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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865718/psn-pdf
    May 01, 2024 - Calculating the cost of medication errors: a systematic review of approaches and cost variables. May 1, 2024 Ranasinghe S, Nadeshkumar A, Senadheera S, et al. Calculating the cost of medication errors: a systematic review of approaches and cost variables. BMJ Open Qual. 2024;13(2):e002570. doi:10.1136/bmjoq-2023-0…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842424/psn-pdf
    January 11, 2023 - Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. January 11, 2023 Pratt BR, Dunford BB, Vogus TJ, et al. Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Health Care Manage Rev. 2022;48(1):14-22. doi:10.1097/hmr.0000000000000351. https://p…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73703/psn-pdf
    September 15, 2021 - To expand the evidence base about harms from tests and treatments. September 15, 2021 Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9. https://psnet.ahrq.gov/issue/expand-evidence-b…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846756/psn-pdf
    March 29, 2023 - Frequency of medication administration timing error in hospitals: a systematic review. March 29, 2023 Pullam T, Russell CL, White-Lewis S. Frequency of medication administration timing error in hospitals: a systematic review. J Nurs Care Qual. 2023;38(2):126-133. doi:10.1097/ncq.0000000000000668. https://psnet.ahr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73612/psn-pdf
    August 18, 2021 - Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. August 18, 2021 Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature re…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47825/psn-pdf
    March 06, 2019 - Diagnostic error as a result of drug-laboratory test interactions. March 6, 2019 van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug- laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. https://psnet.ahrq.gov/issue/diagnostic-err…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837065/psn-pdf
    May 11, 2022 - Fast tracking in cardiac surgery: is it safe? May 11, 2022 MacLeod JB, D’Souza K, Aguiar C, et al. Fast tracking in cardiac surgery: is it safe? J Cardiothorac Surg. 2022;17(1):69. doi:10.1186/s13019-022-01815-9. https://psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe Post-operative complications can le…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74089/psn-pdf
    July 15, 2002 - The effect of race and sex on physicians' recommendations for cardiac catheterization. July 15, 2002 Schulman KA, Berlin JA, Harless W, et al. The effect of race and sex on physicians' recommendations for cardiac catheterization. N Engl J Med. 2002;340(8):618-626. doi:10.1056/nejm199902253400806. https://psnet.ahr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61075/psn-pdf
    October 28, 2020 - FDA advises health care professionals and patients about insulin pen packaging and dispensing. October 28, 2020 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 13, 2020. https://psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen- packag…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50402/psn-pdf
    October 02, 2019 - Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness October 2, 2019 Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness. Mayo Clin Proc Innov Qual Out…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39446/psn-pdf
    May 25, 2010 - Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study. May 25, 2010 Gustafsson M, Wennerholm S, Fridlund B. Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a cri…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46304/psn-pdf
    November 01, 2017 - Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. November 1, 2017 Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 2015;33(8):548-552. doi:10.1097/pe…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866824/psn-pdf
    September 25, 2024 - 'Failing wisely' can promote a safer healthcare system. September 25, 2024 Fleisher LA, Edmondson AC. 'Failing wisely' can promote a safer healthcare system. MedPage Today. September 17, 2024; https://psnet.ahrq.gov/issue/failing-wisely-can-promote-safer-healthcare-system The ability to learn-by-doing in an enviro…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838187/psn-pdf
    September 28, 2022 - Diagnostic delays in infectious diseases. September 28, 2022 Suneja M, Beekmann SE, Dhaliwal G, et al. Diagnostic delays in infectious diseases. Diagnosis (Berl). 2022;9(3):332-339. doi:10.1515/dx-2021-0092. https://psnet.ahrq.gov/issue/diagnostic-delays-infectious-diseases Delayed diagnosis of infectious diseases…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33993/psn-pdf
    March 02, 2011 - Improving patient care. My right knee. March 2, 2011 Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5. https://psnet.ahrq.gov/issue/improving-patient-care-my-right-knee Dr. Donald Berwick writes this compelling piece as a personal reflection on the current deficiencies in health…
  16. 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…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46354/psn-pdf
    November 21, 2017 - Controlled trial to improve resident sign-out in a medical intensive care unit. November 21, 2017 Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657. https://psnet.ahrq.gov/issue/contr…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853613/psn-pdf
    September 20, 2023 - From battles to burnout: investigating the role of interphysician conflict in physician burnout. September 20, 2023 Amick AE, Schrepel C, Bann M, et al. From battles to burnout: investigating the role of interphysician conflict in physician burnout. Acad Med. 2023;98(9):1076-1082. doi:10.1097/acm.0000000000005226. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37452/psn-pdf
    January 09, 2008 - A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients. January 9, 2008 Nawaz H, Abbas A, Sarfraz A, et al. A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47094/psn-pdf
    June 13, 2018 - Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study. June 13, 2018 Kristensen RU, Nørgaard A, Jensen-Dahm C, et al. Polypharmacy and Potentially Inappropriate Medication in People with Dementia: A Nationwide Study. J Alzheimers Dis. 2018;63(1):383-394. doi:10.3233/JAD- …

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