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  1. psnet.ahrq.gov/issue/handoffs-and-transitions-care-systematic-review-meta-analysis-and-practice-management
    September 23, 2020 - Review Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. Citation Text: Appelbaum RD, Puzio TJ, Bauman Z, et al. Handoffs and transitions of care: a systematic review, meta-analy…
  2. psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
    February 23, 2022 - Study Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. Citation Text: Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty t…
  3. psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning
    December 15, 2021 - Study Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Citation Text: Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…
  4. psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician
    October 31, 2023 - Study Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. Citation Text: Kabir R, Liaw S, Cerise J, et al. Obtaining the best possible medication history at hospital admission: des…
  5. psnet.ahrq.gov/issue/effect-cognitive-aids-adherence-best-practice-treatment-deteriorating-surgical-patients
    September 30, 2020 - Study Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. Citation Text: Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the T…
  6. psnet.ahrq.gov/issue/preventing-critical-failure-can-routinely-collected-data-be-repurposed-predict-avoidable
    July 02, 2014 - Study Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study. Citation Text: Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be repurposed to predict…
  7. psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
    November 30, 2016 - Study Support from hospital to home for elders: a randomized trial. Citation Text: Goldman E, Sarkar U, Kessell E, et al. Support from hospital to home for elders: a randomized trial. Ann Intern Med. 2014;161(7):472-81. doi:10.7326/M14-0094. Copy Citation Format: DOI Google…
  8. psnet.ahrq.gov/issue/embracing-future-artificial-intelligence-already-better-comparative-study-artificial
    January 31, 2024 - Study Embracing the future-is artificial intelligence already better? A comparative study of artificial intelligence performance in diagnostic accuracy and decision-making. Citation Text: Fonseca Â, Ferreira A, Ribeiro L, et al. Embracing the future—is artificial intelligence already bet…
  9. psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
    April 24, 2018 - Study Classic Readiness of US general surgery residents for independent practice. Citation Text: George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.00000000…
  10. psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned
    January 08, 2020 - Study Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. Citation Text: Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency departme…
  11. psnet.ahrq.gov/issue/avoiding-chemotherapy-prescribing-errors-analysis-and-innovative-strategies
    January 02, 2009 - Study Avoiding chemotherapy prescribing errors: analysis and innovative strategies. Citation Text: Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950. Copy Citation…
  12. psnet.ahrq.gov/issue/medication-errors-during-simulated-paediatric-resuscitations-prospective-observational-human
    February 23, 2022 - Study Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. Citation Text: Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliabilit…
  13. psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
    March 30, 2022 - Study Emerging Classic A systems approach to analyzing and preventing hospital adverse events. Citation Text: Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:1…
  14. psnet.ahrq.gov/issue/physicians-views-interventions-reduce-medical-errors-does-evidence-effectiveness-matter
    February 18, 2011 - Study Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Citation Text: Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):1…
  15. psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation-readmission-and-mortality
    November 03, 2021 - Study Classic Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. Citation Text: Gupta A, Allen LA, Bhatt DL, et al. Association of the Hospital Readmissions Reduction Program Implem…
  16. psnet.ahrq.gov/issue/are-physicians-perceptions-healthcare-quality-and-practice-satisfaction-affected-errors
    July 10, 2008 - Study Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? Citation Text: Love JS, Wright A, Simon SR, et al. Are physicians' perceptions of healthcare quality and practice satisfaction affected by er…
  17. psnet.ahrq.gov/issue/effects-resident-work-hours-sleep-duration-and-work-experience-randomized-order-safety-trial
    March 10, 2021 - Study Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS). Citation Text: Barger LK, Sullivan JP, Blackwell T, et al. Effects on resident work hours, sleep duration, and work experience in…
  18. psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
    September 23, 2020 - Study Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. Citation Text: Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes. J Gen Intern Med. 2017;3…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39057/psn-pdf
    December 30, 2014 - ISMP medication error report analysis. December 30, 2014 Cohen MR, Smetzer JL. Hosp Pharm. 2009;44(10):847-853. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-39 This monthly selection reports on two pediatric deaths due to severe hyponatremia following postoperative fluid administration. Error…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37691/psn-pdf
    April 16, 2008 - Medication errors in a neonatal intensive care unit. April 16, 2008 Lerner RB de ME, de Carvalho M, Vieira AA, et al. Medication errors in a neonatal intensive care unit. J Pediatr (Rio J). 2008;84(2):166-70. doi:10.2223/JPED.1757. https://psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit A high …

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