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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852282/psn-pdf
    August 09, 2023 - Implementation of medication reconciliation in outpatient cancer care. August 9, 2023 Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care. BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211. https://psnet.ahrq.gov/issue/implementation-medication-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43200/psn-pdf
    May 21, 2014 - How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. May 21, 2014 Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115. https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860383/psn-pdf
    January 10, 2024 - Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. January 10, 2024 Giuffrida P, Davila S. Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. Nursing. 2024;54(1):35-40. doi:10.1097/01.nurse.0000995608.56374.f5. https://psnet.ahrq.gov/issue/addressing-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45112/psn-pdf
    July 01, 2016 - Surgical count process for prevention of retained surgical items: an integrative review. July 1, 2016 Freitas PS, Silveira RC de CP, Clark AM, et al. Surgical count process for prevention of retained surgical items: an integrative review. J Clin Nurs. 2016;25(13-14):1835-47. doi:10.1111/jocn.13216. https://psnet.a…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35832/psn-pdf
    August 04, 2009 - The incorporation of patient safety into board certification examinations. August 4, 2009 Kachalia A, Johnson J, Miller ST, et al. The incorporation of patient safety into board certification examinations. Acad Med. 2006;81(4):317-25. https://psnet.ahrq.gov/issue/incorporation-patient-safety-board-certification-ex…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41414/psn-pdf
    June 06, 2012 - Factors associated with reported preventable adverse drug events: a retrospective, case-control study. June 6, 2012 Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Ann Pharmacother. 2012;46(5):634-41. doi:10.1345/aph.1Q785. h…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48073/psn-pdf
    June 19, 2019 - Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. June 19, 2019 Hallbeck MS, Paquet V, eds. Appl Ergon. 2019;78:248-308. https://psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions- advance-surgical Surg…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44665/psn-pdf
    January 01, 2019 - Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. January 1, 2018 Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632. doi:10.1016/j.athoracsur.2019.09.03…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45704/psn-pdf
    December 14, 2016 - National Report of Findings 2016: Issue Brief No. 2: Patient Safety. December 14, 2016 Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education; 2016. https://psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety Integrating patient safet…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47859/psn-pdf
    May 15, 2019 - The design and conduct of Project RedDE: a cluster- randomized trial to reduce diagnostic errors in pediatric primary care. May 15, 2019 Bundy DG, Singh H, Stein RE, et al. The design and conduct of Project RedDE: A cluster-randomized trial to reduce diagnostic errors in pediatric primary care. Clin Trials. 2019;1…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47652/psn-pdf
    February 20, 2019 - Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. February 20, 2019 Washington, DC: Office of the National Coordinator for Health Information Technology; November 28, 2018. https://psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relatin…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861280/psn-pdf
    January 24, 2024 - Factors influencing diagnostic accuracy among intensive care unit clinicians - an observational study. January 24, 2024 Bergl PA, Shukla N, Shah J, et al. Factors influencing diagnostic accuracy among intensive care unit clinicians – an observational study. Diagnosis (Berl). 2024;11(1):31-39. doi:10.1515/dx-2023-00…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43511/psn-pdf
    September 10, 2014 - Re-finding the 'human side' of human factors in nursing: helping student nurses to combine person-centred care with the rigours of patient safety. September 10, 2014 Fawcett TJN, Rhynas SJ. Re-finding the 'human side' of human factors in nursing: helping student nurses to combine person-centred care with the rigou…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851917/psn-pdf
    January 01, 2024 - Incivility in healthcare: the impact of poor communication. August 2, 2023 Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication Incivi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39264/psn-pdf
    February 03, 2010 - Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. February 3, 2010 Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. Crit Care Med. 2010;38(2):445…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47264/psn-pdf
    October 03, 2018 - Potentially inappropriate opioid prescribing, overdose, and mortality in Massachusetts, 2011–2015. October 3, 2018 Rose AJ, Bernson D, Chui KKH, et al. Potentially Inappropriate Opioid Prescribing, Overdose, and Mortality in Massachusetts, 2011-2015. J Gen Intern Med. 2018;33(9):1512-1519. doi:10.1007/s11606-018-45…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60947/psn-pdf
    September 23, 2020 - FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. September 23, 2020 ISMP Medication Safety Alert! Acute care edition. September 10, 2020;25(18) https://psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use- authorizatio…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60013/psn-pdf
    March 04, 2020 - Development and implementation of a suicide prevention checklist to create a safe environment. March 4, 2020 Frost DA, Snydeman CK, Lantieri MJ, et al. Development and Implementation of a Suicide Prevention Checklist to Create a Safe Environment. Psychosomatics. 2019;61(2):154-160. doi:10.1016/j.psym.2019.10.008. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50416/psn-pdf
    September 04, 2019 - Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. September 4, 2019 Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.1016/j.acra.2018.11.006. https://psnet…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46355/psn-pdf
    October 09, 2017 - Diagnostic reasoning: an endangered competency in internal medicine training. October 9, 2017 Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163. https://psnet.ahrq.gov/issue/diagnostic-reasoning…

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