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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44336/psn-pdf
    November 03, 2015 - Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis. November 3, 2015 Szymczak JE, Smathers S, Hoegg C, et al. Reasons Why Physicians and Advanced Practice Clinicians Work While Sick: A Mixed-Methods Analysis. JAMA Pediatr. 2015;169(9):815-821. doi:10.1001/jamapediatri…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46197/psn-pdf
    September 24, 2017 - Implementation and evaluation of a prototype consumer reporting system for patient safety events. September 24, 2017 Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer reporting system for patient safety events. Int J Qual Health Care. 2017;29(4):521-526. doi:10.1093/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865879/psn-pdf
    May 15, 2024 - Strategies that facilitate the delivery of exceptionally good patient care in general practice: a qualitative study with patients and primary care professionals. May 15, 2024 O’Malley R, O’Connor P, Lydon S. Strategies that facilitate the delivery of exceptionally good patient care in general practice: a qualitati…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37478/psn-pdf
    February 22, 2011 - Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. February 22, 2011 Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.1007/s11606-007- 0414-y. https://p…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46529/psn-pdf
    November 08, 2017 - Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. November 8, 2017 Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. J Am Med Inform Assoc. 2017;24(6):1204-1210. doi:10.10…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850162/psn-pdf
    June 07, 2023 - Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. June 7, 2023 Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechn…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45535/psn-pdf
    January 23, 2017 - Surgical specimen management: a descriptive study of 648 adverse events and near misses. January 23, 2017 Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396. https://psnet.ahrq.gov/issue/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865973/psn-pdf
    May 29, 2024 - Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. May 29, 2024 Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing letters and cognitive, behavioral…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41993/psn-pdf
    April 21, 2015 - Simulation-based trial of surgical-crisis checklists. April 21, 2015 Arriaga AF, Bader AM, Wong JM, et al. Simulation-based trial of surgical-crisis checklists. N Engl J Med. 2013;368(3):246-53. doi:10.1056/NEJMsa1204720. https://psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists Surgical check…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850161/psn-pdf
    June 07, 2023 - Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. June 7, 2023 Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysis of the nature and contributory fa…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47178/psn-pdf
    July 10, 2018 - Defining, estimating, and communicating overdiagnosis in cancer screening. July 10, 2018 Davies L, Petitti DB, Martin L, et al. Defining, estimating, and communicating overdiagnosis in cancer screening. Ann Intern Med. 2018;169(1):36-43. doi:10.7326/M18-0694. https://psnet.ahrq.gov/issue/defining-estimating-and-co…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858163/psn-pdf
    December 13, 2023 - Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. December 13, 2023 Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. BMC Prim …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46119/psn-pdf
    August 15, 2018 - Incidence and predictors of opioid prescription at discharge after traumatic injury. August 15, 2018 Chaudhary MA, Schoenfeld AJ, Harlow AF, et al. Incidence and Predictors of Opioid Prescription at Discharge After Traumatic Injury. JAMA Surg. 2017;152(10):930-936. doi:10.1001/jamasurg.2017.1685. https://psnet.ahr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37923/psn-pdf
    July 23, 2008 - Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. July 23, 2008 Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260. doi:10.2146/ajhp0…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40405/psn-pdf
    February 10, 2015 - The social cost of adverse medical events, and what we can do about it. February 10, 2015 Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256. https://psnet.ahrq.gov/issue/social-cost-adv…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47704/psn-pdf
    April 03, 2019 - Changes in practice among physicians with malpractice claims. April 3, 2019 Studdert DM, Spittal MJ, Zhang Y, et al. Changes in Practice among Physicians with Malpractice Claims. N Engl J Med. 2019;380(13):1247-1255. doi:10.1056/NEJMsa1809981. https://psnet.ahrq.gov/issue/changes-practice-among-physicians-malpract…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37386/psn-pdf
    January 06, 2017 - Medication reconciliation in ambulatory oncology. January 6, 2017 Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7. https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology The Joint Commission mandates systems…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38639/psn-pdf
    May 20, 2009 - Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. May 20, 2009 McCreadie G, Oliver TB. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36279/psn-pdf
    May 27, 2011 - Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. May 27, 2011 Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. Am J Manag Care. 2006;12(7):389…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43447/psn-pdf
    November 20, 2015 - Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. November 20, 2015 Richter J, McAlearney AS, Pennell ML. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Am J Med Qual. 2015;30(6):550-8. doi:…

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