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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41804/psn-pdf
    October 31, 2012 - Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). October 31, 2012 Eikermann M, Siegel R, Broeders I, et al. Prevention and treatment of bile duct injuries during laparoscopic cholecystect…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46271/psn-pdf
    January 30, 2018 - Debiasing health-related judgments and decision making: a systematic review. January 30, 2018 Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672. https://psnet.ahrq.gov/issue/debiasing-health-related-jud…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36769/psn-pdf
    June 15, 2011 - Using incident reporting to improve patient safety: a conceptual model. June 15, 2011 Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-s…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849608/psn-pdf
    May 31, 2023 - Understanding and preventing vaccination errors. May 31, 2023 Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now. 2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001. https://psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors Vaccine errors can …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46501/psn-pdf
    March 20, 2018 - Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. March 20, 2018 Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.7104. https://psnet.ahrq.gov/issue/blind…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43726/psn-pdf
    September 01, 2016 - Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department. September 1, 2016 Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co- prescriptions by Admitting Department. Healthc Inform Res. 2014;20(4):280-7. doi:10.4258/hir.2…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42488/psn-pdf
    August 14, 2013 - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. August 14, 2013 Simon SR, Keohane CA, Amato MG, et al. Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. BMC Med Inform Decis…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844800/psn-pdf
    September 25, 2019 - Patient Options for Safe and Effective Disposal of Unused Opioids. September 25, 2019 Washington, DC: United States Government Accountability Office; September 2019. Publication GAO-19- 650. https://psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids One strategy to reduce the potentia…
  9. www.ahrq.gov/cpi/centers/ockt/kt/tools/attend.html
    October 01, 2014 - Who Should Participate? Quality Diagnostic Tools for States All State officials and parties with an interest in improving health care quality at the State level are invited to participate. PLEASE NOTE however, that the number of spaces allotted for some of the offerings will be limited. "We gratefully…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839326/psn-pdf
    November 02, 2022 - Safety considerations for challenges when using smart infusion pumps. November 2, 2022 ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5. https://psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps Errors due to inadequate information use with intraveno…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46263/psn-pdf
    July 12, 2017 - The texting debate: beneficial means of communication or safety and security risk? July 12, 2017 ISMP Medication Safety Alert! Acute Care Edition. June 29, 2017;16:1-5. https://psnet.ahrq.gov/issue/texting-debate-beneficial-means-communication-or-safety-and-security-risk Adopting new technologies in health care ca…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38650/psn-pdf
    May 20, 2009 - Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. May 20, 2009 Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adeq…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47738/psn-pdf
    February 06, 2019 - ISMP Guidelines for Safe Electronic Communication of Medication Information. February 6, 2019 Horsham, PA: Institute for Safe Medication Practices; January 2019. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information Inaccurate or incomplete data in electronic health reco…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47804/psn-pdf
    June 12, 2019 - Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program. June 12, 2019 Grubenhoff JA, Ziniel SI, Bajaj L, et al. Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educationa…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74219/psn-pdf
    January 01, 2022 - Race as a social construct in psychiatry research and practice. December 22, 2021 Bryant BE, Jordan A, Clark US. Race as a social construct in psychiatry research and practice. JAMA Psych. 2022;79(2):93-94. doi:10.1001/jamapsychiatry.2021.2877. https://psnet.ahrq.gov/issue/race-social-construct-psychiatry-research…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43858/psn-pdf
    February 18, 2015 - Hospital system barriers to rapid response team activation: a cognitive work analysis. February 18, 2015 Braaten JS. CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis. Am J Nurs. 2015;115(2):22-32; test 33; 47. doi:10.1097/01.NAJ.0000460672.74447.4a. https…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50597/psn-pdf
    October 30, 2019 - The need for surgical safety checklists in neurosurgery now and in the future - a systematic review. October 30, 2019 Westman M, Takala R, Rahi M, et al. The Need for Surgical Safety Checklists in Neurosurgery Now and in the Future-A Systematic Review. World Neurosurg. 2019. doi:10.1016/j.wneu.2019.09.140. https:/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42117/psn-pdf
    March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a systematic review. March 20, 2013 Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50590/psn-pdf
    January 01, 2020 - Patient and family engagement as a potential approach for improving patient safety: a systematic review. October 30, 2019 Park M, Giap T-T-T. Patient and family engagement as a potential approach for improving patient safety: A systematic review. J Adv Nurs. 2020;76(1):62-80. doi:10.1111/jan.14227. https://psnet.a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43578/psn-pdf
    October 01, 2014 - Some cancer experts see 'overdiagnosis,' question emphasis on early detection. October 1, 2014 Linos E, Schroeder SA, Chren M-M. Potential Overdiagnosis of Basal Cell Carcinoma in Older Patients With Limited Life Expectancy. JAMA. 2014;312(10). doi:10.1001/jama.2014.9655. https://psnet.ahrq.gov/issue/some-cancer-e…