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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47664/psn-pdf
    April 03, 2019 - Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. April 3, 2019 Joseph A, Khoshkenar A, Taaffe KM, et al. Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. BMJ Qual Saf. 2019;28(4):276-283…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43039/psn-pdf
    August 24, 2016 - How Doctors Think. August 24, 2016 Groopman J. Boston, MA: Houghton Mifflin; 2007. ISBN: 0618610030. https://psnet.ahrq.gov/issue/how-doctors-think In this book, the author presents several stories that illustrate the forces that shape physician decision- making and may lead to diagnostic mistakes. Borrowing from …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44937/psn-pdf
    September 29, 2017 - Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. September 29, 2017 Meeker D, Linder JA, Fox CR, et al. Effect of Behavioral Interventions on Inappropriate Antibiotic Prescribing Among Primary Care Practices: A Randomized Clinical…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837736/psn-pdf
    July 27, 2022 - Body mass index category and adverse events in hospitalized children. July 27, 2022 Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004. https://psnet.ahrq.gov/issue/body-mass-index-categor…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851917/psn-pdf
    January 01, 2024 - Incivility in healthcare: the impact of poor communication. August 2, 2023 Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication Incivi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46473/psn-pdf
    December 18, 2017 - Diagnostic errors: impact of an educational intervention on pediatric primary care. December 18, 2017 Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.07.004. https://psnet.ahrq.gov…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45172/psn-pdf
    January 01, 2017 - Strategies for developing and recognizing faculty working in quality improvement and patient safety. December 30, 2016 Coleman DL, Wardrop RM, Levinson WS, et al. Strategies for Developing and Recognizing Faculty Working in Quality Improvement and Patient Safety. Acad Med. 2017;92(1):52-57. doi:10.1097/ACM.0000000…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863765/psn-pdf
    March 06, 2024 - Patient safety and artificial intelligence in clinical care. March 6, 2024 Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514. https://psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligen…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44968/psn-pdf
    January 23, 2017 - Financial incentives and mortality: taking pay for performance a step too far. January 23, 2017 Gupta K, Wachter R, Kachalia A. Financial incentives and mortality: taking pay for performance a step too far. BMJ Qual Saf. 2017;26(2):164-168. doi:10.1136/bmjqs-2015-004835. https://psnet.ahrq.gov/issue/financial-ince…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41155/psn-pdf
    March 06, 2012 - Functional decline associated with polypharmacy and potentially inappropriate medications in community- dwelling older adults with dementia. March 6, 2012 Lau DT, Mercaldo ND, Shega JW, et al. Functional decline associated with polypharmacy and potentially inappropriate medications in community-dwelling older adul…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34662/psn-pdf
    December 24, 2008 - User's manual for the IOM's 'Quality Chasm' report. December 24, 2008 Berwick DM. A user's manual for the IOM's 'Quality Chasm' report. Health Aff (Millwood). 2002;21(3):80-90. https://psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report Fifteen months after releasing its report on patient safety (To Err Is …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47068/psn-pdf
    June 25, 2018 - The need for closed-loop systems for management of abnormal test results. June 25, 2018 Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425. https://psnet.ahrq.gov/issue/need-closed-loop-systems…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855106/psn-pdf
    November 08, 2023 - Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. November 8, 2023 Maxwell A. Washington DC: Office of Inspector General; September 2023. Report no. OEI-05-22-00290. https://psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46464/psn-pdf
    November 01, 2017 - Opioid abuse and poisoning: trends in inpatient and emergency department discharges. November 1, 2017 Tedesco D, Asch SM, Curtin C, et al. Opioid Abuse And Poisoning: Trends In Inpatient And Emergency Department Discharges. Health Aff (Millwood). 2017;36(10):1748-1753. doi:10.1377/hlthaff.2017.0260. https://psnet.…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44210/psn-pdf
    September 09, 2015 - The future of graduate medical education: a systems- based approach to ensure patient safety. September 9, 2015 Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824. https://psnet.ahrq.gov/issue/futur…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73611/psn-pdf
    August 18, 2021 - Racial disparities in diagnostic delay among women with breast cancer. August 18, 2021 Miller-Kleinhenz JM, Collin LJ, Seidel R, et al. Racial disparities in diagnostic delay among women with breast cancer. J Am Coll Radiol. 2021;18(10):1384-1393. doi:10.1016/j.jacr.2021.06.019. https://psnet.ahrq.gov/issue/racial…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865977/psn-pdf
    May 29, 2024 - Complication rates of central venous catheters: a systematic review and meta-analysis. May 29, 2024 Teja B, Bosch NA, Diep C, et al. Complication rates of central venous catheters: a systematic review and meta-analysis. JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainternmed.2023.8232. https://psnet.ahrq.g…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47874/psn-pdf
    April 10, 2019 - Evaluating the effect of data standardization and validation on patient matching accuracy. April 10, 2019 Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1093/jamia/ocy191. https://psnet.a…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837901/psn-pdf
    August 24, 2022 - Trial and error: learning from malpractice claims in childhood surgery. August 24, 2022 Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033. https://psnet.ahrq.gov/issue/trial-and-error-learning-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46642/psn-pdf
    December 13, 2017 - Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. December 13, 2017 Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:10.1371/journal.pone.0186210. …
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