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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44854/psn-pdf
    March 16, 2016 - Bring back the autopsy. March 16, 2016 Jauhar S. New York Times. March 3, 2016. https://psnet.ahrq.gov/issue/bring-back-autopsy Performance of autopsies, previously considered an essential learning tool for clinicians, has decreased in recent years due to insufficient funding to cover costs and lack of physician e…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847550/psn-pdf
    April 12, 2023 - What's changed 1 year after RaDonda Vaught's conviction? April 12, 2023 Bean M, Carbajal E. Becker's Hospital Review. March 29, 2023. https://psnet.ahrq.gov/issue/whats-changed-1-year-after-radonda-vaughts-conviction The RaDonda Vaught conviction reverberated throughout health care and marked weaknesses in systems…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845075/psn-pdf
    February 22, 2023 - Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology. February 22, 2023 Tan JM, Cannesson MP. APSF Newsletter. 2023;38(2):1,3–4,7. https://psnet.ahrq.gov/issue/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology Technological advancement…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47792/psn-pdf
    May 01, 2019 - New evidence on stemming low-value prescribing. May 1, 2019 Sacarny A, Barnett ML, Agrawal S. NEJM Catalyst. April 10, 2019. https://psnet.ahrq.gov/issue/new-evidence-stemming-low-value-prescribing Overprescribing contributes to polypharmacy, antibiotic resistance, and opioid misuse. This commentary discusses stra…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45209/psn-pdf
    June 29, 2016 - Raising awareness of cognitive biases during diagnostic reasoning. June 29, 2016 van Geene K, de Groot E, Erkelens C, et al. Raising awareness of cognitive biases during diagnostic reasoning. Perspect Med Educ. 2016;5(3):182-5. doi:10.1007/s40037-016-0274-4. https://psnet.ahrq.gov/issue/raising-awareness-cognitive…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74276/psn-pdf
    January 19, 2022 - Guideline for Prevention of Unintentionally Retained Surgical Items. January 19, 2022 Croke L. Guideline for prevention of unintentionally retained surgical items. AORN J. 2021;114(6):4-6. doi:10.1002/aorn.13579. https://psnet.ahrq.gov/issue/guideline-prevention-unintentionally-retained-surgical-items Retained su…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47142/psn-pdf
    June 13, 2018 - Managing health IT risks: reflections and recommendations. June 13, 2018 Sujan M. Managing health IT risks: reflections and recommendations. J Innov Health Inform. 2018;25(1):952. doi:10.14236/jhi.v25i1.952. https://psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations Health information t…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43084/psn-pdf
    May 19, 2014 - How can the criminal law support the provision of quality in healthcare? May 19, 2014 Yeung K, Horder J. How can the criminal law support the provision of quality in healthcare? BMJ Qual Saf. 2014;23(6):519-24. doi:10.1136/bmjqs-2013-002688. https://psnet.ahrq.gov/issue/how-can-criminal-law-support-provision-quali…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47244/psn-pdf
    August 01, 2018 - The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries. August 1, 2018 Simul Healthc. 2018;13(3S suppl 1):S1-S55. https://psnet.ahrq.gov/issue/second-society-simulation-healthcare-research-summit-beyond-our-boundaries Simulation strategies can help examine team interaction and care …
  10. psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
    June 15, 2024 - Discharge Planning and Transitions of Care Citation Text: Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibT…
  11. psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidemiology
    October 17, 2012 - Study Preventable adverse drug events: descriptive epidemiology. Citation Text: Woo SA, Cragg A, Wickham ME, et al. Preventable adverse drug events: Descriptive epidemiology. Br J Clin Pharmacol. 2020;86(2):291-302. doi:10.1111/bcp.14139. Copy Citation Format: DOI Google Sc…
  12. psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study
    June 16, 2021 - Study What is the role of individual accountability in patient safety? A multi-site ethnographic study. Citation Text: Aveling E-L, Parker M, Dixon-Woods M. What is the role of individual accountability in patient safety? A multi-site ethnographic study. Sociol Health Illn. 2016;38(2):21…
  13. psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency
    April 06, 2022 - Study Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. Citation Text: Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? At…
  14. psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and
    February 15, 2011 - Study Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey. Citation Text: Elder NC, Regan SL, Pallerla H, et al. Development of an instrument to measure seniors’ patient safety health beli…
  15. psnet.ahrq.gov/issue/examining-patient-safety-events-using-behaviour-change-wheel-cross-sectional-analysis
    September 20, 2012 - Study Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Citation Text: Somerville M, Cassidy C, MacPhee S, et al. Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Jt Comm J Qual Patient Saf. 2025;51(…
  16. psnet.ahrq.gov/issue/patient-safety-executive-hospital-management-wards-qualitative-study-identifying-factors
    March 08, 2023 - Study Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation. Citation Text: Conner T, Unsworth J, Machin A. Patient safety from executive hospital management to wards: a qualitative study identifying factors influen…
  17. psnet.ahrq.gov/issue/impact-agency-healthcare-research-and-qualitys-safety-program-perinatal-care
    April 04, 2018 - Study Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Citation Text: Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 201…
  18. psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study
    February 26, 2020 - Study What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers. Citation Text: Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of healthcare technologi…
  19. psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-events
    July 20, 2022 - Review Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. Citation Text: Malgrat-Caballero S, Kannukene A, Orrego C. Instruments and warning signs for identifying and eva…
  20. psnet.ahrq.gov/issue/chatgpt-can-you-help-me-save-my-childs-life-diagnostic-accuracy-and-supportive-capabilities
    February 01, 2023 - Study "ChatGPT, can you help me save my child's life?" - Diagnostic accuracy and supportive capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases - an in-silico analysis. Citation Text: Bushuven S, Bentele M, Bentele S, et al…

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