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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38290/psn-pdf
    February 17, 2011 - Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. February 17, 2011 Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. https://psnet.ahrq.gov/issue/revisitin…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61096/psn-pdf
    November 04, 2020 - Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. November 4, 2020 Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e50-e56. https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist- professional-liability Des…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44148/psn-pdf
    November 06, 2015 - Role of cognition in generating and mitigating clinical errors. November 6, 2015 Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482. https://psnet.ahrq.gov/issue/role-cognition-generating-and-miti…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34649/psn-pdf
    June 11, 2014 - On error management: lessons from aviation. June 11, 2014 Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. https://psnet.ahrq.gov/issue/error-management-lessons-aviation In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60846/psn-pdf
    January 01, 2021 - Safety climate associated with adverse events in nursing homes: a national VA study. August 26, 2020 Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.2020.05.028. https://psnet.ahrq.go…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866115/psn-pdf
    June 12, 2024 - Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. June 12, 2024 Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. BMJ Open. 2024;14(5):e0…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38224/psn-pdf
    February 18, 2011 - Hospital readmissions: physician awareness and communication practices. February 18, 2011 Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s11606-008-0848-x. https://psnet.ahrq.gov/issue/hospital-readmission…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865967/psn-pdf
    May 29, 2024 - Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. May 29, 2024 Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. Diagnosis…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45895/psn-pdf
    February 22, 2017 - Opioids for pain management in older adults: strategies for safe prescribing. February 22, 2017 Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10. https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing Use…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47109/psn-pdf
    June 06, 2018 - Principles of automation for patient safety in intensive care: learning from aviation. June 6, 2018 Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jcjq.2017.11.008. https://psnet.ahrq.gov/i…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862152/psn-pdf
    February 07, 2024 - Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. February 7, 2024 Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45763/psn-pdf
    December 19, 2017 - Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers. December 19, 2017 Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and communicating prescription transfers. Res Social Adm Pharm. 2017;13(6):1191-1195. doi:10.1016/j.s…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35726/psn-pdf
    February 09, 2011 - Sleep deprivation and clinical performance. February 9, 2011 Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7. https://psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance This review discusses evidence for the role sleep deprivation plays on performance in…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73257/psn-pdf
    December 01, 2021 - Peer Review of a Report on Strategies to Improve Patient Safety. May 12, 2021 Washington DC: National Academies of Sciences, Engineering, and Medicine; 2021. ISBN: 9780309462808. https://psnet.ahrq.gov/issue/peer-review-report-strategies-improve-patient-safety The Patient Safety and Quality Improvement Act of 200…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46190/psn-pdf
    August 17, 2017 - Preventing harm in the ICU—building a culture of safety and engaging patients and families. August 17, 2017 Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537. doi:10.1097/CCM.0000000000002556. ht…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73280/psn-pdf
    May 19, 2021 - Rates of serious surgical errors in California and plans to prevent recurrence. May 19, 2021 Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058. https://psnet.ahrq.gov/issue/rates-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46375/psn-pdf
    November 29, 2017 - Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. November 29, 2017 Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038. doi:10.1136/bmjoq-2017-000038. ht…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836996/psn-pdf
    April 27, 2022 - Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study. April 27, 2022 Staal J, Speelman M, Brand R, et al. Does a suggested diagnosis in a general practitioners’ referral question impact diagnostic reasoning: an experimental study. BMC Med Educ.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46654/psn-pdf
    December 13, 2017 - Organisational paradoxes in speaking up for safety: implications for the interprofessional field. December 13, 2017 Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field. J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561820.2017.1321305. https://psnet.ahr…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865919/psn-pdf
    May 22, 2024 - Potentially avoidable hospitalizations among historically marginalized nursing home residents. May 22, 2024 Estrada LV, Barcelona V, Dhingra L, et al. Potentially avoidable hospitalizations among historically marginalized nursing home residents. JAMA Netw Open. 2024;7(5):e249312. doi:10.1001/jamanetworkopen.2024.9…

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