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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854389/psn-pdf
    October 11, 2023 - Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. October 11, 2023 Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol. 2023;142(3):481-492. doi:10.1097/aog.0000000000005304. https://…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46096/psn-pdf
    May 31, 2017 - Guideline for opioid therapy and chronic noncancer pain. May 31, 2017 Busse JW, Craigie S, Juurlink DN, et al. Guideline for opioid therapy and chronic noncancer pain. CMAJ. 2017;189(18):E659-E666. doi:10.1503/cmaj.170363. https://psnet.ahrq.gov/issue/guideline-opioid-therapy-and-chronic-noncancer-pain Opioid pain…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39277/psn-pdf
    August 22, 2018 - Preventing maternal death. August 22, 2018 Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4. https://psnet.ahrq.gov/issue/preventing-maternal-death The Joint Commission issues Sentinel Event Alerts to highlight areas of high risk and to promote the rapid adoption of risk reduction strategies. Adher…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45276/psn-pdf
    September 29, 2017 - Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. September 29, 2017 Hoffmann TC, Del Mar C. Clinicians' Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review. JAMA Intern Med. 2017;177(3):407-419. doi:10.1001/jama…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45939/psn-pdf
    March 01, 2017 - Examining the Copy and Paste Function in the Use of Electronic Health Records. March 1, 2017 Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and Technology, United States Department of Commerce; January 19, 2017. NIST Interagency/Internal Report (NISTIR)-8166. https://p…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45616/psn-pdf
    November 27, 2017 - Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error. November 27, 2017 Ruedinger E, Olson M, Yee J, et al. Education for the Next Frontier in Patient Safety: A Longitudinal Resident Curriculum on Diagnostic Error. Am J Med Qual. 2017;32(6):625-631. doi:10.1177/…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840490/psn-pdf
    February 14, 2006 - Evidence of bias and variation in diagnostic accuracy studies. February 14, 2006 Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies. CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090. https://psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45579/psn-pdf
    November 01, 2017 - Factors influencing patient safety during postoperative handover. November 1, 2017 Rose M, Newman SD. AANA J. 2016;84:329-338. https://psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover Patient handoffs between care teams are vulnerable to error. This scoping review explored the …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43698/psn-pdf
    November 19, 2014 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. November 19, 2014 Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.2014.964873. https://psnet.ahrq.gov/i…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34814/psn-pdf
    January 01, 2015 - Prescribing for the elderly. Part I: Sensitivity of the elderly to adverse drug reactions. March 28, 2005 Nolan L, O'Malley K. Prescribing for the Elderly Part I: Sensitivity of the Elderly to Adverse Drug Reactions*. J Am Geriatr Soc. 2015;36(2):142-149. doi:10.1111/j.1532-5415.1988.tb01785.x. https://psnet.ahrq.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45144/psn-pdf
    November 23, 2016 - Strategies for flipping the script on opioid overprescribing. November 23, 2016 Wright AP, Becker WC, Schiff G. Strategies for Flipping the Script on Opioid Overprescribing. JAMA Intern Med. 2016;176(1):7-8. doi:10.1001/jamainternmed.2015.5946. https://psnet.ahrq.gov/issue/strategies-flipping-script-opioid-overpre…

  12. 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…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36088/psn-pdf
    September 28, 2010 - Impact and implications of disruptive behavior in the perioperative arena. September 28, 2010 Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105. https://psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperat…

  14. 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…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73343/psn-pdf
    June 02, 2021 - Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. June 2, 2021 Antognini JF. Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. J Patient Saf. 2021;17(4):e274-e279. doi:10.1097/pts.0000000…

  16. 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…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47013/psn-pdf
    April 07, 2019 - An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. April 7, 2019 Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co- prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448. doi:…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44937/psn-pdf
    September 29, 2017 - Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. September 29, 2017 Meeker D, Linder JA, Fox CR, et al. Effect of Behavioral Interventions on Inappropriate Antibiotic Prescribing Among Primary Care Practices: A Randomized Clinical…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50621/psn-pdf
    November 06, 2019 - Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit. November 6, 2019 Yeh J, Wilson R, Young L, et al. Team-Based Intervention to Reduce the Impact of Nonactionable Alarms in an Adult Intensive Care Unit. J Nurs Care Qual. 2019;35(2):115-122. doi:10.1097/ncq.0000000…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44947/psn-pdf
    November 18, 2016 - Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. November 18, 2016 Rajaram R, Saadat L, Chung JW, et al. Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. BMJ Qual Saf. 2016;25(12):962-970. doi:10.1136/bmj…
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