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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836718/psn-pdf
    March 09, 2022 - Systems engineering analysis of diagnostic referral closed-loop processes. March 9, 2022 Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603. https://psnet.ahrq.gov/issue/systems-engineering-an…
  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/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…
  4. 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46426/psn-pdf
    September 28, 2017 - Toward more proactive approaches to safety in the electronic health record era. September 28, 2017 Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005. https://psnet.ahrq.gov/issue/toward…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60275/psn-pdf
    April 29, 2020 - Misreading injectable medications—causes and solutions: an integrative literature review. April 29, 2020 Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020.01.007. https://psnet.ahrq.gov/is…
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50916/psn-pdf
    February 19, 2020 - Patient safety and suicide prevention in mental health services: time for a new paradigm? February 19, 2020 Quinlivan L, Littlewood DL, Webb RT, et al. Patient safety and suicide prevention in mental health services: time for a new paradigm? J Mental Health. 2020;29(1):1-5. doi:10.1080/09638237.2020.1714013. https…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72672/psn-pdf
    January 27, 2021 - Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study. January 27, 2021 Berg TA, Hebert SH, Chyka D, et al. Use of Simulation to Measure the Effects of Just-in-Time Information to Prevent Nursing Medication Errors. Simul Healthc. 20…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47636/psn-pdf
    December 12, 2018 - Learning from tragedy: the Julia Berg story. December 12, 2018 Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067. https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story This commentary provides a clinical review of …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40546/psn-pdf
    September 29, 2017 - Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. September 29, 2017 Black LM. Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. Am J Nurs. 2011;111(6):26-37. doi:10.1097/01.NAJ.0000398537.06542.c0. https://psnet.ahrq…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34677/psn-pdf
    February 09, 2011 - Patients' and physicians' attitudes regarding the disclosure of medical errors. February 9, 2011 Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA. 2003;289(8):1001-7. https://psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regar…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44877/psn-pdf
    April 27, 2016 - Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. April 27, 2016 Washington, DC: United States Government Accountability Office; January 5, 2016. Publication GAO-16- 158. https://psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and- pre…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848082/psn-pdf
    April 26, 2023 - Adopting high reliability organization principles to lead a large scale clinical transformation. April 26, 2023 Pozzobon LD, Lam J, Chimonides E, et al. Adopting high reliability organization principles to lead a large scale clinical transformation. Healthc Manage Forum. 2023;36(4):241-245. doi:10.1177/08404704231…
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44841/psn-pdf
    February 03, 2016 - Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. February 3, 2016 Murray P. Washington, DC; Senate Health, Education, Labor, and Pensions Committee; 2016. https://psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical- dev…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34796/psn-pdf
    November 18, 2015 - The business case for quality: case studies and an analysis. November 18, 2015 Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30. https://psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis This comprehens…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46473/psn-pdf
    December 18, 2017 - Diagnostic errors: impact of an educational intervention on pediatric primary care. December 18, 2017 Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.07.004. https://psnet.ahrq.gov…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47995/psn-pdf
    July 24, 2019 - Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). July 24, 2019 Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The Harm Associated with Medication Error Cl…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40063/psn-pdf
    March 04, 2011 - Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force. March 4, 2011 Goodman KW, Berner ES, Dente MA, et al. Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and pat…

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