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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867475/psn-pdf
    February 26, 2025 - From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient February 26, 2025 Markham K, Usui M, Smith C. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient. PSNet [internet]. 2025. https://psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overd…
  2. psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
    October 13, 2018 - Slow Down: Right Drug, Wrong Formulation Citation Text: Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndN…
  3. psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
    December 15, 2024 - Deprescribing as a Patient Safety Strategy Citation Text: Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX …
  4. psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
    February 26, 2025 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists Citation Text: Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39795/psn-pdf
    June 06, 2018 - The elephant of patient safety: what you see depends on how you look. June 6, 2018 Shojania KG. The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual Patient Saf. 2010;36(9):399-401. https://psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look Health care i…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867534/psn-pdf
    March 10, 2025 - Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarket submission recommendations. January 15, 2025 Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarket submission recommendations. Food and Drug Administ…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43614/psn-pdf
    October 22, 2014 - Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. October 22, 2014 Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;21(6):515-20. doi:10.1097/MOH.000…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34649/psn-pdf
    June 11, 2014 - On error management: lessons from aviation. June 11, 2014 Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. https://psnet.ahrq.gov/issue/error-management-lessons-aviation In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40381/psn-pdf
    May 25, 2011 - Medication errors in the homes of children with chronic conditions. May 25, 2011 Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions. Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479. https://psnet.ahrq.gov/issue/medication-errors-homes-children-chr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843089/psn-pdf
    May 01, 2020 - Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. May 1, 2020 Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardiz…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862152/psn-pdf
    February 07, 2024 - Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. February 7, 2024 Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45650/psn-pdf
    December 14, 2016 - Are physicians safely prescribing opioids for chronic noncancer pain? A systematic review of current evidence. December 14, 2016 Tournebize J, Gibaja V, Muszczak A, et al. Are Physicians Safely Prescribing Opioids for Chronic Noncancer Pain? A Systematic Review of Current Evidence. Pain Pract. 2016;16(3):370-83. d…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47782/psn-pdf
    June 14, 2019 - Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic accuracy in primary care clinics. June 14, 2019 Fontil V, Radcliffe K, Lyson HC, et al. Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73681/psn-pdf
    September 08, 2021 - Medical errors during training: how do residents cope?: a descriptive study. September 8, 2021 Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. https://psnet.ahrq.gov/issue/medical-erro…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837058/psn-pdf
    May 11, 2022 - Establishing psychological safety in clinical supervision: multi-professional perspectives. May 11, 2022 Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi? professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111/tct.13451. https://psnet.ahrq.gov/issu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43909/psn-pdf
    March 11, 2015 - Summary and frequency of barriers to adoption of CPOE in the US. March 11, 2015 Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us Although compu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73625/psn-pdf
    August 25, 2021 - Barriers and facilitators to patient engagement in patient safety from patients and healthcare professionals' perspectives: a systematic review and meta-synthesis. August 25, 2021 Chegini Z, Arab?Zozani M, Shariful Islam SM, et al. Barriers and facilitators to patient engagement in patient safety from patients and…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841146/psn-pdf
    December 07, 2022 - Exploring the intersection of structural racism and ageism in healthcare. December 7, 2022 Farrell TW, Hung WW, Unroe KT, et al. Exploring the intersection of structural racism and ageism in healthcare. J Am Geriatr Soc. 2022;70(12):3366-3377. doi:10.1111/jgs.18105. https://psnet.ahrq.gov/issue/exploring-intersect…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838918/psn-pdf
    October 26, 2022 - ‘I am not the doctor for you’: physicians’ attitudes about caring for people with disabilities. October 26, 2022 Lagu T, Haywood C, Reimold KE, et al. ‘I am not the doctor for you’: physicians’ attitudes about caring for people with disabilities. Health Aff (Millwood). 2022;41(10):1387-1395. doi:10.1377/hlthaff.202…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851356/psn-pdf
    July 12, 2023 - Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. July 12, 2023 Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-383. doi:10.1016/j.jcjq.2023.05.006.…

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