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2061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73140/psn-pdf
      April 14, 2021 - Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. April 14, 2021 Gray BM, Vandergrift JL, McCoy RG, et al. Association between pr…

2062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39655/psn-pdf
      July 07, 2010 - Errors of diagnosis in pediatric practice: a multisite survey. July 7, 2010 Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey…

2063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38660/psn-pdf
      November 13, 2009 - Improving medication error reporting in hospice care. November 13, 2009 Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145. https://psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-c…

2064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836857/psn-pdf
      April 06, 2022 - Increased mortality and costs associated with adverse events in intensive care unit patients. April 6, 2022 Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081. doi:10.1177/08850666221084908. …

2065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44304/psn-pdf
      September 09, 2015 - Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. September 9, 2015 Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical Specialties. J Am Coll Surg. 2015;221(…

2066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37546/psn-pdf
      June 14, 2011 - Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. June 14, 2011 Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Qual Saf Health Care. …

2067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45891/psn-pdf
      October 11, 2017 - Extent of diagnostic agreement among medical referrals. October 11, 2017 Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747. https://psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals Diagn…

2068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42854/psn-pdf
      March 20, 2014 - Medication event huddles: a tool for reducing adverse drug events. March 20, 2014 Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…

2069. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836964/psn-pdf
      April 20, 2022 - Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. April 20, 2022 Nowak B, Schwendimann R, Lyrer P, et al. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a …

2070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47434/psn-pdf
      January 21, 2019 - Estimating the hospital costs of inpatient harms. January 21, 2019 Anand P, Kranker K, Chen AY. Estimating the hospital costs of inpatient harms. Health Serv Res. 2019;54(1):86-96. doi:10.1111/1475-6773.13066. https://psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms Pressure ulcers, surgical site inf…

2071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39931/psn-pdf
      April 24, 2011 - Emotional influences in patient safety. April 24, 2011 Croskerry P, Abbass A, Wu AW. Emotional Influences in Patient Safety. J Patient Saf. 2010;6(4):199-205. doi:10.1097/pts.0b013e3181f6c01a. https://psnet.ahrq.gov/issue/emotional-influences-patient-safety Clinicians are intimately familiar with the pressures of …

2072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74257/psn-pdf
      January 19, 2022 - Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. January 19, 2022 Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001369. doi:10.1136/bmjoq- 2021-00…

2073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40548/psn-pdf
      March 23, 2012 - Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients. March 23, 2012 Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patien…

2074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866646/psn-pdf
      September 04, 2024 - Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. September 4, 2024 Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. doi:10.1136/bmjoq-2024- 002848…

2075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46197/psn-pdf
      September 24, 2017 - Implementation and evaluation of a prototype consumer reporting system for patient safety events. September 24, 2017 Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer reporting system for patient safety events. Int J Qual Health Care. 2017;29(4):521-526. doi:10.1093/…

2076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45535/psn-pdf
      January 23, 2017 - Surgical specimen management: a descriptive study of 648 adverse events and near misses. January 23, 2017 Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396. https://psnet.ahrq.gov/issue/…

2077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39456/psn-pdf
      May 04, 2010 - Accuracy of computer-generated, Spanish-language medicine labels. May 4, 2010 Sharif I, Tse J. Accuracy of computer-generated, spanish-language medicine labels. Pediatrics. 2010;125(5):960-5. doi:10.1542/peds.2009-2530. https://psnet.ahrq.gov/issue/accuracy-computer-generated-spanish-language-medicine-labels Misu…

2078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39193/psn-pdf
      April 21, 2011 - Disclosing harmful mammography errors to patients. April 21, 2011 Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. https://psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients Disclosing errors to pati…

2079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37803/psn-pdf
      January 06, 2017 - Paying the piper: investing in infrastructure for patient safety.  January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…

2080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851348/psn-pdf
      July 12, 2023 - Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. July 12, 2023 Mirarchi FL, Pope TM. Widespread misinterpretation of advance directives and Portable Orders for Life- Sustaining Treatments thr…