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1681. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45430/psn-pdf
      September 28, 2016 - Understanding and responding when things go wrong: key principles for primary care educators. September 28, 2016 McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080/14739879.2016.1205959. https…

1682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35265/psn-pdf
      February 03, 2011 - A 38-year-old woman with fetal loss and hysterectomy. February 3, 2011 Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833. https://psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy Part of a series in JAMA entitled Clinical Crossro…

1683. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47217/psn-pdf
      June 27, 2018 - Drug shortages roundtable: minimizing the impact on patient care. June 27, 2018 Drug shortages roundtable: Minimizing the impact on patient care. Am J Health Syst Pharm. 2018;75(11):816-820. doi:10.2146/ajhp180048. https://psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care This commenta…

1684. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866441/psn-pdf
      August 07, 2024 - Association of patient photographs and reduced retract- and-reorder events. August 7, 2024 Rzewnicki D, Kanvinde A, Gillespie S, et al. Association of patient photographs and reduced retract-and- reorder events. JAMIA Open. 2024;7(3):ooae042. doi:10.1093/jamiaopen/ooae042. https://psnet.ahrq.gov/issue/association-…

1685. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44791/psn-pdf
      January 13, 2016 - FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. January 13, 2016 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…

1686. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43250/psn-pdf
      December 01, 2016 - Adverse drug event–related emergency department visits associated with complex chronic conditions. December 1, 2016 Feinstein JA, Feudtner C, Kempe A. Adverse drug event-related emergency department visits associated with complex chronic conditions. Pediatrics. 2014;133(6):e1575-85. doi:10.1542/peds.2013-3060. htt…

1687. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854982/psn-pdf
      November 01, 2023 - Adverse drug event prevention and detection in older emergency department patients. November 1, 2023 Koehl JL. Adverse drug event prevention and detection in older emergency department patients. Clin Geriatr Med. 2023;39(4):635-645. doi:10.1016/j.cger.2023.04.008. https://psnet.ahrq.gov/issue/adverse-drug-event-pr…

1688. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853245/psn-pdf
      September 06, 2023 - Intraoperative communications between pathologists and surgeons: do we understand each other? September 6, 2023 Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arpa.2020-0632-oa. https://psnet.…

1689. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837902/psn-pdf
      August 24, 2022 - Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. August 24, 2022 Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;5(3):ooac070. doi:10.1093/jamiaop…

1690. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45993/psn-pdf
      January 01, 2021 - 30-day potentially avoidable readmissions due to adverse drug events. May 3, 2017 Dalleur O, Beeler PE, Schnipper JL, et al. 30-Day Potentially Avoidable Readmissions Due to Adverse Drug Events. J Patient Saf. 2021;17(5):e379-e386. doi:10.1097/pts.0000000000000346. https://psnet.ahrq.gov/issue/30-day-potentially-a…

1691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43149/psn-pdf
      July 23, 2014 - FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. July 23, 2014 Washington, DC: Office of the National Coordinator for Health Information Technology, Federal Communications Commission. Silver Spring, MD: Food and Drug Administration. April 2014. https://psnet.ahrq.gov/issue…

1692. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854256/psn-pdf
      October 04, 2023 - Enhancing safety of a system-wide in situ simulation program using no-go considerations. October 4, 2023 Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/sih.0000000000000711. https://psne…

1693. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40256/psn-pdf
      March 02, 2011 - Development of a core drug list towards improving prescribing education and reducing errors in the UK. March 2, 2011 Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing education and reducing errors in the UK. Br J Clin Pharmacol. 2010;71(2):190-198. doi:10.1111/j…

1694. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43139/psn-pdf
      April 23, 2014 - Patient safety in obstetrics and obstetric anesthesia. April 23, 2014 Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86- 110. doi:10.1097/AIA.0000000000000017. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia Labor and delive…

1695. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34890/psn-pdf
      February 17, 2011 - Electronic alerts to prevent venous thromboembolism among hospitalized patients. February 17, 2011 Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969-77. https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thro…

1696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47868/psn-pdf
      March 20, 2019 - Could CDC guidelines be driving some opioid patients to suicide? March 20, 2019 Dickson EJ. Rolling Stone. March 9, 2019. https://psnet.ahrq.gov/issue/could-cdc-guidelines-be-driving-some-opioid-patients-suicide Unintended consequences of restrictions enacted to combat the opioid crisis are a concern for patients …

1697. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838921/psn-pdf
      October 26, 2022 - Improving discharge safety in a pediatric emergency department. October 26, 2022 Paydar-Darian N, Stack AM, Volpe D, et al. Improving discharge safety in a pediatric emergency department. Pediatrics. 2022;150(5):e2021054307. doi:10.1542/peds.2021-054307. https://psnet.ahrq.gov/issue/improving-discharge-safety-pedi…

1698. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34998/psn-pdf
      June 22, 2009 - Cause and effect analysis of closed claims in obstetrics and gynecology. June 22, 2009 White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. https://psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-o…

1699. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38046/psn-pdf
      September 10, 2008 - Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. September 10, 2008 Pinto Carvalho FL, Cordeiro JA, Cury PM. Clinical and pathological disagreement upon the cause of death in a teaching hospital: Analysis of 100 autopsy cas…

1700. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46089/psn-pdf
      July 26, 2017 - A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. July 26, 2017 Molina WR, Pessoa R, da Silva RD, et al. A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical p…