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6221. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840164/psn-pdf
      November 16, 2022 - Medical error and vulnerable communities. November 16, 2022 Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392. https://psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities Bias and discrimination are receiving overdue attention as primary barriers to patient safety. This article discusses medical erro…

6222. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42974/psn-pdf
      September 07, 2016 - Chemotherapy drug shortages in pediatric oncology: a consensus statement. September 7, 2016 Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.2013-2946. https://psnet.ahrq.gov/issue/chemotherapy-drug-sh…

6223. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60903/psn-pdf
      March 15, 2023 - AMA Prior Authorization (PA) Physician Survey. March 15, 2023 Chicago, IL: American Medical Association; March 2023.  https://psnet.ahrq.gov/issue/2019-ama-prior-authorization-pa-physician-survey Insurance policies can have consequences that reduce the safety of medical care. This latest version of the study …

6224. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35387/psn-pdf
      September 10, 2009 - A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. September 10, 2009 Carayon P, Gurses AP. A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Intensive Crit Care Nurs. 2005;21(5):284-301. h…

6225. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44576/psn-pdf
      January 23, 2018 - Healthcare Quality and Patient Safety Award. January 23, 2018 Iowa Healthcare Collaborative. https://psnet.ahrq.gov/issue/healthcare-quality-and-patient-safety-award This award seeks to recognize health care organizations and professionals that have exhibited leadership and innovation in improving patient safety i…

6226. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41410/psn-pdf
      May 23, 2012 - The World Health Organization '5 moments of hand hygiene': the scientific foundation. May 23, 2012 Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0301-620X.94B4.27772. https://psnet.ahrq.go…

6227. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40160/psn-pdf
      January 19, 2011 - Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. January 19, 2011 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 10, 2011. https://psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-us…

6228. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50457/psn-pdf
      October 09, 2019 - Combined SNA and LDA methods to understand adverse medical events October 9, 2019 Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. https://psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understa…

6229. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41156/psn-pdf
      March 02, 2012 - The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. March 2, 2012 Böhmer AB, Wappler F, Tinschmann T, et al. The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. Acta Anaesthesiol Scand. 2012;56(…

6230. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35115/psn-pdf
      April 06, 2011 - Factors predictive of intravenous fluid administration errors in Australian surgical care wards. April 6, 2011 Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Qual Saf Health Care. 2005;14(3):179-84. https://psnet.ahrq.gov/issue/factors-…

6231. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72514/psn-pdf
      November 25, 2020 - AI is wrestling with a replication crisis. November 25, 2020 Heaven WD. MIT Technology Review. November 12, 2020. https://psnet.ahrq.gov/issue/ai-wrestling-replication-crisis Lack of transparency of research and development processes are thought to undermine the value of artificial intelligence (AI) and trust in i…

6232. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72652/psn-pdf
      January 20, 2021 - Textbook of Patient Safety and Clinical Risk Management. January 20, 2021 Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022.    https://psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management Foundations and practical exp…

6233. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837858/psn-pdf
      August 17, 2022 - Tackling implicit bias in health care. August 17, 2022 Sabin JA. Tackling implicit bias in health care. N Engl J Med. 2022;387(2):105-107. doi:10.1056/nejmp2201180. https://psnet.ahrq.gov/issue/tackling-implicit-bias-health-care Implicit bias in clinicians can result in diagnostic errors and poor patient outcomes.…

6234. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45777/psn-pdf
      January 11, 2017 - Disclosure of adverse events in pediatrics. January 11, 2017 McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. Pediatrics. 2016;138(6);e20163215. https://psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics Op…

6235. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44143/psn-pdf
      April 15, 2016 - "First, know thyself": cognition and error in medicine. April 15, 2016 Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol. 2016;53(2):169-175. doi:10.1007/s00592-015-0762-8. https://psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine Cognition …

6236. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46661/psn-pdf
      January 26, 2018 - Burnout syndrome among healthcare professionals. January 26, 2018 Bridgeman PJ, Bridgeman MB, Barone J. Burnout syndrome among healthcare professionals. Am J Health Syst Pharm. 2018;75(3):147-152. doi:10.2146/ajhp170460. https://psnet.ahrq.gov/issue/burnout-syndrome-among-healthcare-professionals Burnout affects t…

6237. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48136/psn-pdf
      August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health IT. August 7, 2019 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019. https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it Inconsistent checking for and consideration of drug allergy alerts can d…

6238. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73101/psn-pdf
      April 07, 2021 - Do No Harm: Are We Preventing Medication Errors in Children with Medical Complexity? March 31, 2021 Children's Healthcare Canada. April 7, 2021. https://psnet.ahrq.gov/issue/do-no-harm-are-we-preventing-medication-errors-children-medical-complexity Children are particularly vulnerable to medication errors. This se…

6239. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41946/psn-pdf
      January 09, 2013 - Thirty-day outcomes support implementation of a surgical safety checklist. January 9, 2013 Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012.07.015. https://psnet.ahrq.gov/is…

6240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48179/psn-pdf
      August 21, 2019 - Is WHO's surgical safety checklist being hyped? August 21, 2019 Urbach DR, Dimick JB, Haynes AB, et al. Is WHO's surgical safety checklist being hyped? BMJ. 2019;366:l4700. doi:10.1136/bmj.l4700. https://psnet.ahrq.gov/issue/whos-surgical-safety-checklist-being-hyped Checklists are a popular yet controversial stra…