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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45148/psn-pdf
    April 24, 2018 - Safety of overlapping surgery at a high-volume referral center. April 24, 2018 Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center. Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084. https://psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36346/psn-pdf
    April 11, 2011 - Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. April 11, 2011 Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866116/psn-pdf
    March 16, 2023 - Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. March 16, 2023 Cabral BP, Braga LAM, Syed-Abdul S, et al. Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. Curr Oncol. 2023;30(3):3432-3446. d…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43173/psn-pdf
    June 04, 2014 - Barriers to the implementation of checklists in the office- based procedural setting. June 4, 2014 Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141. https://psnet.ahrq.gov/issue/bar…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44761/psn-pdf
    January 06, 2016 - Two fatal cases of accidental intrathecal vincristine administration: learning from death events. January 6, 2016 Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemotherapy (Los Angel). 2016;61(2):108-110. d…
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851200/psn-pdf
    July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. July 5, 2023 Washington DC:  Department of Veterans Affairs, Office of Inspector General; May 10, 2023.  Report no. 22-01116-110. https://psnet.ahrq.gov/issue/defi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74206/psn-pdf
    December 22, 2021 - Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory. December 22, 2021 Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmacists’ interventions in hospita…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44098/psn-pdf
    April 29, 2015 - Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. April 29, 2015 McGraw C, Drennan VM. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquire…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866517/psn-pdf
    August 14, 2024 - Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. August 14, 2024 Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1177/0272989x241248612. https://p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42322/psn-pdf
    June 05, 2013 - Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. June 5, 2013 Nutescu EA, Wittkowsky AK, Burnett A, et al. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the anticoagulation forum. Ann Pharmacother. 2013;47(5):714-24. do…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47141/psn-pdf
    August 17, 2018 - Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. August 17, 2018 Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify Relevant Diagnosi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60231/psn-pdf
    April 15, 2020 - Regret among primary care physicians: a survey of diagnostic decisions. April 15, 2020 Müller BS, Donner-Banzhoff N, Beyer M, et al. Regret among primary care physicians: a survey of diagnostic decisions. BMC Fam Pract. 2020;21(1). doi:10.1186/s12875-020-01125-w. https://psnet.ahrq.gov/issue/regret-among-primary-c…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37346/psn-pdf
    March 28, 2012 - Medication administration discrepancies persist despite electronic ordering. March 28, 2012 FitzHenry F, Peterson JF, Arrieta M, et al. Medication Administration Discrepancies Persist Despite Electronic Ordering. J Am Med Inform Assoc. 2007;14(6):756-764. doi:10.1197/jamia.m2359. https://psnet.ahrq.gov/issue/medic…
  16. psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
    January 25, 2017 - April 12, 2011 Managing the adverse event occurring during elective, ambulatory pediatric
  17. psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
    July 13, 2016 - June 30, 2021 Analysis of risk factors for patient safety events occurring in the emergency
  18. psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
    April 12, 2011 - More Related Resources Analysis of risk factors for patient safety events occurring
  19. psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
    October 18, 2018 - October 30, 2010 Medication errors occurring with the use of bar-code administration
  20. psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
    March 04, 2011 - March 4, 2011 Systematic evaluation of errors occurring during the preparation of intravenous