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6461. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72761/psn-pdf
      February 17, 2021 - Using ventilator splitters during the COVID-19 pandemic-- letter to health care providers. February 17, 2021 Silver Spring, MD: Division of Industry and Consumer Education, US Food and Drug Administration; February 9. 2021. https://psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-hea…

6462. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60975/psn-pdf
      September 30, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. September 30, 2020 Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. AHRQ Publication No. 20-0040-3-EF. https://psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic…

6463. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73489/psn-pdf
      July 15, 2021 - A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. July 15, 2021 Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-0054. https://psnet.ahrq.gov/issue…

6464. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39597/psn-pdf
      July 14, 2010 - Ten strategies to improve management of abnormal test result alerts in the electronic health record. July 14, 2010 Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the electronic health record. J Patient Saf. 2010;6(2):121-123. doi:10.1097/PTS.0b013e3181ddf652…

6465. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43701/psn-pdf
      July 03, 2016 - Blink or think: can further reflection improve initial diagnostic impressions? July 3, 2016 Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550. https://psnet.ahrq.gov/issue/blink-or-thi…

6466. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74703/psn-pdf
      January 26, 2022 - Research to improve diagnosis: time to study the real world. January 26, 2022 Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071. https://psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world Diagnostic …

6467. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41721/psn-pdf
      October 03, 2012 - Rural inpatient telepharmacy consultation demonstration for after-hours medication review. October 3, 2012 Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/tmj.2011.0222. https://psnet.ahrq…

6468. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44299/psn-pdf
      November 06, 2015 - Nurse practitioner–led medication reconciliation in critical access hospitals. November 6, 2015 Young L, Barnason S, Hays K, et al. Nurse Practitioner–led Medication Reconciliation in Critical Access Hospitals. The Journal for Nurse Practitioners. 2015;11(5). doi:10.1016/j.nurpra.2015.03.005. https://psnet.ahrq.go…

6469. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60851/psn-pdf
      August 26, 2020 - Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. August 26, 2020 Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344. https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error Challenges to effective clinical reas…

6470. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43819/psn-pdf
      July 16, 2015 - Intercepting wrong-patient orders in a computerized provider order entry system. July 16, 2015 Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed.2014.11.017. https://psnet.ahrq.g…

6471. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40985/psn-pdf
      December 07, 2011 - Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives. December 7, 2011 Styer KA, Ashley SW, Schmidt I, et al. Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives. AORN J. 2011;94(6):590-8. …

6472. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72674/psn-pdf
      January 27, 2021 - The effect of blue-enriched lighting on medical error rate in a university hospital ICU. January 27, 2021 Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j.jcjq.2020.11.007. https://psne…

6473. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45658/psn-pdf
      November 09, 2016 - Hospitals installed more sinks to stop infections. The sinks can make the problem worse. November 9, 2016 Branswell H. STAT. October 25, 2016. https://psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse Hospitals have sought to improve hand hygiene with interventions su…

6474. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/764411/psn-pdf
      March 02, 2022 - Nowhere is safe: record number of patients contracted Covid in the hospital in January. March 2, 2022 Levy R, Vestal AJ. Politico. February 19, 2022. https://psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january Transmission of COVID-19 in the health care setting continues to b…

6475. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60750/psn-pdf
      August 06, 2020 - Missed breast cancer: effects of subconscious bias and lesion characteristics. August 6, 2020 Lamb LR, Mohallem Fonseca M, Verma R, et al. Missed breast cancer: effects of subconscious bias and lesion characteristics. RadioGraphics. 2020;40(4):941-960. doi:10.1148/rg.2020190090. https://psnet.ahrq.gov/issue/missed…

6476. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41536/psn-pdf
      December 31, 2014 - Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. December 31, 2014 Odukoya OK, Chui MA. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. J Am Med Inform Assoc. 2012;19(6):1059-65. doi:10.1136/amiajnl-2011-000779. https://…

6477. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43321/psn-pdf
      August 02, 2015 - Costs associated with surgical site infections in Veterans Affairs hospitals. August 2, 2015 Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. https://psnet.ahrq.gov/issue/costs…

6478. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50940/psn-pdf
      February 26, 2020 - The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units. February 26, 2020 Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing students' performance in prevent…

6479. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838916/psn-pdf
      October 26, 2022 - Falling through the cracks: the invisible hospital cleaning workforce. October 26, 2022 Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. https://psnet.ahrq.gov/issue/falling-throu…

6480. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44830/psn-pdf
      January 01, 2019 - Tune-in and time-out: toward surgeon-led prevention of "never" events. February 17, 2016 Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259. https://psnet.ahrq.gov/issue/tune-and-time-out-toward-surgeon-led-prevention-…