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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35207/psn-pdf
    December 19, 2009 - Patient safety concerns arising from test results that return after hospital discharge. December 19, 2009 Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143(2):121-128. https://psnet.ahrq.gov/issue/patient-safety-concer…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46249/psn-pdf
    July 12, 2017 - Zero preventable deaths after traumatic injury: an achievable goal. July 12, 2017 Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8. doi:10.1097/ta.0000000000001425. https://psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal Criti…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43860/psn-pdf
    March 25, 2015 - Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. March 25, 2015 Webb J. Drug Topics. March 10, 2015. https://psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic- vigilance Pharmacies can serve as gatekeepers to ensure patients receive the corre…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46154/psn-pdf
    June 07, 2017 - Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey. June 7, 2017 Lee JS, Hu HM, Brummett CM, et al. Postoperative Opioid Prescribing and the Pain Scores on Hospital Consumer Assessment of Healthcare Providers and Systems Survey. JAMA. 201…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44368/psn-pdf
    September 29, 2017 - A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. September 29, 2017 Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838922/psn-pdf
    October 26, 2022 - Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care managers: a randomized clinical trial. October 26, 2022 Sacarny A, Safran E, Steffel M, et al. Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by pr…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46247/psn-pdf
    August 08, 2018 - Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. August 8, 2018 van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a Meeting Sponsored by the Anesthesia Pat…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47869/psn-pdf
    April 17, 2019 - Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. April 17, 2019 Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;239:309-319. doi:10.1016/j.jss.20…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73956/psn-pdf
    October 13, 2021 - Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study. October 13, 2021 Zaheer S, Ginsburg LR, Wong HJ, et al. Acute care nurses’ perceptions of leadership, teamwork, turnover intention and patient safety – a mixed methods study. BMC Nurs. 2021;20(1):…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865659/psn-pdf
    April 24, 2024 - Diagnostic error in mental health: a review. April 24, 2024 Bradford A, Meyer AND, Khan S, et al. Diagnostic error in mental health: a review. BMJ Qual Saf. 2024;33(10):663-672. doi:10.1136/bmjqs-2023-016996. https://psnet.ahrq.gov/issue/diagnostic-error-mental-health-review Diagnostic errors in mental health diso…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73069/psn-pdf
    March 24, 2021 - Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. March 24, 2021 Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler to successful implementation of a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37430/psn-pdf
    February 01, 2011 - Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. February 1, 2011 Wald HL, Kramer AM. Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. JAMA. 2007;298(23):2782-4. doi:10.1001/jama.298.23.2782. https://psnet.ahrq.gov/issue/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50916/psn-pdf
    February 19, 2020 - Patient safety and suicide prevention in mental health services: time for a new paradigm? February 19, 2020 Quinlivan L, Littlewood DL, Webb RT, et al. Patient safety and suicide prevention in mental health services: time for a new paradigm? J Mental Health. 2020;29(1):1-5. doi:10.1080/09638237.2020.1714013. https…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50416/psn-pdf
    September 04, 2019 - Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. September 4, 2019 Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.1016/j.acra.2018.11.006. https://psnet…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44801/psn-pdf
    June 22, 2016 - Safety for all: integrated design for inpatient units. June 22, 2016 Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28. https://psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units Design is emerging as an important tactic to augment safe care delivery. Hospitals that provide care for …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47278/psn-pdf
    August 15, 2018 - Drawing boundaries: the difficulty in defining clinical reasoning. August 15, 2018 Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning. Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0000000000002142. https://psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73352/psn-pdf
    June 02, 2021 - Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. June 2, 2021 Sinha P, Pischel L, Sofair AN. Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. Diagnosis (Berl). 2021;8(2):157-160. doi:10.1515/dx-2020-0129. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50932/psn-pdf
    February 26, 2020 - Clinician-directed performance improvement: moving beyond externally mandated metrics. February 26, 2020 Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. https://psnet.ahrq.gov/issue/clinician-direct…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46473/psn-pdf
    December 18, 2017 - Diagnostic errors: impact of an educational intervention on pediatric primary care. December 18, 2017 Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.07.004. https://psnet.ahrq.gov…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45823/psn-pdf
    May 09, 2017 - The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. May 9, 2017 Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication- related patient harm in the hospital: a systematic review. Br J Clin Pharmacol. 2017;83(5):953-961…

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