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6321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45269/psn-pdf
      November 18, 2016 - Surgeons' disclosures of clinical adverse events. November 18, 2016 Elwy R, Itani KMF, Bokhour BG, et al. Surgeons' Disclosures of Clinical Adverse Events. JAMA Surg. 2016;151(11):1015-1021. doi:10.1001/jamasurg.2016.1787. https://psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events Even though disclo…

6322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863223/psn-pdf
      February 28, 2024 - Prioritizing Patient Safety Through Quality Measurement. February 28, 2024 Centers for Medicare & Medicaid Services, March 6 and 21, 2024.  https://psnet.ahrq.gov/issue/prioritizing-patient-safety-through-quality-measurement Quality measurement intersects with patient safety and care improvement efforts to…

6323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842431/psn-pdf
      January 11, 2023 - Confronting racism in pediatric care. January 11, 2023 Danielson B. Confronting racism in pediatric care. Health Affairs. 2022;41(11):1681-1685. doi:10.1377/hlthaff.2022.01157. https://psnet.ahrq.gov/issue/confronting-racism-pediatric-care Racism is a patient safety issue that is gaining the increased attention ne…

6324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837861/psn-pdf
      August 17, 2022 - Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. August 17, 2022 West S. Kaiser Health News. August 5, 2022. https://psnet.ahrq.gov/issue/skin-cancer-risk-no-matter-skin-tone-it-may-be-overlooked-people-dark-skin The article highlights skin cancer identification pro…

6325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50781/psn-pdf
      January 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic…

6326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72598/psn-pdf
      January 01, 2021 - Hospital medication errors: a cross sectional study. December 23, 2020 ISAACS AN, Ch'ng K, DELHIWALE N, et al. Hospital medication errors: a cross-sectional study. Int J Qual Health Care. 2021;33(1):mzaa136. doi:10.1093/intqhc/mzaa136. https://psnet.ahrq.gov/issue/hospital-medication-errors-cross-sectional-study R…

6327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47386/psn-pdf
      September 19, 2018 - Active-shooter response at a health care facility. September 19, 2018 Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med. 2018;379(6):583-586. doi:10.1056/NEJMms1800582. https://psnet.ahrq.gov/issue/active-shooter-response-health-care-facility Physical and verbal…

6328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38420/psn-pdf
      February 18, 2009 - Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect. February 18, 2009 Kahol K, Satava RM, Ferrara JJ, et al. Effect of Short-Term Pretrial Practice on Surgical Proficiency in Simulated Environments: A Randomized Trial of…

6329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48167/psn-pdf
      August 28, 2019 - ASHP guidelines on perioperative pharmacy services. August 28, 2019 Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073. https://psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services Pharm…

6330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43270/psn-pdf
      June 18, 2014 - Group urges going metric to head off dosing mistakes. June 18, 2014 Budnitz DS, Lovegrove MC, Rose KO. Adherence to Label and Device Recommendations for Over-the- Counter Pediatric Liquid Medications. PEDIATRICS. 2014;133(2). doi:10.1542/peds.2013-2362. https://psnet.ahrq.gov/issue/group-urges-going-metric-head-dos…

6331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34637/psn-pdf
      March 02, 2011 - Risk management: extreme honesty may be the best policy. March 2, 2011 Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med. 1999;131(12):963-967. https://psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy This article reviews a humanistic risk management…

6332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44846/psn-pdf
      August 31, 2016 - Making health care safer: protect patients from antibiotic resistance. August 31, 2016 CDC; Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/making-health-care-safer-protect-patients-antibiotic-resistance Health care–associated infections (HAI) are a worldwide patient safety problem. This a…

6333. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44488/psn-pdf
      September 16, 2015 - Environmental Cleaning for the Prevention of Healthcare- Associated Infections (HAIs). September 16, 2015 Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD: Agency for Healthcare Research and Quality; August 2015. Technical Brief No. 22. AHRQ Publication No. 15- EHC020-EF. https://p…

6334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836972/psn-pdf
      April 20, 2022 - Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). April 20, 2022 Rockville, MD: Agency for Healthcare Research and Quality; April 7, 2022. RFA-HS-22-008. https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and- quality-r18 …

6335. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43874/psn-pdf
      February 25, 2015 - An overview of the use and implementation of checklists in surgical specialities - a systematic review. February 25, 2015 Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):1317-23. doi:10.1016/j.ijsu.2014…

6336. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45386/psn-pdf
      November 23, 2016 - Balancing doctor egos and errors. November 23, 2016 Sweeney JF. Medical Economics. November 10, 2016. https://psnet.ahrq.gov/issue/balancing-doctor-egos-and-errors Disclosure and candor with patients after a medical error has gained support from organizations, clinicians, and patients. This magazine article discus…

6337. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48041/psn-pdf
      July 10, 2019 - Accuracy of computer-aided diagnosis of melanoma: a meta-analysis. July 10, 2019 Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol. 2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1375. https://psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-m…

6338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44617/psn-pdf
      January 22, 2016 - Pediatric prehospital medication dosing errors: a mixed- methods study. January 22, 2016 Hoyle JD, Sleight D, Henry R, et al. Pediatric prehospital medication dosing errors: a mixed-methods study. Prehosp Emerg Care. 2016;20(1):117-124. doi:10.3109/10903127.2015.1061625. https://psnet.ahrq.gov/issue/pediatric-preh…

6339. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44358/psn-pdf
      September 24, 2016 - Interruptions and medication administration in critical care. September 24, 2016 Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185. https://psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical…

6340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848044/psn-pdf
      April 26, 2023 - Effect of a hospital command centre on patient safety: an interrupted time series study. April 26, 2023 Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653. https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study Command centers…