/psn-pdf
      January 19, 2022 - Implicit bias in healthcare professionals: a systematic review. January 19, 2022 FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):19. doi:10.1186/s12910-017-0179-8. https://psnet.ahrq.gov/issue/implicit-bias-healthcare-professionals-systematic-review…

1550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43366/psn-pdf
      March 04, 2015 - Safety of medication use in primary care. March 4, 2015 Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3-20. doi:10.1111/ijpp.12120. https://psnet.ahrq.gov/issue/safety-medication-use-primary-care This systematic review found that incidence rates of…

1551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74057/psn-pdf
      November 10, 2021 - Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. November 10, 2021 Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. Patient Educ …

1552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74093/psn-pdf
      November 17, 2021 - Prevent errors during emergency use of hypertonic sodium chloride solutions. November 17, 2021 ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4. https://psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions Delays in diagnosis and treatment duri…

1553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41928/psn-pdf
      January 30, 2013 - Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. January 30, 2013 Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. BMJ Qual Saf. 2013;22(2):97-10…

1554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42717/psn-pdf
      November 06, 2013 - Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. November 6, 2013 Ipaktchi K, Kolnik A, Messina M, et al. Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. …

1555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40729/psn-pdf
      October 04, 2011 - Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008. October 4, 2011 Cassidy CJ, Smith AF, Arnot-Smith J. Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning Syste…

1556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46046/psn-pdf
      April 19, 2017 - Teaching students to administer medications safely. April 19, 2017 Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62- 66. doi:10.1097/01.NAJ.0000511573.73435.72. https://psnet.ahrq.gov/issue/teaching-students-administer-medications-safely Students are likely to m…

1557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42893/psn-pdf
      March 13, 2014 - Effect of patient safety strategies on the incidence of adverse events. March 13, 2014 Sierra AF, del Aguila del MR, Espigares JLN, et al. Effect of patient safety strategies on the incidence of adverse events. J Eval Clin Pract. 2014;20(2):184-90. doi:10.1111/jep.12105. https://psnet.ahrq.gov/issue/effect-patient…

1558. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837709/psn-pdf
      July 20, 2022 - Improving Diagnosis in Medicine Act of 2022. July 20, 2022 117th Cong, 2d Sess (2022) https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2022 Strengthening diagnostic error research and training can lead to sustained diagnostic improvement. Expanding upon legislation introduced in 2020, the “Improving D…

1559. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43517/psn-pdf
      October 08, 2014 - The cost of opioid–related adverse drug events. October 8, 2014 Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889. https://psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events …

1560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44227/psn-pdf
      November 19, 2018 - A scholarly pathway in quality improvement and patient safety. November 19, 2018 Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772. https://psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety…