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9221. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44557/psn-pdf
      November 20, 2015 - Reforming the Veterans Health Administration—beyond palliation of symptoms. November 20, 2015 Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438. https://psnet.ahrq.gov/issue/reforming-veterans-health-admi…

9222. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45062/psn-pdf
      May 18, 2016 - Opioid Epidemic & Health IT May 18, 2016 Section 4. Health IT Playbook. Office of the National Coordinator for Health Information Technology. https://psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it Overdoses of opioid medications are considered an epidemic in the United States. This website provides ac…

9223. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46242/psn-pdf
      June 21, 2017 - Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. June 21, 2017 Woodruff E. Baltimore Sun. June 9, 2017. https://psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous- even-fatal Psychiatric patients are vulnerable to pa…

9224. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/764409/psn-pdf
      March 02, 2022 - She was headed to a locked psych ward. Then an ER doctor made a startling discovery. March 2, 2022 Boodman SG. Washington Post. February 12, 2022. https://psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery Misdiagnosis over a long period of time can be exacerbated by stig…

9225. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863221/psn-pdf
      February 28, 2024 - Using artificial intelligence to improve primary care for patients and clinicians. February 28, 2024 Sarkar U, Bates DW. Using artificial intelligence to improve primary care for patients and clinicians. JAMA Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965. https://psnet.ahrq.gov/issue/using-a…

9226. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60665/psn-pdf
      July 08, 2020 - Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report. July 8, 2020 Johnson CD, Green BN, Konarski-Hart KK, et al. Response of Practicing Chiropractors during the Early Phase of the COVID-19 Pandemic: A Descriptive Report. J Manipulative Physiol Ther. 2020;43(5):…

9227. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43840/psn-pdf
      January 28, 2015 - A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety. January 28, 2015 O'Hara R, Johnson M, Siriwardena N, et al. A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety. J Health Serv Res Policy. 2015;20(1 …

9228. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46352/psn-pdf
      October 15, 2018 - Optimal Resources for Surgical Quality and Safety. October 15, 2018 Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242. https://psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety Surgery is complex and involves a wide range of possibilities for error that can r…

9229. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39356/psn-pdf
      April 08, 2011 - Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. April 8, 2011 Thomas EJ, Williams AL, Reichman EF, et al. Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. Pediatrics. 2010;125(3):539-546. doi:10.1542/ped…

9230. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43976/psn-pdf
      November 16, 2015 - Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. November 16, 2015 Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handover…

9231. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/764406/psn-pdf
      March 02, 2022 - Patient safety assurance in the age of defensive medicine: a review. March 2, 2022 Shenoy A, Shenoy GN, Shenoy GG. Patient safety assurance in the age of defensive medicine: a review. Patient Saf Surg. 2022;16(1):10. doi:10.1186/s13037-022-00319-8. https://psnet.ahrq.gov/issue/patient-safety-assurance-age-defensiv…

9232. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43955/psn-pdf
      December 04, 2016 - For Colorado mom, story of daughter's hospital death is key to others' safety. December 4, 2016 Daley J. Colorado Public Radio. February 17, 2015. https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety Patient and family stories of harm are increasingly promoted as a strategy to…

9233. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46711/psn-pdf
      July 01, 2019 - The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. July 1, 2019 Washington, DC: America's Health Insurance Plans; 2019. https://psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety- and-reduced-risk Gu…

9234. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44295/psn-pdf
      August 26, 2015 - Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. August 26, 2015 Kostopoulou O, Lionis C, Angelaki A, et al. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Fam Pract. 2015;32(3):323-8. doi:10.1…

9235. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34742/psn-pdf
      July 20, 2016 - Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. July 20, 2016 Helmreich RL, Merritt AC. Brookfield, VT: Ashgate; 1998. ISBN: 9780291398536. https://psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional- influences This boo…

9236. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74196/psn-pdf
      December 15, 2021 - Adverse glycemic events and critical emergencies. December 15, 2021 ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. https://psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies Insulin is a high-alert medication that requires extra attention to safely manage blood sugar …

9237. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44954/psn-pdf
      January 07, 2019 - Snowball in a Blizzard: A Physician's Notes on Uncertainty in Medicine. January 7, 2019 Hatch S. New York, NY: Basic Books; 2016. ISBN: 9780465050642. https://psnet.ahrq.gov/issue/snowball-blizzard-physicians-notes-uncertainty-medicine Uncertainty is often present in various areas of medical practice. This book pr…

9238. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44479/psn-pdf
      September 09, 2015 - Health literacy in primary care practice. September 9, 2015 Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician. 2015;92(2):118-124. https://psnet.ahrq.gov/issue/health-literacy-primary-care-practice Limited health literacy can lead to patients misunderstanding care instruct…

9239. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50818/psn-pdf
      January 22, 2020 - Burnout in pediatric residents: three years of national survey January 22, 2020 Kemper KJ, Schwartz A, Wilson PM, et al. Burnout in Pediatric Residents: Three Years of National Survey Data. Pediatrics. 2020;145(1):e20191030. doi:10.1542/peds.2019-1030. https://psnet.ahrq.gov/issue/burnout-pediatric-residents-three…

9240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73706/psn-pdf
      September 15, 2021 - A meta-review of methods of measuring and monitoring safety in primary care. September 15, 2021 O’Connor P, Madden C, O’Dowd E, et al. A meta-review of methods of measuring and monitoring safety in primary care. Int J Qual Health Care. 2021;33(3):mzab117. doi:10.1093/intqhc/mzab117. https://psnet.ahrq.gov/issue/me…