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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73215/psn-pdf
    May 05, 2021 - To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. May 5, 2021 Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2021;26(2):64-73. doi:10.1177/2516043521990…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36614/psn-pdf
    January 14, 2011 - Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. January 14, 2011 Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. Am J Med Qual. 2…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44563/psn-pdf
    October 21, 2015 - The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. October 21, 2015 Samra HA, Smith BA. The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurses' Health: From the National Association of Neonatal Nurs…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47776/psn-pdf
    August 20, 2021 - FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. August 20, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 20, 2021. https://psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical- devices-womens …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36324/psn-pdf
    December 10, 2008 - 2006 Update on Consumers' Views of Patient Safety and Quality Information.  December 10, 2008 Washington DC: Kaiser Family Foundation; 2006. https://psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information This survey follows up on a prior study from 2004, asking patients about their…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35802/psn-pdf
    January 02, 2017 - Reconciliation failures lead to medication errors. January 2, 2017 Santell JP. Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32(4):225-9. https://psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors Medication reconciliation represents an active effort of hospita…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47676/psn-pdf
    December 19, 2018 - Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. December 19, 2018 Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States. JAMA Intern Med. 2018;178(12):1673-1680. doi:10.1001/jamaintern…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853070/psn-pdf
    August 30, 2023 - Activating pharmacists to reduce the frequency of medication-related problems (ACTMed): a stepped wedge cluster randomised trial. August 30, 2023 Spinks J, Violette R, Boyle DIR, et al. Activating pharmacists to reduce the frequency of medication?related problems (ACTMed): a stepped wedge cluster randomised trial.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44405/psn-pdf
    September 02, 2015 - Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. September 2, 2015 Abel G, Lyratzopoulos G. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. BM…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47388/psn-pdf
    March 13, 2019 - Artificial intelligence systems for complex decision- making in acute care medicine: a review. March 13, 2019 Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2. https://psnet.ahrq.gov/issue/artificial-in…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39979/psn-pdf
    November 03, 2010 - Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns. November 3, 2010 Gordon JA, Alexander EK, Lockley SW, et al. Does Simulator-Based Clinical Performance Correlate With Actual Hospital Behavior? The Effec…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43481/psn-pdf
    December 23, 2016 - Managing risk during transition to new ISO tubing connector standards. December 23, 2016 Sentinel Event Alert. August 20, 2014;(53):1-6. https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards The Joint Commission issues sentinel event alerts in response to significant emerg…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74073/psn-pdf
    November 17, 2021 - Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. November 17, 2021 Freeman K, Geppert J, Stinton C, et al. Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. BMJ. 20…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73060/psn-pdf
    March 24, 2021 - How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland. March 24, 2021 Fridrich A, Imhof A, Schwappach DLB. How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland. J Patient Saf. 2021;17(3):217-222. doi…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46603/psn-pdf
    April 12, 2019 - Comparison of internal medicine and general surgery residents' assessments of risk of postsurgical complications in surgically complex patients. April 12, 2019 Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurgical Complications in Surgically …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60601/psn-pdf
    June 17, 2020 - Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. June 17, 2020 Zhang LM, Ellis RJ, Ma M, et al. Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. JAMA. 2020;323(20):2093-2095. doi:10.1001/jama.2020.2901. https://psnet.ahrq.gov/i…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73085/psn-pdf
    January 01, 2022 - Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error. March 31, 2021 Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences of a dual element training interve…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35540/psn-pdf
    August 05, 2009 - Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. August 5, 2009 Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to- physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9. …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73318/psn-pdf
    May 26, 2021 - Interprofessional and intraprofessional communication about older people's medications across transitions of care. May 26, 2021 Manias E, Bucknall T, Woodward-Kron R, et al. Interprofessional and intraprofessional communication about older people's medications across transitions of care. Int J Environ Res Public H…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60293/psn-pdf
    May 06, 2020 - Blueprint for restructuring a department of surgery in concert with the health care system during a pandemic: the University of Wisconsin Experience. May 6, 2020 Zarzaur BL, Stahl CC, Greenberg JA, et al. Blueprint for restructuring a department of surgery in concert with the health care system during a pandemic: …
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