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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48028/psn-pdf
    August 28, 2019 - Error Reduction and Prevention in Surgical Pathology, Second Edition. August 28, 2019 Nakhleh RE, Volmar KE, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030184636. https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition Surgical specimen and laboratory process proble…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838137/psn-pdf
    September 21, 2022 - How insight contributes to diagnostic excellence. September 21, 2022 Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311- 315. doi:10.1515/dx-2022-0007. https://psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence Improving diagnostic reasoning skil…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74186/psn-pdf
    January 01, 2022 - Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation. December 15, 2021 Jomaa C, Dubois C?A, Caron I, et al. Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation. J Adv Nurs. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74724/psn-pdf
    February 02, 2022 - Using smart IV infusion pumps outside of patient rooms. February 2, 2022 Messing EG, Abraham RS, Quinn NJ, et al. Using smart IV infusion pumps outside of patient rooms. Am J Nurs. 2022;122(2). doi:10.1097/01.naj.0000819772.45006.5d. https://psnet.ahrq.gov/issue/using-smart-iv-infusion-pumps-outside-patient-rooms …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72813/psn-pdf
    March 10, 2021 - Racial/ethnic inequities in pregnancy-related morbidity and mortality. March 10, 2021 Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and mortality. Obstet Gynecol Clin North Am. 2021;48(1):31-51. doi:10.1016/j.ogc.2020.11.005. https://psnet.ahrq.gov/issue/racialet…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840163/psn-pdf
    November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45035/psn-pdf
    January 23, 2017 - Premature closure? Not so fast. January 23, 2017 Dhaliwal G. Premature closure? Not so fast. BMJ Qual Saf. 2017;26(2):87-89. doi:10.1136/bmjqs-2016- 005267. https://psnet.ahrq.gov/issue/premature-closure-not-so-fast Analyzing clinician decision making is increasingly suggested as a strategy to reduce diagnostic er…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47514/psn-pdf
    October 31, 2018 - Making Hospitals Safe for People With Diabetes. October 31, 2018 Watts E, Rayman G. Diabetes UK. London, UK; 2018. https://psnet.ahrq.gov/issue/making-hospitals-safe-people-diabetes Chronic disease management can add complexity to inpatient care regimens. Researchers worked with patients, system leaders, and clini…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837695/psn-pdf
    July 20, 2022 - Narrowing the mindware gap in medicine. July 20, 2022 Croskerry P. Narrowing the mindware gap in medicine. Diagnosis (Berl). 2022;9(2):176-183. doi:10.1515/dx-2020-0128. https://psnet.ahrq.gov/issue/narrowing-mindware-gap-medicine In dual process thinking, Type 1 decisions are made rapidly, but can result in diagn…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74011/psn-pdf
    October 27, 2021 - Dashboards for visual display of patient safety data: a systematic review. October 27, 2021 Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437. https://psnet.ahrq.gov/issue/dash…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46501/psn-pdf
    March 20, 2018 - Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. March 20, 2018 Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.7104. https://psnet.ahrq.gov/issue/blind…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47681/psn-pdf
    January 30, 2019 - Infection prevention in the operating room anesthesia work area. January 30, 2019 Munoz-Price S, Bowdle A, Johnston L, et al. Infection prevention in the operating room anesthesia work area. Infect Control Hosp Epidemiol. 2018:1-17. doi:10.1017/ice.2018.303. https://psnet.ahrq.gov/issue/infection-prevention-operat…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46640/psn-pdf
    August 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41717/psn-pdf
    September 01, 2016 - A clinical data warehouse-based process for refining medication orders alerts. September 1, 2016 Boussadi A, Caruba T, Zapletal E, et al. A clinical data warehouse-based process for refining medication orders alerts. J Am Med Inform Assoc. 2012;19(5):782-5. doi:10.1136/amiajnl-2012-000850. https://psnet.ahrq.gov/i…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844800/psn-pdf
    September 25, 2019 - Patient Options for Safe and Effective Disposal of Unused Opioids. September 25, 2019 Washington, DC: United States Government Accountability Office; September 2019. Publication GAO-19- 650. https://psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids One strategy to reduce the potentia…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47881/psn-pdf
    July 10, 2019 - Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine. July 10, 2019 Howard J. Cham, Switzerland: Springer Nature Switzerland; 2019. ISBN: 9783319932231. https://psnet.ahrq.gov/issue/cognitive-errors-and-diagnostic-mistakes-case-based-guide-critical-thinking- medicine Cogni…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43045/psn-pdf
    August 02, 2015 - A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. August 2, 2015 Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862613/psn-pdf
    February 14, 2024 - Standardizing medication reconciliation in a pediatric emergency department. February 14, 2024 Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964. https://psnet.ahrq.gov/issue/st…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61047/psn-pdf
    October 21, 2020 - COVID-19: an emerging threat to antibiotic stewardship in the emergency department. October 21, 2020 Pulia M, Wolf I, Schulz L, et al. COVID-19: an emerging threat to antibiotic stewardship in the emergency department. West J Emerg Med. 2020;21(5):1283-1286. doi:10.5811/westjem.2020.7.48848. https://psnet.ahrq.gov…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45373/psn-pdf
    November 18, 2016 - Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. November 18, 2016 Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi:10.1016/j.ajic.2016.03.073. ht…