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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74857/psn-pdf
    February 23, 2022 - Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. February 23, 2022 Coen M, Sader J, Junod-Perron N, et al. Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. Intern Emerg Med. 2022;17(4):979-988…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73171/psn-pdf
    April 21, 2021 - Patient safety and quality improvement adaptation during the COVID-19 pandemic. April 21, 2021 Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448.50484.a8. https://psnet.ahrq.gov/issu…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73883/psn-pdf
    September 29, 2021 - Emergency departments are higher-risk locations for wrong blood in tube errors. September 29, 2021 Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher?risk locations for wrong blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588. https://psnet.ahrq.gov/issue/e…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47016/psn-pdf
    June 25, 2018 - U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. June 25, 2018 Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for Digital Health Software: Weighing the Benefits and Risks. Ann Intern Med. 2018;168…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43136/psn-pdf
    April 30, 2014 - Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting. April 30, 2014 Le-Abuyen S, Ng J, Kim S, et al. Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting. Am J Infect Control. 2014;42(4):439-42. doi:10.10…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74838/psn-pdf
    February 16, 2022 - Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. February 16, 2022 Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;17(5):399-402. doi:10.1002/jhm.2768.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73155/psn-pdf
    April 22, 2021 - Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. April 22, 2021 Dancsecs KA, Nestor M, Bailey A, et al. Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. Am J Emerg Med. 2021;47:90-94. doi:10.1016/j.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35537/psn-pdf
    March 29, 2010 - FDA drug prescribing warnings: is the black box half empty or half full? March 29, 2010 Wagner AK, Chan A, Dashevsky I, et al. FDA drug prescribing warnings: is the black box half empty or half full? Pharmacoepidemiol Drug Saf. 2006;15(6):369-86. https://psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46093/psn-pdf
    April 26, 2017 - Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems. April 26, 2017 Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2017;166(8):HO2-HO3. doi:10.7326/M17-05…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45490/psn-pdf
    September 01, 2018 - Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. September 1, 2018 Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability Following Medical Errors: The …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859349/psn-pdf
    January 01, 2024 - Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. December 20, 2023 Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-an…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45299/psn-pdf
    July 20, 2016 - Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. July 20, 2016 Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilitated Discharge Counseling and Medic…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44228/psn-pdf
    September 04, 2016 - Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. September 4, 2016 Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Safety Mission of Teaching Hospitals a…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851457/psn-pdf
    July 19, 2023 - Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. July 19, 2023 Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. Patient…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38014/psn-pdf
    March 02, 2011 - The frequency and significance of discrepancies in the surgical count. March 2, 2011 Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3. https://psnet.ahrq.gov/issue/frequency-and-significanc…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846759/psn-pdf
    March 29, 2023 - A contemporary analysis of closed claims related to wrong site surgery. March 29, 2023 Tan J, Ross JM, Wright D, et al. A contemporary analysis of closed claims related to wrong site surgery. Jt Comm J Qual Patient Saf. 2023;49(5):265-273. doi:10.1016/j.jcjq.2023.02.002. https://psnet.ahrq.gov/issue/contemporary-a…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861289/psn-pdf
    January 01, 2025 - Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. January 24, 2024 Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36797/psn-pdf
    August 26, 2011 - The American College of Surgeons' closed claims study: new insights for improving care. August 26, 2011 Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study: New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.jamcollsurg.2007.01.013. https://p…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48032/psn-pdf
    July 10, 2019 - Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. July 10, 2019 Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. BMJ Qual…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74010/psn-pdf
    October 27, 2021 - Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations. October 27, 2021 Moureaud C, Hertig JB, Dong Y, et al. Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations. Health Polic…
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