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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45819/psn-pdf
    March 15, 2017 - How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program. March 15, 2017 Kliegman RM, Bordini BJ, Basel D, et al. How Doctors Think: Common Diagnostic Errors in Clinical Judgment-Lessons from an Undiagnosed and Rare Disease Program. Pediatr Clin North A…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837060/psn-pdf
    May 11, 2022 - Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. May 11, 2022 Brady KJS, Barlam TF, Trockel MT, et al. Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. J…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42513/psn-pdf
    January 15, 2014 - A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. January 15, 2014 Brilli RJ, McClead RE, Crandall W, et al. A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. J Pediat…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847049/psn-pdf
    April 05, 2023 - Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. April 5, 2023 Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA Pediatr. 2023;177(5):459-460. doi:10.10…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46982/psn-pdf
    June 13, 2018 - Advances in perioperative quality and safety. June 13, 2018 Anderson KT, Appelbaum R, Bartz-Kurycki MA, et al. Advances in perioperative quality and safety. Semin Pediatr Surg. 2018;27(2):92-101. doi:10.1053/j.sempedsurg.2018.02.006. https://psnet.ahrq.gov/issue/advances-perioperative-quality-and-safety Clinical s…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60600/psn-pdf
    June 17, 2020 - Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study. June 17, 2020 Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866283/psn-pdf
    July 10, 2024 - Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different Organizational Settings. July 10, 2024 Am J Health Syst Pharm. 2024;81(supp 3):s73-s136. https://psnet.ahrq.gov/issue/safety-and-quality-parenteral-nutrition-translating-guidelines-clinical-practice- co…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45179/psn-pdf
    July 13, 2016 - Communication and shared understanding between parents and resident-physicians at night. July 13, 2016 Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2015-0224. https://psnet.ahrq.gov/i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45138/psn-pdf
    May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover (WOOSH). May 25, 2016 Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838088/psn-pdf
    September 14, 2022 - 'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. September 14, 2022 Mills M. The Guardian. September 3, 2022. https://psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our- daughters-death Families experiencing medical …
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60359/psn-pdf
    May 20, 2020 - Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. May 20, 2020 ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9). https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone- overdose Lack of familiarity with sm…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50708/psn-pdf
    December 04, 2019 - Identifying medication errors in neonatal intensive care units: a two-center study December 4, 2019 Eslami K, Aletayeb F, Aletayeb SMH, et al. Identifying medication errors in neonatal intensive care units: a two-center study. BMC Pediatr. 2019;19(1):365. doi:10.1186/s12887-019-1748-4. https://psnet.ahrq.gov/issue…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45816/psn-pdf
    February 01, 2017 - Parent preferences for medical error disclosure: a qualitative study. February 1, 2017 Coffey M, Espin S, Hahmann T, et al. Parent Preferences for Medical Error Disclosure: A Qualitative Study. Hosp Pediatr. 2017;7(1):24-30. doi:10.1542/hpeds.2016-0048. https://psnet.ahrq.gov/issue/parent-preferences-medical-error…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46861/psn-pdf
    February 28, 2018 - Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. February 28, 2018 Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12. https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-ove…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33748/psn-pdf
    April 01, 2013 - Landrigan, MD, is Associate Professor of Medicine and Pediatrics at Harvard Medical School and Director … But in pediatrics, internal medicine, and family practice, it represented more of a minor rearrangement
  17. psnet.ahrq.gov/issue/electronic-health-record-based-real-time-analytics-program-patient-safety-surveillance-and
    May 19, 2018 - Study An electronic health record–based real-time analytics program for patient safety surveillance and improvement. Citation Text: Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For Patient Safety Surveillance And Improvement. Health Aff …
  18. psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older
    April 20, 2022 - Study Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. Citation Text: Li Q, Hu P, Kang H, et al. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis…
  19. psnet.ahrq.gov/issue/physician-intent-pharmacy-label-prevalence-and-description-discrepancies-cross-sectional
    July 22, 2020 - Study From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. Citation Text: Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and description o…
  20. psnet.ahrq.gov/issue/barriers-and-facilitators-healthcare-workers-adherence-infection-prevention-and-control-ipc
    March 02, 2011 - Review Classic Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Citation Text: Houghton C, Meskell P, Delaney H, et al. …

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