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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48163/psn-pdf
    July 31, 2019 - The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care. July 31, 2019 McDonald EG, Wu PE, Rashidi B, et al. The MedSafer Study: A Controlled Trial of an Electronic Decision Support Tool for Deprescribing in Acute Care. J Am Geriatr Soc. 2019;67(9):1843-1850. d…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35907/psn-pdf
    October 03, 2017 - Transparent and open discussion of errors does not increase malpractice risk in trauma patients. October 3, 2017 Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9; discussion 649-51. https://psne…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47882/psn-pdf
    May 01, 2019 - Impact of oncology drug shortages on chemotherapy treatment. May 1, 2019 Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390. https://psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment Drug shorta…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836772/psn-pdf
    March 23, 2022 - Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. March 23, 2022 Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting system. J Trauma Acute Care Surg. 2022;92(3):47…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36634/psn-pdf
    March 03, 2011 - Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. March 3, 2011 Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann Surg. 2007;245(2):159-69. https://psn…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36596/psn-pdf
    May 20, 2015 - Disclosure of medical injury to patients: an improbable risk management strategy. May 20, 2015 Studdert DM, Mello MM, Gawande AA, et al. Disclosure of medical injury to patients: an improbable risk management strategy. Health Aff (Millwood). 2007;26(1):215-226. https://psnet.ahrq.gov/issue/disclosure-medical-injur…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46823/psn-pdf
    August 20, 2018 - Systems thinking and incivility in nursing practice: an integrative review. August 20, 2018 Phillips JM, Stalter AM, Winegardner S, et al. Systems thinking and incivility in nursing practice: An integrative review. Nurs Forum. 2018;2018(3):286-298. doi:10.1111/nuf.12250. https://psnet.ahrq.gov/issue/systems-thinki…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40291/psn-pdf
    September 09, 2011 - Outcomes of emergency department patients presenting with adverse drug events. September 9, 2011 Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.01.003. https://psnet.ahrq.gov/is…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864373/psn-pdf
    March 13, 2024 - Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. March 13, 2024 Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J Qual Patient Saf. 2024;50(4):279-2…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72706/psn-pdf
    February 03, 2021 - Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. February 3, 2021 Lewandowska K, Weisbrot M, Cieloszyk A, et al. Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. Int J Environ Res Public Health. 2020;17(22):8409.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862988/psn-pdf
    February 21, 2024 - Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. February 21, 2024 Dalal AK, Schnipper JL, Raffel K, et al. Identifying and classifying diagnostic errors in acute care across hospitals: early less…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47127/psn-pdf
    June 05, 2018 - Incorporating medication indications into the prescribing process. June 5, 2018 Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.2146/ajhp170346. https://psnet.ahrq.gov/issue/incorporating-medication-indications-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74154/psn-pdf
    December 08, 2021 - Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review. December 8, 2021 Cam H, Kempen TGH, Eriksson H, et al. Assessment of requests for medication-related follow-up after hospi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837137/psn-pdf
    May 18, 2022 - Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis. May 18, 2022 Liu L, Chien AT, Singer SJ. Exploring system features of primary care practices that promote better providers’ clinical work satisfaction. Health Care Mana…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41725/psn-pdf
    January 01, 2013 - Improving patient handovers from hospital to primary care: a systematic review. October 3, 2012 Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-201209180-00006. https://psnet.ah…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853968/psn-pdf
    January 01, 2024 - When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. September 27, 2023 Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthca…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45428/psn-pdf
    January 25, 2017 - Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. January 25, 2017 Wauters M, Elseviers M, Vaes B, et al. Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856635/psn-pdf
    January 01, 2024 - System planning for modern-day Just Culture to mitigate worker distress and second victim response. November 29, 2023 Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker distress and second victim response. BMJ Lead. 2024;8(2):149-152. doi:10.1136/leader-2023-0008…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866312/psn-pdf
    July 17, 2024 - Development of patient safety measures to identify inappropriate diagnosis of common infections. July 17, 2024 White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-1411. doi:10.1093/cid/ciae044. https…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45313/psn-pdf
    September 27, 2016 - An acetaminophen icon helps reduce medication decision errors in an experimental setting. September 27, 2016 Shiffman S, Cotton H, Jessurun C, et al. An acetaminophen icon helps reduce medication decision errors in an experimental setting. J Am Pharm Assoc (2003). 2016;56(5):495-503.e4. doi:10.1016/j.japh.2016.04.…