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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47802/psn-pdf
    March 04, 2019 - The path to diagnostic excellence includes feedback to calibrate how clinicians think. March 4, 2019 Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. 2019;321(8):737-738. doi:10.1001/jama.2019.0113. https://psnet.ahrq.gov/issue/path-diagnostic-excelle…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41515/psn-pdf
    July 02, 2014 - Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. July 2, 2014 Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. Acad Med. 2012;87(7):895-903.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847724/psn-pdf
    April 19, 2023 - Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. April 19, 2023 Keers RN, Wainwright V, McFadzean J, et al. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLOS One. 2023;18(3):e0282021. doi:10.1371/journal.pone.0282021. https:/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45347/psn-pdf
    September 07, 2016 - Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. September 7, 2016 Washington, DC: United States Government Accountability Office; July 7, 2016. Publication GAO-16-595. https://psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34073/psn-pdf
    February 17, 2011 - Effect of reducing interns' weekly work hours on sleep and attentional failures. February 17, 2011 Lockley SW, Cronin JW, Evans EE, et al. Effect of reducing interns' weekly work hours on sleep and attentional failures. N Engl J Med. 2004;351(18):1829-37. https://psnet.ahrq.gov/issue/effect-reducing-interns-weekly…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60046/psn-pdf
    March 18, 2020 - Adverse outcomes of polypharmacy in older people: systematic review of reviews. March 18, 2020 Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic review of reviews. J Am Med Dir Assoc. 2020;21(2):181-187. doi:10.1016/j.jamda.2019.10.022. https://psnet.ahrq.gov/issu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73069/psn-pdf
    March 24, 2021 - Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. March 24, 2021 Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler to successful implementation of a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45867/psn-pdf
    April 12, 2017 - The Economics of Patient Safety: Strengthening a Value- based Approach to Reducing Patient Harm at National Level. April 12, 2017 Slawomirski L, Auraaen A, Klazinga N. Organisation for Economic Co-operation and Development: Paris, France; 2017. https://psnet.ahrq.gov/issue/economics-patient-safety-strengthening-v…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843088/psn-pdf
    January 25, 2023 - The value of learning from near misses to improve patient safety: a scoping review. January 25, 2023 Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078. https://psnet.ahrq.gov/issue/v…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43870/psn-pdf
    January 28, 2015 - Peer review of medical practices: missed opportunities to learn. January 28, 2015 Kadar N. Peer review of medical practices: missed opportunities to learn. Am J Obstet Gynecol. 2014;211(6):596-601. doi:10.1016/j.ajog.2014.08.018. https://psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43794/psn-pdf
    January 14, 2015 - Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. January 14, 2015 Anderson K, Stowasser D, Freeman C, et al. Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47929/psn-pdf
    June 26, 2019 - Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. June 26, 2019 Sturrock J. Edinburgh, Scotland: The Scottish Government; May 2019. ISBN: 9781787817760. https://psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38715/psn-pdf
    February 17, 2011 - Medicare nonpayment, hospital falls, and unintended consequences. February 17, 2011 Inouye SK, Brown CJ, Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. N Engl J Med. 2009;360(23):2390-3. doi:10.1056/NEJMp0900963. https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-uni…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47169/psn-pdf
    June 13, 2018 - A systematic review of primary care safety climate survey instruments: their origins, psychometric properties, quality, and usage. June 13, 2018 Curran C, Lydon S, Kelly M, et al. A Systematic Review of Primary Care Safety Climate Survey Instruments: Their Origins, Psychometric Properties, Quality, and Usage. J Pa…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37797/psn-pdf
    February 03, 2010 - Predictors of adverse events in patients after discharge from the intensive care unit. February 3, 2010 Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264. https://psnet.ahrq.gov/issue/predictors-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45845/psn-pdf
    December 19, 2017 - You can't blame the wreck on the train. December 19, 2017 Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978. doi:10.1016/j.amjsurg.2016.11.046. https://psnet.ahrq.gov/issue/you-cant-blame-wreck-train Insufficient supervision can limit resident education, which may increase risks to p…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44922/psn-pdf
    March 01, 2017 - Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. March 1, 2017 Korkiakangas T. Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. BMJ Qual Saf. 2017;26(3):177-188. doi:10.1136/bmjqs-2015-004887. https://psnet.ahrq.gov/issue/mobilising-team-who-sur…
  18. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
    February 01, 2018 - Limitations of the Measure Describe any limitations of the measure related to the attributes included … the measure should be selected for use, taking into account a balance among desirable attributes and limitationsLimitations of the Measure Section 13.
  19. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
    February 01, 2018 - Limitations of the Measure Describe any limitations of the measure related to the attributes included … the measure should be selected for use, taking into account a balance among desirable attributes and limitationsLimitations of the Measure Section 13.
  20. www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
    February 01, 2018 - Limitations of the Measure Describe any limitations of the measure related to the attributes included … the measure should be selected for use, taking into account a balance among desirable attributes and limitationsLimitations of the Measure Section 13.