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  1. 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…
  2. 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…
  3. 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. …
  4. 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…
  5. 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.…
  6. 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…
  7. 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 …
  8. 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…
  9. 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…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37011/psn-pdf
    September 24, 2010 - What do medical records tell us about potentially harmful co-prescribing? September 24, 2010 Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co- prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-400. https://psnet.ahrq.gov/issue/what-do-medical-records-tell-us…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843084/psn-pdf
    January 25, 2023 - A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. January 25, 2023 Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. Public Health. 202…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46156/psn-pdf
    July 11, 2017 - Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. July 11, 2017 Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. Acad Med. 2017;92(7):976-983. doi:10.1097/acm.0000000000001736…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838009/psn-pdf
    September 07, 2022 - High-risk medication in home care nursing: a Delphi study. September 7, 2022 Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study. J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023. https://psnet.ahrq.gov/issue/high-risk-medication-home-care-nu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43812/psn-pdf
    January 14, 2015 - Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. January 14, 2015 Daigh JD Jr. Washington, DC: VA Office of the Inspector General; December 15, 2014. Report No. 14- 04705-62. https://psnet.ahrq.gov/issue/healthcare-inspection-evalua…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46830/psn-pdf
    May 30, 2018 - A call to bridge across silos during care transitions. May 30, 2018 Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006. https://psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-tran…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47532/psn-pdf
    November 29, 2018 - Payment innovations to improve diagnostic accuracy and reduce diagnostic error. November 29, 2018 Berenson R, Singh H. Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error. Health Aff (Millwood). 2018;37(11):1828-1835. doi:10.1377/hlthaff.2018.0714. https://psnet.ahrq.gov/issue/payment-in…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866856/psn-pdf
    October 02, 2024 - ASPEN survey of parenteral nutrition access issues: how the system fails the patients. October 2, 2024 Mirtallo JM, Allen P, Book WM, et al. ASPEN survey of parenteral nutrition access issues: how the system fails the patient. Nutr Clin Pract. 2024;39(5):1164-1181. doi:10.1002/ncp.11187. https://psnet.ahrq.gov/iss…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61100/psn-pdf
    November 04, 2020 - Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. November 4, 2020 Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (2003). 2020;60(5):e76-e80. doi:10.10…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74112/psn-pdf
    April 14, 2017 - Structural racism and health inequities in the USA: evidence and interventions. April 14, 2017 Bailey ZD, Krieger N, Agénor M, et al. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453-1463. doi:10.1016/s0140-6736(17)30569-x. https://psnet.ahrq.gov/issue/st…

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