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7481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845076/psn-pdf
      February 22, 2023 - Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. February 22, 2023 Giardina TD, Woodard LCD, Singh H. Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. J Gen Intern Med. 2023;38(5):1293-1295. doi:10.1007/s1160…

7482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48180/psn-pdf
      August 21, 2019 - Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology. August 21, 2019 Main EK, Fowler JM, Gabbe SG, eds. Clin Obstet Gynecol. 2019;62:vii-xii,403-626. https://psnet.ahrq.gov/issue/burnout-and-resilience-and-quality-and-safety-programs-obstetrics-and- gynecology Obstetrics is a high-…

7483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39277/psn-pdf
      August 22, 2018 - Preventing maternal death. August 22, 2018 Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4. https://psnet.ahrq.gov/issue/preventing-maternal-death The Joint Commission issues Sentinel Event Alerts to highlight areas of high risk and to promote the rapid adoption of risk reduction strategies. Adher…

7484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47964/psn-pdf
      May 15, 2019 - Deaths among opioid users: impact of potential inappropriate prescribing practices. May 15, 2019 Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103. https://psnet.ahrq.gov/issue/deaths-among-opioid-users-impa…

7485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35207/psn-pdf
      December 19, 2009 - Patient safety concerns arising from test results that return after hospital discharge. December 19, 2009 Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143(2):121-128. https://psnet.ahrq.gov/issue/patient-safety-concer…

7486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43698/psn-pdf
      November 19, 2014 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. November 19, 2014 Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.2014.964873. https://psnet.ahrq.gov/i…

7487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46965/psn-pdf
      March 28, 2018 - The other opioid crisis: hospital shortages lead to patient pain, medical errors. March 28, 2018 Bartolone P. Kaiser Health News. March 16, 2018. https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors Drug shortages may require clinicians, pharmacists, and hospitals to…

7488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44368/psn-pdf
      September 29, 2017 - A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. September 29, 2017 Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical …

7489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44665/psn-pdf
      January 01, 2019 - Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. January 1, 2018 Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632. doi:10.1016/j.athoracsur.2019.09.03…

7490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837433/psn-pdf
      June 15, 2022 - Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. June 15, 2022 Bamberger E, Bamberger P. Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. BMJ Qual Saf. 2022;31(9):638-641. doi:10.1136/bmjqs-2021-014157. https://psnet.ahrq…

7491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42106/psn-pdf
      December 21, 2014 - Information overload and missed test results in electronic health record–based settings. December 21, 2014 Singh H, Spitzmueller C, Petersen NJ, et al. Information overload and missed test results in electronic health record-based settings. JAMA Intern Med. 2013;173(8):702-4. doi:10.1001/2013.jamainternmed.61. htt…

7492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46247/psn-pdf
      August 08, 2018 - Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. August 8, 2018 van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a Meeting Sponsored by the Anesthesia Pat…

7493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46528/psn-pdf
      January 10, 2018 - Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety. January 10, 2018 Healthc Pap. 2017;17:1-61. https://psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality- and-safety Patient safety leaders have noted the need to recognize the…

7494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47024/psn-pdf
      November 28, 2018 - FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. November 28, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pum…

7495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837736/psn-pdf
      July 27, 2022 - Body mass index category and adverse events in hospitalized children. July 27, 2022 Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004. https://psnet.ahrq.gov/issue/body-mass-index-categor…

7496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50916/psn-pdf
      February 19, 2020 - Patient safety and suicide prevention in mental health services: time for a new paradigm? February 19, 2020 Quinlivan L, Littlewood DL, Webb RT, et al. Patient safety and suicide prevention in mental health services: time for a new paradigm? J Mental Health. 2020;29(1):1-5. doi:10.1080/09638237.2020.1714013. https…

7497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43516/psn-pdf
      June 15, 2017 - Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. June 15, 2017 Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through the Emergency Department. J Patient …

7498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40846/psn-pdf
      October 12, 2011 - Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship. October 12, 2011 Rathert C, May DR, Williams E. Beyond service quality: the mediating role of patient safety perceptions in the patient experience-satisfaction relationship. Health Care Man…

7499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44887/psn-pdf
      March 16, 2016 - Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. March 16, 2016 Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in…

7500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40446/psn-pdf
      July 02, 2014 - Shifting indirect patient care duties to after hours in the era of work hours restrictions. July 2, 2014 Mourad M, Vidyarthi A, Hollander H, et al. Shifting indirect patient care duties to after hours in the era of work hours restrictions. Acad Med. 2011;86(5):586-90. doi:10.1097/ACM.0b013e318212e1cb. https://psne…