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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60849/psn-pdfJanuary 01, 2021 - Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. August 26, 2020 Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. BM… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72575/psn-pdfJanuary 01, 2021 - Missing the near miss: recognizing valuable learning opportunities in radiation oncology. December 16, 2020 Kundu P, Jung OS, Valle LF, et al. Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Pract Radiat Oncol. 2021;11(3):e256-e262. doi:10.1016/j.prro.2020.09.007. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50732/psn-pdfDecember 11, 2019 - Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis December 11, 2019 Pereira-Lima K, Mata DA, Loureiro SR, et al. Association Between Physician Depressive Symptoms and Medical Errors: A Systematic Review and Meta-analysis. JAMA Netw Open. 2019;2(11):e1916097.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866818/psn-pdfSeptember 25, 2024 - Academic half day improves resident perception of education without compromising patient safety. September 25, 2024 Spence MC, Sugarman A, Uong A, et al. Academic half day improves resident perception of education without compromising patient safety. Acad Pediatr. 2024;24(6):1010-1016. doi:10.1016/j.acap.2024.02.00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50745/psn-pdfDecember 18, 2019 - Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. December 18, 2019 Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. BMJ Open. 2019;9(1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72574/psn-pdfDecember 16, 2020 - Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. December 16, 2020 Huang C, Koppel R, McGreevey JD, et al. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Appl Clin Inform. 2020;11(05):742-754. doi:10.1055/s-004… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60679/psn-pdfJuly 15, 2020 - Effect on patient safety of a resident physician schedule without 24-hour shifts. July 15, 2020 Landrigan CP, Rahman SA, Sullivan JP, et al. Effect on patient safety of a resident physician schedule without 24-hour shifts. N Engl J Med. 2020;382(26):2514-2523. doi:10.1056/nejmoa1900669. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847541/psn-pdfApril 12, 2023 - Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. April 12, 2023 Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622. https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36668/psn-pdfJune 29, 2011 - Language proficiency and adverse events in US hospitals: a pilot study. June 29, 2011 Divi C, Koss RG, Schmaltz SP, et al. Language proficiency and adverse events in US hospitals: a pilot study. Int J Qual Health Care. 2007;19(2):60-67. doi:10.1093/intqhc/mzl069. https://psnet.ahrq.gov/issue/language-proficiency-a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855092/psn-pdfNovember 08, 2023 - Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. November 8, 2023 Grace MA, O'Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. Simul Healthc. 2023;19(4):243-253. doi:10.1097/sih.0000000000000748. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45452/psn-pdfAugust 24, 2016 - What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. August 24, 2016 ISMP Medication Safety Alert! Acute Care Edition. August 11, 2016;21:1-3. https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39322/psn-pdfFebruary 24, 2010 - Complications and death at the start of the new academic year: is there a July phenomenon? February 24, 2010 Inaba K, Recinos G, Teixeira PGR, et al. Complications and death at the start of the new academic year: is there a July phenomenon? J Trauma. 2010;68(1):19-22. doi:10.1097/TA.0b013e3181b88dfe. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46291/psn-pdfJuly 26, 2017 - Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. July 26, 2017 van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration erro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866163/psn-pdfJune 19, 2024 - Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. June 19, 2024 Harada Y, Suzuki T, Harada T, et al. Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 5… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47523/psn-pdfDecember 05, 2018 - Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Providers and the Emergency Department… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/859343/psn-pdfDecember 20, 2023 - Reducing retained foreign objects in the operating room: a quality improvement initiative. December 20, 2023 Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839317/psn-pdfNovember 02, 2022 - Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post- resuscitation debriefing frameworks. November 2, 2022 Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45072/psn-pdfMay 04, 2016 - Interventions to improve safe sleep among hospitalized infants at eight children's hospitals. May 4, 2016 Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, et al. Interventions to Improve Safe Sleep Among Hospitalized Infants at Eight Children's Hospitals. Hosp Pediatr. 2016;6(2):88-94. doi:10.1542/hpeds.2015- 0121. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60318/psn-pdfJanuary 01, 2022 - Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. May 13, 2020 Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-pro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864370/psn-pdfMarch 13, 2024 - How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? March 13, 2024 DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? Diagnosis (Berl). 20…
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