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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852450/psn-pdf
    August 16, 2023 - Incidence and severity of medication reconciliation discrepancies in trauma patients. August 16, 2023 Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/00031348231161686. https://psnet.ahrq.gov/issue…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74073/psn-pdf
    November 17, 2021 - Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. November 17, 2021 Freeman K, Geppert J, Stinton C, et al. Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. BMJ. 20…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46237/psn-pdf
    June 21, 2017 - Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. June 21, 2017 Rao G, Epner P, Bauer V, et al. Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. Diagnosis (Berl). 2017;4(2):67-72. doi:10.1515/dx-2016-0049. https://psnet.ahrq.g…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74088/psn-pdf
    November 17, 2021 - Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey. November 17, 2021 Urban D, Burian BK, Patel K, et al. Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey. Ann Surg. 2021;2(3):e07…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44741/psn-pdf
    January 20, 2016 - System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. January 20, 2016 Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44669/psn-pdf
    January 22, 2016 - Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. January 22, 2016 Leone RM, Adams RJ. Safety Standards: Implementing Fall Prevention Interventions and Sustaining Lower Fall Rates by Promoting the Cul…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837762/psn-pdf
    August 03, 2022 - A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes. August 3, 2022 Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes. BMJ Qu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73081/psn-pdf
    March 31, 2021 - Health professionals' perspectives of safety issues in mental health services: a qualitative study. March 31, 2021 Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health services: A qualitative study. nt J Ment Health Nurs. 2021;30(3):798-810. doi:10.1111/inm.1283…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47980/psn-pdf
    May 01, 2019 - Intensive care medicine in 2050: preventing harm. May 1, 2019 Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med. 2019;45(4):505-507. doi:10.1007/s00134-018-5353-z. https://psnet.ahrq.gov/issue/intensive-care-medicine-2050-preventing-harm This commentary discusses curren…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47996/psn-pdf
    January 01, 2021 - Building an ambulatory safety program at an academic health system. May 15, 2019 Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. https://psnet.ahrq.gov/issue/building-ambulatory-safety-program-a…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47554/psn-pdf
    November 07, 2018 - Diagnostic Excellence Initiative. November 7, 2018 Gordon and Betty Moore Foundation. https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite an increasing focus on di…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45256/psn-pdf
    July 01, 2017 - Applied use of safety event occurrence control charts of harm and non-harm events: a case study. July 1, 2017 Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291. doi:10.1177/1062860616646197. https://p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837345/psn-pdf
    June 08, 2022 - A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. June 8, 2022 Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. Health Secur. 2022;20(3):261-263. doi:…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39030/psn-pdf
    October 21, 2009 - Misleading one detail: a preventable mode of diagnostic error? October 21, 2009 Arzy S, Brezis M, Khoury S, et al. Misleading one detail: a preventable mode of diagnostic error? J Eval Clin Pract. 2009;15(5):804-6. doi:10.1111/j.1365-2753.2008.01098.x. https://psnet.ahrq.gov/issue/misleading-one-detail-preventable…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47745/psn-pdf
    March 06, 2019 - "I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. March 6, 2019 Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red Tabards Preventing Interruptions as Perceived by Surgical Patients. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47618/psn-pdf
    January 30, 2019 - Making care better in the pediatric intensive care unit. January 30, 2019 Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267- 274. doi:10.21037/tp.2018.09.10. https://psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit Pediatric critical care…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866858/psn-pdf
    October 02, 2024 - Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. October 2, 2024 Nguyen OT, Kunta AR, Katoju SV, et al. Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. JAMA Netw Open. 2024;7(9):e2432760. doi:10.100…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42897/psn-pdf
    March 12, 2017 - Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. March 12, 2017 Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgradmedj-2012-131168. https://psnet.a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46984/psn-pdf
    April 04, 2018 - Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. April 4, 2018 Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and Positive Psychology: The 2017 Resident W…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60598/psn-pdf
    June 17, 2020 - Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. June 17, 2020 Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. BMJ Qual…