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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38091/psn-pdf
    February 18, 2011 - Questionable hospital chart documentation practices by physicians. February 18, 2011 Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6. https://psnet.ahrq.gov/issue/questionable-hospital-cha…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34810/psn-pdf
    February 18, 2011 - Should operations be regionalized? The empirical relation between surgical volume and mortality. February 18, 2011 Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N Engl J Med. 1979;301(25):1364-9. https://psnet.ahrq.gov/issue/should…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842415/psn-pdf
    January 11, 2023 - Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. January 11, 2023 Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097/pts.0000000000001061. https://…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844770/psn-pdf
    September 11, 2019 - Use of "Doctor" badges for physician role identification during clinical training. September 11, 2019 Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416. https://psnet.ahrq.gov/issue/…
  5. 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…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838920/psn-pdf
    October 26, 2022 - Investigation of mental and physical health of nurses associated with errors in clinical practice. October 26, 2022 Pappa D, Koutelekos I, Evangelou E, et al. Investigation of mental and physical health of nurses associated with errors in clinical practice. Healthcare (Basel). 2022;10(9):1803. doi:10.3390/healthcar…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50448/psn-pdf
    October 09, 2019 - Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. October 9, 2019 Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healthcare and emergency departments…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837664/psn-pdf
    July 13, 2022 - Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. July 13, 2022 Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision- making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284. https://psn…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856631/psn-pdf
    November 29, 2023 - Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. November 29, 2023 Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patien…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44292/psn-pdf
    September 01, 2016 - Recommendations to improve the usability of drug–drug interaction clinical decision support alerts. September 1, 2016 Payne TH, Hines LE, Chan RC, et al. Recommendations to improve the usability of drug-drug interaction clinical decision support alerts. J Am Med Inform Assoc. 2015;22(6):1243-50. doi:10.1093/jamia/o…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44726/psn-pdf
    January 07, 2016 - The impact of resident duty hour and supervision changes: a review. January 7, 2016 Greenberg WE, Borus JF. The Impact of Resident Duty Hour and Supervision Changes: A Review. Harv Rev Psychiatry. 2016;24(1):69-76. doi:10.1097/HRP.0000000000000061. https://psnet.ahrq.gov/issue/impact-resident-duty-hour-and-supervi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47833/psn-pdf
    March 20, 2019 - Americans' growing exposure to clinician quality information: insights and implications. March 20, 2019 Schlesinger MJ, Rybowski L, Shaller D, et al. Americans' Growing Exposure To Clinician Quality Information: Insights And Implications. Health Aff (Millwood). 2019;38(3):374-382. doi:10.1377/hlthaff.2018.05006. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73714/psn-pdf
    September 15, 2021 - Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. September 15, 2021 Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. Report No. 21-01502-240. https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-f…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850914/psn-pdf
    June 21, 2023 - A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. June 21, 2023 Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42. doi:10.1002/jhrm.21538. https://psnet.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34645/psn-pdf
    December 23, 2008 - How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. December 23, 2008 Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. Arch Intern Med. 1996;156(22):2565-9…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865479/psn-pdf
    April 03, 2024 - Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. April 3, 2024 Kwan JL, Calder LA, Bowman CL, et al. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47263/psn-pdf
    January 01, 2021 - Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. November 28, 2018 Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resiliency, Reliability, and Patient Safety…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45346/psn-pdf
    November 18, 2016 - How do simulated error experiences impact attitudes related to error prevention? November 18, 2016 Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to Error Prevention? Simul Healthc. 2016;11(5):323-333. https://psnet.ahrq.gov/issue/how-do-simulated-error-experiences…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45653/psn-pdf
    January 25, 2017 - Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. January 25, 2017 Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058. https://psnet.ahrq.gov/issue/opio…

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