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  1. 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…

  2. 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…

  3. 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…

  4. 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…

  5. 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…

  6. 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…

  7. 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…

  8. 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…

  9. 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…

  10. 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. …

  11. 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.…

  12. 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- …

  13. 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…

  14. Bckgrndqiteam (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/bckgrndqiteam.doc
    June 02, 2025 - Background Quality Improvement Team Information Form Who should use this tool? Health care providers. Please indicate people designated as Quality Improvement Team Members. Your team may not have people who serve in all of these roles. These individuals from are members of the Qual…

  15. 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…

  16. 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…

  17. 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-…

  18. Involving Patients and Families in Safety: Agenda (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-pts-families-agenda-072523.pdf
    July 25, 2023 - Involving Patients and Families in Safety: Agenda National Action Alliance to Advance Patient Safety Summer Webinar Series Agenda Involving Patients and Families in Safety Tuesday, July 25, 2023 2:00 – 3:00 PM ET Questions We are Running On: 1. What are the foundational elements of including patients and f…

  19. 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…

  20. 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…
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