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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45361/psn-pdf
    December 22, 2018 - Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. December 22, 2018 Hauck KD, Wang S, Vincent CA, et al. Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient Safety Incidents: Empirical Evidence From English Hospitals. Med Care. 2017;5…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60958/psn-pdf
    September 30, 2020 - Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retrospective case series. September 30, 2020 Bergrath S, Aretz O, Haake H, et al. Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retr…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46999/psn-pdf
    June 27, 2018 - Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. June 27, 2018 Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and- polsts Patient harm associated with adva…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50745/psn-pdf
    December 18, 2019 - Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. December 18, 2019 Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. BMJ Open. 2019;9(1…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38517/psn-pdf
    February 17, 2011 - Use of electronic health records in US hospitals. February 17, 2011 Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592. https://psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals Increasing the use of electronic health records (EHRs)…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44150/psn-pdf
    August 21, 2015 - Reflection on adverse event disclosure in the postsurgical hospital context. August 21, 2015 Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016. https://psnet.ahrq.gov/issue/reflection…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866314/psn-pdf
    July 17, 2024 - Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. July 17, 2024 Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. Am J Clin Pathol.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45683/psn-pdf
    January 23, 2017 - Consensus bundle on prevention of surgical site infections after major gynecologic surgery. January 23, 2017 Pellegrini JE, Toledo P, Soper DE, et al. Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery. Obstet Gynecol. 2017;129(1):50-61. doi:10.1097/AOG.0000000000001751. htt…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44257/psn-pdf
    November 06, 2015 - A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. November 6, 2015 Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. J Healthc Qual. 2015;37(3):…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43799/psn-pdf
    January 07, 2015 - Omission of high-alert medications: a hidden danger. January 7, 2015 Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. https://psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger Analyzing incidents reported over a 4-month period, this article reveals that 21% of 2700 med…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45696/psn-pdf
    January 23, 2017 - Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. January 23, 2017 McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. Educ Prim Care. 2016;27(6):443-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46357/psn-pdf
    May 17, 2018 - Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. May 17, 2018 Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia. A & A Practice. 2017;10(10). doi:10.1213/xaa.0000000000000680. https://psnet.ahrq…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47422/psn-pdf
    October 31, 2018 - The influence of stress responses on surgical performance and outcomes: literature review and the development of the surgical stress effects (SSE) framework. October 31, 2018 Chrouser KL, Xu J, Hallbeck S, et al. The influence of stress responses on surgical performance and outcomes: Literature review and the dev…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43543/psn-pdf
    November 05, 2014 - A patient safety approach to setting pass/fail standards for basic procedural skills checklists. November 5, 2014 Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Simul Healthc. 2014;9(5):277-82. doi:10.1097/SIH.000000000000004…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866119/psn-pdf
    June 12, 2024 - Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. June 12, 2024 Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An American College of Physicians Policy Position Paper. Ann Intern Med. 2024;177(7):964…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45100/psn-pdf
    June 15, 2016 - Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. June 15, 2016 Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerized diabetes management with decisi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73420/psn-pdf
    June 23, 2021 - Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. June 23, 2021 Norris B, Soncrant C, Mills PD, et al. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2021;47(8):489-495. doi:10…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47409/psn-pdf
    April 16, 2019 - Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. April 16, 2019 Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. J Healthc Risk Manag. 2019;38(4):32-42. doi:10.1002/jhrm.…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37960/psn-pdf
    September 24, 2010 - A survey of the impact of disruptive behaviors and communication defects on patient safety. September 24, 2010 Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patient Saf. 2008;34(8):464-471. https://psnet.ahrq.gov/issue/survey-i…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47077/psn-pdf
    May 23, 2018 - World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. May 23, 2018 Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards fo…
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