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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853975/psn-pdf
    September 27, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. September 27, 2023 Amin D, Cosby K. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. Publication No. 23-0040-6-EF. https://psnet.ahrq.gov/issue/strategies-improving-clinician-psychologica…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854826/psn-pdf
    October 25, 2023 - Observing sources of system resilience using in situ alarm simulations. October 25, 2023 McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. https://psnet.ahrq.gov/issue/observing-sources-system-r…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840489/psn-pdf
    November 30, 2022 - A longitudinal study on the impact of simulation on positive deviance through speaking up. November 30, 2022 M. Violato E. A longitudinal study on the impact of simulation on positive deviance through speaking up. Can J Respir Ther. 2022;58:137-142. doi:10.29390/cjrt-2022-006. https://psnet.ahrq.gov/issue/longitud…

  4. 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…

  5. 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…

  6. 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…

  7. 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…

  8. Scaling Established Clinical Decision Support to Facilitate the Dissemination and Implementation of Evidence-Based Research Findings (R18) | Digital Healthcare Research

    digital.ahrq.gov/funding-mechanism/scaling-established-clinical-decision-support-facilitate-dissemination-and
    January 01, 2023 - Scaling Established Clinical Decision Support to Facilitate the Dissemination and Implementation of Evidence-Based Research Findings (R18) Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support Description This research successfully adapted and evaluated scaling of the Enhancing Q…

  9. 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…

  10. 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…

  11. 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…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60292/psn-pdf
    May 06, 2020 - Overcoming COVID-19: what can human factors and ergonomics offer? May 6, 2020 Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: what can human factors and ergonomics offer? J Patient Saf Risk Manag. 2020;25(2):49-54. doi:10.1177/2516043520917764. https://psnet.ahrq.gov/issue/overcoming-covid-19-…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45347/psn-pdf
    September 07, 2016 - Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. September 7, 2016 Washington, DC: United States Government Accountability Office; July 7, 2016. Publication GAO-16-595. https://psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent…

  14. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
    January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care AHRQ Grant Final Progress Report Title: Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care Principal Investigator: Virginia A. Moyer, MD, MPH Team Members: Papile, Lucille A., MD, Co-Investigator Guillory, Char…

  15. Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-fullreport.pdf
    February 01, 2019 - Pediatrics 2011; 128(6):1135–41. American Academy of Child and Adolescent Psychiatry. … Pediatrics 2012; 129(6):e1577–86. 24 Srinivasan SR, Myers L, Berenson GS. … Pediatrics 2008; 121(1):e157–63.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837959/psn-pdf
    August 31, 2022 - Kelly, MD Emeritus Professor of Pediatrics, Allergy-Immunology University of North Carolina Chapel

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867635/psn-pdf
    February 26, 2025 - Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. February 26, 2025 Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. doi:10.1097/pq9.0000000000000773.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864380/psn-pdf
    March 13, 2024 - Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. March 13, 2024 Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. Stud Health Technol Inf…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837505/psn-pdf
    June 22, 2022 - Parent participation in morbidity and mortality review: parent and physician perspectives. June 22, 2022 de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102674.…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46127/psn-pdf
    May 31, 2017 - Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency. May 31, 2017 Harris LM, Dreyer BP, Mendelsohn A, et al. Liquid Medication Dosing Errors by Hispanic Parents: Role of Health Literacy and English Proficiency. Acad Pediatr. 2017;17(4):403-410. doi:10.1016/j.acap.20…
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