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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73135/psn-pdf
    April 14, 2021 - Debrief it all: a tool for inclusion of Safety-II. April 14, 2021 Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3. https://psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii Debriefing is a c…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838237/psn-pdf
    October 05, 2022 - Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. October 5, 2022 Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. Health Technol Assess. 2022;26(32)…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840475/psn-pdf
    November 30, 2022 - Complexity and challenges of the clinical diagnosis and management of Long COVID. November 30, 2022 O’Hare AM, Vig EK, Iwashyna TJ, et al. Complexity and challenges of the clinical diagnosis and management of Long COVID. JAMA Netw Open. 2022;5(11):e2240332. doi:10.1001/jamanetworkopen.2022.40332. https://psnet.ah…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44134/psn-pdf
    November 06, 2015 - Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. November 6, 2015 Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Br J Cancer. 2015;112 Suppl 1:S…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45548/psn-pdf
    March 01, 2017 - mHealth and mobile medical apps: a framework to assess risk and promote safer use. March 1, 2017 Lewis TL, Wyatt JC. mHealth and mobile medical Apps: a framework to assess risk and promote safer use. J Med Internet Res. 2014;16(9):e210. doi:10.2196/jmir.3133. https://psnet.ahrq.gov/issue/mhealth-and-mobile-medical…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845638/psn-pdf
    March 08, 2023 - The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. March 8, 2023 Ducey A, Donoso C, Ross S, et al. The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. Sociol He…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73257/psn-pdf
    December 01, 2021 - Peer Review of a Report on Strategies to Improve Patient Safety. May 12, 2021 Washington DC: National Academies of Sciences, Engineering, and Medicine; 2021. ISBN: 9780309462808. https://psnet.ahrq.gov/issue/peer-review-report-strategies-improve-patient-safety The Patient Safety and Quality Improvement Act of 200…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34639/psn-pdf
    March 02, 2011 - Preventable deaths: who, how often, and why? March 2, 2011 Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9. https://psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why One of the first studies to examine the link between quality of care and hospital deat…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46190/psn-pdf
    August 17, 2017 - Preventing harm in the ICU—building a culture of safety and engaging patients and families. August 17, 2017 Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537. doi:10.1097/CCM.0000000000002556. ht…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46445/psn-pdf
    December 19, 2017 - An appeal for evidence-based resident duty hours reform. December 19, 2017 Khoong EC, Linker AS. An Appeal for Evidence-Based Resident Duty Hours Reform. JAMA Intern Med. 2017;177(11):1555-1556. doi:10.1001/jamainternmed.2017.4469. https://psnet.ahrq.gov/issue/appeal-evidence-based-resident-duty-hours-reform The i…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60341/psn-pdf
    May 20, 2020 - Annals Clinical Decision Making: avoiding cognitive errors in clinical decision making. May 20, 2020 Restrepo D, Armstrong KA, Metlay JP. Annals Clinical Decision Making: avoiding cognitive errors in clinical decision making. Ann Intern Med. 2020;172(11):747-751. doi:10.7326/m19-3692. https://psnet.ahrq.gov/issue/…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866529/psn-pdf
    October 08, 2024 - HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. October 8, 2024 HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Agency for Healthcare Quality and Research. Fed Register. October 02, 2024;89:80247-80249. https://…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44589/psn-pdf
    January 01, 2016 - Observation for assessment of clinician performance: a narrative review. December 16, 2015 Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171. https://psnet.ahrq.gov/issue/observation-asse…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859354/psn-pdf
    December 20, 2023 - Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. December 20, 2023 Cenziper D, Sallah MD, Korsh M. ProPublica. December 7, 2023. https://psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power- protect-them Systemic regulato…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47988/psn-pdf
    June 12, 2019 - Impact of the World Health Organization surgical safety checklist on patient safety. June 12, 2019 Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on Patient Safety. Anesthesiology. 2019;131(2):420-425. doi:10.1097/ALN.0000000000002674. https://psnet.ahrq.gov/i…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74211/psn-pdf
    December 22, 2021 - Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products December 22, 2021 Uttaro E, Zhao F, Schweighardt A. Int J Pharm Compd. 2021;25(5):364-371.  https://psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-li…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866354/psn-pdf
    July 24, 2024 - Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. July 24, 2024 Sloane J, Singh H, Upadhyay DK, et al. Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. Jt Comm J Qual P…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43867/psn-pdf
    March 11, 2015 - Applying fault tree analysis to the prevention of wrong- site surgery. March 11, 2015 Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062. https://psnet.ahrq.gov/issue/applying-fault-tree-analy…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35588/psn-pdf
    February 03, 2011 - Creating a safer health care system: finding the constraint. February 3, 2011 Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8. https://psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint This editorial builds on the discussi…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47017/psn-pdf
    November 28, 2018 - In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. November 28, 2018 Edwards MT. In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. Int J Qual Health Care. 2018;30(8):602-607. doi:10.1093/intqhc/mzy069. ht…
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