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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47652/psn-pdf
    February 20, 2019 - Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. February 20, 2019 Washington, DC: Office of the National Coordinator for Health Information Technology; November 28, 2018. https://psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relatin…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43108/psn-pdf
    September 28, 2023 - Maryland Hospital Patient Safety Program Annual Report. September 28, 2023 Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene. https://psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report This annual report summarizes never events in Maryland hospit…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47013/psn-pdf
    April 07, 2019 - An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. April 7, 2019 Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co- prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448. doi:…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47024/psn-pdf
    November 28, 2018 - FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. November 28, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pum…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41217/psn-pdf
    July 02, 2014 - Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. July 2, 2014 DeRienzo CM, Frush K, Barfield ME, et al. Handoffs in the era of duty hours reform: a focused review and strategy to addr…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44947/psn-pdf
    November 18, 2016 - Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. November 18, 2016 Rajaram R, Saadat L, Chung JW, et al. Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. BMJ Qual Saf. 2016;25(12):962-970. doi:10.1136/bmj…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46227/psn-pdf
    October 30, 2017 - Patient engagement with surgical site infection prevention: an expert panel perspective. October 30, 2017 Tartari E, Weterings V, Gastmeier P, et al. Patient engagement with surgical site infection prevention: an expert panel perspective. Antimicrob Resist Infect Control. 2017;6:45. doi:10.1186/s13756-017-0202-3. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60947/psn-pdf
    September 23, 2020 - FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. September 23, 2020 ISMP Medication Safety Alert! Acute care edition. September 10, 2020;25(18) https://psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use- authorizatio…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60013/psn-pdf
    March 04, 2020 - Development and implementation of a suicide prevention checklist to create a safe environment. March 4, 2020 Frost DA, Snydeman CK, Lantieri MJ, et al. Development and Implementation of a Suicide Prevention Checklist to Create a Safe Environment. Psychosomatics. 2019;61(2):154-160. doi:10.1016/j.psym.2019.10.008. …
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44801/psn-pdf
    June 22, 2016 - Safety for all: integrated design for inpatient units. June 22, 2016 Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28. https://psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units Design is emerging as an important tactic to augment safe care delivery. Hospitals that provide care for …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46355/psn-pdf
    October 09, 2017 - Diagnostic reasoning: an endangered competency in internal medicine training. October 9, 2017 Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163. https://psnet.ahrq.gov/issue/diagnostic-reasoning…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41515/psn-pdf
    July 02, 2014 - Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. July 2, 2014 Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. Acad Med. 2012;87(7):895-903.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47099/psn-pdf
    May 16, 2018 - Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. May 16, 2018 Washington, DC: United States Government Accountability Office; April 2018. Publication GAO-18-378. https://psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47520/psn-pdf
    February 06, 2019 - Improving patient safety in developing countries—moving towards an integrated approach. February 6, 2019 Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2054270418786112. https://psnet.a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60974/psn-pdf
    September 30, 2020 - Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic. September 30, 2020 London, UK: General Medical Council; September 14, 2020. https://psnet.ahrq.gov/issue/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60213/psn-pdf
    April 08, 2020 - FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. April 8, 2020 FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. MedWatch Safety Alert. Silv…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43398/psn-pdf
    July 30, 2014 - Strategies to prevent healthcare-associated infections through hand hygiene. July 30, 2014 Ellingson K, Haas JP, Aiello AE, et al. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol. 2014;35(8):937-960. doi:10.1086/677145. https://psnet.ahrq.gov/issue/strateg…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46770/psn-pdf
    January 01, 2021 - A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis. April 11, 2018 Schiess C, Schwappach DLB, Schwendimann R, et al. A Transactional "Second-Victim" Model- Experiences of Affected Healthcare Professionals in Acute-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844802/psn-pdf
    September 18, 2019 - Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. September 18, 2019 DeRosier JM, Hansemann BK, Smith-Wheelock MW, et al. Using Proactive Risk Assessment (HFMEA) to Improve Patient Safety and Quality Associ…