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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866076/psn-pdf
    June 05, 2024 - Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. June 5, 2024 Ferguson J, Stringer G, Walshe K, et al. Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. BMJ Qual Saf. 2024;33(6):354-362. doi:10.1136/bmjqs-20…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34849/psn-pdf
    May 14, 2012 - The end of the beginning: patient safety five years after 'To Err Is Human.' May 14, 2012 Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534. https://psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60593/psn-pdf
    June 17, 2020 - Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. June 17, 2020 Weir DL, Motulsky A, Abrahamowicz M, et al. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Health Serv Res. 2020;55(4):512-523. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860726/psn-pdf
    January 17, 2024 - Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies. January 17, 2024 Mileder LP, Schwaberger B, Baik-Schneditz N, et al. Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonat…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34671/psn-pdf
    June 15, 2011 - Confidential clinician-reported surveillance of adverse events among medical inpatients. June 15, 2011 Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2003;15(7). doi:10.1046/j.1525-1497.2000.06269.x. https://psnet.ahrq.go…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867017/psn-pdf
    October 23, 2024 - Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. October 23, 2024 Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839821/psn-pdf
    November 09, 2022 - Cognitive biases encountered by physicians in the emergency room. November 9, 2022 Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room. BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3. https://psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-em…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36867/psn-pdf
    August 31, 2011 - Multidisciplinary approach to inpatient medication reconciliation in an academic setting. August 31, 2011 Varkey P, Cunningham J, O'Meara J, et al. Multidisciplinary approach to inpatient medication reconciliation in an academic setting. Am J Health Syst Pharm. 2007;64(8):850-4. https://psnet.ahrq.gov/issue/multid…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72497/psn-pdf
    November 25, 2020 - A multisite study of interprofessional teamwork and collaboration on general medical services. November 25, 2020 O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 2020;46(12):667-672. doi:10.1016/…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45922/psn-pdf
    April 19, 2017 - Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare. April 19, 2017 McCurdie T, Sanderson P, Aitken LM, et al. Two sides to every story: The Dual Perspectives Method for examining interruptions in healthcare. Appl Ergon. 2017;58:102-109. doi:10.1016/j.apergo.2016.05.012.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72548/psn-pdf
    January 01, 2021 - Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests. December 9, 2020 Brooks Carthon M, Brom H, McHugh MD, et al. Better nurse staffing is associated with survival for black patients and diminishes racial disparities i…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45874/psn-pdf
    February 22, 2017 - Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. February 22, 2017 Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Evaluation, and Response to Medical…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72743/psn-pdf
    February 17, 2021 - Preventable medication harm across health care settings: a systematic review and meta-analysis. February 17, 2021 Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis. BMC Med. 2020;18(1):313. doi:10.1186/s12916-020-01774-9. https:…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60048/psn-pdf
    March 18, 2020 - 'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. March 18, 2020 Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. BMJ Qual Saf. 2020;29(7):…
  15. www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/cascades-east.html
    March 01, 2021 - New Ideas Lead to Big Changes in Care Like many small- and medium-sized practices, the team at Cascades East Family Medicine is always searching for ways to improve care. For Cascades East, this meant enrolling in EvidenceNOW, which connected them with a practice facilitator, Mr. Steven Brantley. In their wor…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39716/psn-pdf
    August 09, 2013 - Patient handovers within the hospital: translating knowledge from motor racing to healthcare. August 9, 2013 Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Qual Saf Health Care. 2010;19(4):318-22. doi:10.1136/qshc.2009.026542. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37891/psn-pdf
    June 09, 2011 - Classifying and predicting errors of inpatient medication reconciliation. June 9, 2011 Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9. https://psnet.ahrq.gov/issue/classifying-and-…
  18. 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44127/psn-pdf
    September 28, 2017 - Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it? September 28, 2017 Gawande A. The New Yorker. May 2015 https://psnet.ahrq.gov/issue/overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and- financially-what The overuse…