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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38290/psn-pdf
    February 17, 2011 - Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. February 17, 2011 Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. https://psnet.ahrq.gov/issue/revisitin…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47848/psn-pdf
    May 08, 2019 - A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. May 8, 2019 Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconciliation at a Health System. Qual Manag…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46113/psn-pdf
    July 12, 2017 - Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. July 12, 2017 Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-in…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73063/psn-pdf
    March 24, 2021 - Clinical data sharing improves quality measurement and patient safety. March 24, 2021 D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039. https://psnet.ahrq.gov/issue/clinical-data-sh…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837505/psn-pdf
    June 22, 2022 - Parent participation in morbidity and mortality review: parent and physician perspectives. June 22, 2022 de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102674.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35596/psn-pdf
    February 17, 2011 - Disciplinary action by medical boards and prior behavior in medical schools. February 17, 2011 Papadakis MA, Teherani A, Banach MA, et al. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 2005;353(25):2673-82. https://psnet.ahrq.gov/issue/disciplinary-action-medical-boards-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854641/psn-pdf
    October 18, 2023 - Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. October 18, 2023 Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023. https://psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021 There are recognized systemic w…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45245/psn-pdf
    June 27, 2018 - Medication Without Harm: WHO's Third Global Patient Safety Challenge. June 27, 2018 Geneva, Switzerland: World Health Association; 2017. https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge Adverse drug events are likely the most common source of preventable harm in both …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838136/psn-pdf
    September 21, 2022 - Exploration of a rapid response team model of care: a descriptive dual methods study. September 21, 2022 Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294. https://psnet.a…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43681/psn-pdf
    June 03, 2016 - Learning from failure: the need for independent safety investigation in healthcare. June 3, 2016 Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939. https://psnet.ahrq.gov/issue/learning-failure-n…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47109/psn-pdf
    June 06, 2018 - Principles of automation for patient safety in intensive care: learning from aviation. June 6, 2018 Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jcjq.2017.11.008. https://psnet.ahrq.gov/i…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866813/psn-pdf
    September 25, 2024 - Peer support to promote surgeon well-being: the APSA program experience. September 25, 2024 Fall F, Hu YY, Walker S, et al. Peer support to promote surgeon well-being: the APSA program experience. J Pediatr Surg. 2024;59(9):1665-1671. doi:10.1016/j.jpedsurg.2023.12.022. https://psnet.ahrq.gov/issue/peer-support-pr…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844777/psn-pdf
    September 18, 2019 - Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. September 18, 2019 Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Saf. 2019;15(3):191-197. doi:10…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47761/psn-pdf
    May 22, 2019 - Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. May 22, 2019 Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualitative study. Palliat Med. 2019;33(4…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866825/psn-pdf
    September 25, 2024 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022. September 25, 2024 Rodrick D, Timashenka A, Umscheid C. Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication no. 24-0084 https://psnet.ahrq.gov/issu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46190/psn-pdf
    August 17, 2017 - Preventing harm in the ICU—building a culture of safety and engaging patients and families. August 17, 2017 Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537. doi:10.1097/CCM.0000000000002556. ht…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837668/psn-pdf
    July 13, 2022 - Factors associated with malpractice claim payout: an analysis of closed emergency department claims. July 13, 2022 Gupta K, Szymonifka J, Rivadeneira NA, et al. Factors associated with malpractice claim payout: an analysis of closed emergency department claims. Jt Comm J Qual Patient Saf. 2022;48(9):492-496. doi:1…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43933/psn-pdf
    March 04, 2015 - How informatics nurses use bar code technology to reduce medication errors. March 4, 2015 Gann M. How informatics nurses use bar code technology to reduce medication errors. Nursing (Brux). 2015;45(3):60-6. doi:10.1097/01.NURSE.0000458923.18468.37. https://psnet.ahrq.gov/issue/how-informatics-nurses-use-bar-code-t…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45041/psn-pdf
    September 28, 2016 - Structure and outcomes of interdisciplinary rounds in hospitalized medicine patients: a systematic review and suggested taxonomy. September 28, 2016 Bhamidipati S, Elliott DJ, Justice EM, et al. Structure and outcomes of interdisciplinary rounds in hospitalized medicine patients: A systematic review and suggested …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40693/psn-pdf
    January 08, 2016 - A framework for engaging physicians in quality and safety. January 8, 2016 Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167. https://psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety Promoti…

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