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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866957/psn-pdf
    October 16, 2024 - Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. October 16, 2024 Johnson TN, Tucker AM. Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. Am J Health-Syst Pharm. 2024;Epub Sep 13. doi:10.1093/ajhp/zxae267. https://psnet.ahrq.gov/issue/pharmacy-prevalenc…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72502/psn-pdf
    November 25, 2020 - Patient safety in primary care: conceptual meanings to the health care team and patients. November 25, 2020 Lai AY. Patient safety in primary care: conceptual meanings to the health care team and patients. J Am Board Fam Med. 2020;33(5):754-764. doi:10.3122/jabfm.2020.05.200042. https://psnet.ahrq.gov/issue/patien…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60960/psn-pdf
    September 30, 2020 - COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada. September 30, 2020 Dubé MM, Kaba A, Cronin T, et al. COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce an…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43870/psn-pdf
    January 28, 2015 - Peer review of medical practices: missed opportunities to learn. January 28, 2015 Kadar N. Peer review of medical practices: missed opportunities to learn. Am J Obstet Gynecol. 2014;211(6):596-601. doi:10.1016/j.ajog.2014.08.018. https://psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47279/psn-pdf
    July 23, 2018 - No Place Like Home: Advancing the Safety of Care in the Home. July 23, 2018 Boston, MA: Institute for Healthcare Improvement; 2018. https://psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home The home care setting harbors unique challenges to patient safety. This report builds on a previous evidence ass…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60724/psn-pdf
    July 29, 2020 - The safety of health care for ethnic minority patients: a systematic review. July 29, 2020 Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic review. Int J Equity Health. 2020;19(1):118. doi:10.1186/s12939-020-01223-2. https://psnet.ahrq.gov/issue/safety-heal…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33931/psn-pdf
    June 23, 2015 - An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. June 23, 2015 Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Anesthesiology. 1984;60(…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47912/psn-pdf
    April 24, 2019 - A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. April 24, 2019 Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. BMC Health Serv Res. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866254/psn-pdf
    July 10, 2024 - Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. July 10, 2024 Massey W, Keith C. Spotlight PA: June 20, 2024. https://psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems- months-shutdown-then Whistleblowers…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37277/psn-pdf
    July 28, 2010 - Drug selection errors in relation to medication labels: a simulation study. July 28, 2010 Garnerin P, Perneger T, Chopard P, et al. Drug selection errors in relation to medication labels: a simulation study. Anaesthesia. 2007;62(11):1090-4. https://psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-lab…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44409/psn-pdf
    January 22, 2016 - "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs. January 22, 2016 O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of question…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44036/psn-pdf
    April 15, 2015 - Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. April 15, 2015 Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? a case control study. BMC Med Educ. 2015;15(1).…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43665/psn-pdf
    November 20, 2015 - Patient safety education to change medical students' attitudes and sense of responsibility. November 20, 2015 Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970988. https://psnet.ahrq.gov/is…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47256/psn-pdf
    October 03, 2018 - Does the perception of severity of medical error differ between varying levels of clinical seniority? October 3, 2018 Khan I, Arsanious M. Does the perception of severity of medical error differ between varying levels of clinical seniority? Adv Med Educ Pract. 2018;9:443-452. doi:10.2147/AMEP.S146474. https://psne…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60676/psn-pdf
    July 15, 2020 - Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand. July 15, 2020 Rockville, MD; Agency for Healthcare Research and Quality: 2020. https://psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator- and-ppe-1-30 The COVI…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73250/psn-pdf
    May 12, 2021 - Adverse events associated with home blood transfusion: a retrospective cohort study. May 12, 2021 Sharp R, Turner L, Altschwager J, et al. Adverse events associated with home blood transfusion: a retrospective cohort study. J Clin Nurs. 2021;30(11-12):1751-1759. doi:10.1111/jocn.15734. https://psnet.ahrq.gov/issue…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46926/psn-pdf
    March 07, 2018 - A comprehensive program to reduce rates of hospital- acquired pressure ulcers in a system of community hospitals. March 7, 2018 Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital- Acquired Pressure Ulcers in a System of Community Hospitals. J Patient Saf. 2018;14(1):54…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35838/psn-pdf
    March 28, 2011 - Unscheduled returns to the emergency department: an outcome of medical errors? March 28, 2011 Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8. https://psnet.ahrq.gov/issue/unscheduled-returns-emergency-depart…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867380/psn-pdf
    December 18, 2024 - Cognitive biases and artificial intelligence. December 18, 2024 Wang J, Redelmeier DA. Cognitive biases and artificial intelligence. NEJM AI. 2024;1(12):AIcs2400639. doi:10.1056/aics2400639. https://psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence Previous studies have raised concerns about cognit…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60226/psn-pdf
    April 15, 2020 - Empowering patients and reducing inequities: is there potential in sharing clinical notes? April 15, 2020 Blease CR, Fernandez L, Bell SK, et al. Empowering patients and reducing inequities: is there potential in sharing clinical notes? BMJ Qual Saf. 2020;29(10):864–868. doi:10.1136/bmjqs-2019-010490. https://psne…

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