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  1. psnet.ahrq.gov/issue/when-doctor-too-old-job
    March 04, 2020 - Newspaper/Magazine Article When is a doctor too old for the job? Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 18, 2019 Potential deterioration of an aging surgeon's…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42412/psn-pdf
    October 07, 2013 - Quality and safety implications of emergency department information systems. October 7, 2013 Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.2013.05.019. https://psnet.ahrq.gov/issue/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61114/psn-pdf
    November 11, 2020 - A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. November 11, 2020 Gibson R, MacLeod N, Donaldson LJ, et al. A mixed?methods analysis of patient safety incidents involving opioid substitution …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864858/psn-pdf
    March 20, 2024 - Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi- institutional evaluation. March 20, 2024 Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-Institutional evaluation. J A…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47282/psn-pdf
    August 08, 2018 - Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. August 8, 2018 Singh A, Adams A, Dudley B, et al. Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. BMJ Open Qual. 2018;7(3):e000312. doi:10.1136/bmjoq-2017-000312. ht…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45872/psn-pdf
    April 13, 2017 - Finding diagnostic errors in children admitted to the PICU. April 13, 2017 Davalos MC, Samuels K, Meyer AND, et al. Finding diagnostic errors in children admitted to the PICU. Pediatr Crit Care Med. 2017;18(3):265-271. doi:10.1097/PCC.0000000000001059. https://psnet.ahrq.gov/issue/finding-diagnostic-errors-childre…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74833/psn-pdf
    February 16, 2022 - Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial. February 16, 2022 Zerah L, Henrard S, Thevelin S, et al. Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial. Age Ag…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866864/psn-pdf
    October 02, 2024 - Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). October 2, 2024 Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the P…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44103/psn-pdf
    July 08, 2015 - Results of survey on pediatric medication safety—part 1 and part 2. July 8, 2015 ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5. https://psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2 Hospitalized children are susceptible to medication …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46565/psn-pdf
    January 23, 2019 - Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. January 23, 2019 Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era Missed an…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48193/psn-pdf
    August 28, 2019 - Automated detection of wrong-drug prescribing errors. August 28, 2019 Lambert BL, Galanter W, Liu KL, et al. Automated detection of wrong-drug prescribing errors. BMJ Qual Saf. 2019;28(11):908-915. doi:10.1136/bmjqs-2019-009420. https://psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors Look-al…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44965/psn-pdf
    February 15, 2017 - Identification and Prioritization of Health IT Patient Safety Measures. February 15, 2017 Washington, DC: National Quality Forum; February 2016. https://psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures Health information technology (IT) has transformed health care and improv…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36150/psn-pdf
    September 29, 2010 - Nurse-physician communication during labor and birth: implications for patient safety. September 29, 2010 Simpson KR, James DC, Knox E. Nurse-physician communication during labor and birth: implications for patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(4):547-56. https://psnet.ahrq.gov/issue/nurse-physic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42169/psn-pdf
    September 07, 2016 - National survey on the effect of oncology drug shortages on cancer care. September 7, 2016 McBride A, Holle LM, Westendorf C, et al. National survey on the effect of oncology drug shortages on cancer care. Am J Health Syst Pharm. 2013;70(7):609-17. doi:10.2146/ajhp120563. https://psnet.ahrq.gov/issue/national-surv…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846449/psn-pdf
    March 22, 2023 - Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. March 22, 2023 Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and the Operating Room (OR) Black Box t…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72670/psn-pdf
    January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41898/psn-pdf
    December 05, 2012 - Pharmacy dispensing of electronically discontinued medications. December 5, 2012 Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med. 2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006. https://psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43707/psn-pdf
    November 26, 2014 - America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. November 26, 2014 Oakbrook Terrace, IL: The Joint Commission; November 2014. https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual- report-2014 This Joint Commission annual…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867084/psn-pdf
    November 06, 2024 - Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. November 6, 2024 Ouanes K, Farhah N. Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. J Med Syst. 2024;48(1):74. doi:10.1007/s10916-024-02098-4. https://psnet.a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40993/psn-pdf
    December 14, 2011 - Anticoagulation-associated adverse drug events. December 14, 2011 Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med. 2011;124(12). doi:10.1016/j.amjmed.2011.06.009. https://psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events Warfarin and other anticoagulan…