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6301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45503/psn-pdf
      October 29, 2017 - All CLEAR? Preparing for IT downtime. October 29, 2017 Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546. https://psnet.ahrq.gov/issue/all-clear-preparing-it-downtime Due to the increasing integration of health care proc…

6302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35644/psn-pdf
      January 18, 2006 - Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory. January 18, 2006 Tsai JJ, Yeun JY, Kumar VA, et al. Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory. Am J Kidney Dis. 2005;46(5):82…

6303. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73971/psn-pdf
      October 13, 2021 - Safety culture as a patient safety practice for alarm fatigue. October 13, 2021 Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…

6304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836864/psn-pdf
      April 06, 2022 - Improving the specificity of drug-drug interaction alerts: can it be done? April 6, 2022 Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045. https://psnet.ahrq.gov/issue/improving-specif…

6305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45910/psn-pdf
      March 08, 2017 - Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. March 8, 2017 Ottawa, ON: Canadian Agency for Drugs and Technologies in Health; 2016. https://psnet.ahrq.gov/issue…

6306. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73606/psn-pdf
      August 18, 2021 - Broadening the concept of patient safety culture through value-based healthcare. August 18, 2021 Dombrádi V, Bíró K, Jonitz G, et al. Broadening the concept of patient safety culture through value-based healthcare. J Health Organ Manag. 2021;35(5):541-549. doi:10.1108/jhom-07-2020-0287. https://psnet.ahrq.gov/issu…

6307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836999/psn-pdf
      April 27, 2022 - Toolkit for Preventing CLABSI and CAUTI in ICUs. April 27, 2022 Rockville, MD: Agency for Healthcare Research and Quality; April 2022. https://psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus Healthcare-associated infections can result in significant morbidity and mortality. Developed by AHRQ, this cu…

6308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844792/psn-pdf
      January 01, 2020 - Surgical data recording technology: a solution to address medical errors? September 18, 2019 Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors…

6309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45048/psn-pdf
      April 13, 2016 - Do not let "Depo-" medications be a depot for mistakes. April 13, 2016 ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4. https://psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes Confusion due to look-alike and sound-alike medications are known to contribute to medication err…

6310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45801/psn-pdf
      August 03, 2017 - Overcoming diagnostic errors in medical practice. August 3, 2017 Bordini BJ, Stephany A, Kliegman RM. Overcoming Diagnostic Errors in Medical Practice. J Pediatr. 2017;185. doi:10.1016/j.jpeds.2017.02.065. https://psnet.ahrq.gov/issue/overcoming-diagnostic-errors-medical-practice This commentary describes a progra…

6311. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48111/psn-pdf
      July 10, 2019 - Medication Safety in Key Action Areas. July 10, 2019 Geneva, Switzerland: World Health Organization; 2019. https://psnet.ahrq.gov/issue/medication-safety-key-action-areas Reducing adverse medication events is a worldwide challenge. This collection of technical reports explores key areas of concern that require act…

6312. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43331/psn-pdf
      July 09, 2014 - Open wide: looking into the safety culture of dental school clinics. July 9, 2014 Ramoni R, Walji MF, Tavares A, et al. Open wide: looking into the safety culture of dental school clinics. J Dent Edu. 2014;78(5):745-756. https://psnet.ahrq.gov/issue/open-wide-looking-safety-culture-dental-school-clinics Researche…

6313. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47792/psn-pdf
      May 01, 2019 - New evidence on stemming low-value prescribing. May 1, 2019 Sacarny A, Barnett ML, Agrawal S. NEJM Catalyst. April 10, 2019. https://psnet.ahrq.gov/issue/new-evidence-stemming-low-value-prescribing Overprescribing contributes to polypharmacy, antibiotic resistance, and opioid misuse. This commentary discusses stra…

6314. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43778/psn-pdf
      April 22, 2015 - Meet the cancer patient in room 52: his name is Joseph, but call him Joe. April 22, 2015 Sun LH. https://psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe This newspaper article reports on a pilot program which involved redesigning intensive care unit processes to enhance staff knowled…

6315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50387/psn-pdf
      September 25, 2019 - Special Issue on Prescription Drug Misuse. September 25, 2019 Rickles NM, Fleming ML, Björnsdottir I, eds. Res Social Adm Pharm. 2019;15:907-1056. https://psnet.ahrq.gov/issue/special-issue-prescription-drug-misuse This special issue reviews research initiatives exploring persistent challenges associated with the …

6316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48142/psn-pdf
      August 21, 2019 - Six ways to lower errors—and unnecessary surgeries—in radiology exams. August 21, 2019 Panner M. Forbes. August 12, 2019. https://psnet.ahrq.gov/issue/six-ways-lower-errors-and-unnecessary-surgeries-radiology-exams Diagnostic errors can result in harm across the spectrum of practice. Discussing cognitive and syste…

6317. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47904/psn-pdf
      April 24, 2019 - Air pressure: human factors are the key to a safer flight environment. April 24, 2019 Erich J. EMS World. April 2019;48:26-31. https://psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment Air transport service combines risks associated with both aviation and prehospital trauma care. Thi…

6318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46341/psn-pdf
      August 16, 2017 - In treating sepsis, questions about timing and mandates. August 16, 2017 Abbasi J. In Treating Sepsis, Questions About Timing and Mandates. JAMA. 2017;318(6):506-508. doi:10.1001/jama.2017.7997. https://psnet.ahrq.gov/issue/treating-sepsis-questions-about-timing-and-mandates Delayed treatment of sepsis can result …

6319. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45549/psn-pdf
      October 12, 2016 - Preventing diagnostic errors in primary care. October 12, 2016 Ely JW, Graber ML. Preventing Diagnostic Errors in Primary Care. Am Fam Physician. 2016;94(6):426-32. https://psnet.ahrq.gov/issue/preventing-diagnostic-errors-primary-care The Improving Diagnosis in Health Care report advocated for enhancing patient en…

6320. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38226/psn-pdf
      February 18, 2011 - Critical events in the lives of interns. February 18, 2011 Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. https://psnet.ahrq.gov/issue/critical-events-lives-interns Resident physicians remain at high risk for burno…