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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838181/psn-pdf
    September 28, 2022 - Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. September 28, 2022 Lipori JP, Tu E, Shireman TI, et al. Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. J Am Med Dir Assoc. 2022;23(9):1589.e1-1589.e10. doi:…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47554/psn-pdf
    November 07, 2018 - Diagnostic Excellence Initiative. November 7, 2018 Gordon and Betty Moore Foundation. https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite an increasing focus on di…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73890/psn-pdf
    September 29, 2021 - Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? September 29, 2021 Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualitative study. Soc Sci Med. 2021…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73094/psn-pdf
    March 31, 2021 - Health care providers’ negative implicit attitudes and stereotypes of American Indians. March 31, 2021 Zestcott CA, Spece L, McDermott D, et al. Health care providers’ negative implicit attitudes and stereotypes of American Indians. J Racial Ethn Health Disparities. 2021;8(1):230-236. doi:10.1007/s40615-020-00776- …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73183/psn-pdf
    April 28, 2021 - Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. April 28, 2021 Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. J Patient Saf. 2021;17(3):e155-e160. doi:10.1097/pts.0000000000000298. h…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867134/psn-pdf
    November 13, 2024 - Improving adverse drug event reporting by healthcare professionals. November 13, 2024 Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594. doi:10.1002/14651858.cd012594.pub2. https://psnet.ahrq.gov/issue/im…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73887/psn-pdf
    September 29, 2021 - Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. September 29, 2021 Kim S, Goelz L, Münn F, et al. Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. BMC Musculoskelet Disord. 2021;22(1):589. doi:10.1186/s12891-021-04425-z. htt…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37226/psn-pdf
    December 15, 2011 - Adverse drug events in pediatric outpatients. December 15, 2011 Kaushal R, Goldmann DA, Keohane C, et al. Adverse drug events in pediatric outpatients. Ambul Pediatr. 2007;7(5):383-9. https://psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients The incidence of adverse drug events (ADEs) among children h…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866808/psn-pdf
    September 25, 2024 - What is safety leadership? A systematic review of definitions. September 25, 2024 Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. https://psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-defini…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48079/psn-pdf
    June 12, 2019 - Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. June 12, 2019 Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a pharmacy technician-supported medi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38662/psn-pdf
    April 12, 2011 - Patient error: a preliminary taxonomy. April 12, 2011 Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. https://psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy Preliminary research has found that patient factors may contribute to er…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42621/psn-pdf
    October 31, 2014 - The global burden of unsafe medical care: analytic modelling of observational studies. October 31, 2014 Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf. 2013;22(10):809-15. doi:10.1136/bmjqs-2012-001748. https://psnet…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45250/psn-pdf
    July 27, 2016 - Risk factors for i.v. compounding errors when using an automated workflow management system. July 27, 2016 Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:10.2146/ajhp150278. https://psnet.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36442/psn-pdf
    July 23, 2023 - TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. July 23, 2023 Department of Health and Human Services, Agency for Healthcare Research and Quality, Department of Defense. https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety Effective teamwo…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44166/psn-pdf
    October 13, 2015 - Development and validation of electronic health record–based triggers to detect delays in follow-up of abnormal lung imaging findings. October 13, 2015 Murphy DR, Thomas EJ, Meyer AND, et al. Development and Validation of Electronic Health Record-based Triggers to Detect Delays in Follow-up of Abnormal Lung Imagin…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60053/psn-pdf
    January 01, 2021 - A review of adverse event reports from emergency departments in the Veterans Health Administration. March 18, 2020 Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-e903. doi:10.1097/pts.0000000000000…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60541/psn-pdf
    May 01, 2013 - Targeted versus universal decolonization to prevent ICU infection. May 1, 2013 Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa1207290. https://psnet.ahrq.gov/issue/targeted-versus-universal-decoloni…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45695/psn-pdf
    December 14, 2016 - Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module. December 14, 2016 Le RD, Melanson SEF, Petrides AK, et al. Significant Reduction in Preanalytical Errors for Nonphlebotomy Blood Draws After Implementation of a Novel I…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73449/psn-pdf
    June 30, 2021 - Adverse events and emergency department opioid prescriptions in adolescents. June 30, 2021 Worsham CM, Woo J, Jena AB, et al. Adverse events and emergency department opioid prescriptions in adolescents. Health Aff (Millwood). 2021;40(6):970-978. doi:10.1377/hlthaff.2020.01762. https://psnet.ahrq.gov/issue/adverse-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73856/psn-pdf
    September 22, 2021 - Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. September 22, 2021 Barber Doucet H, Ward VL, Johnson TJ, et al. Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. Clin Pediatr (Phila). 2021;60(9-10):408-417. doi:10…
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