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  1. psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
    December 07, 2011 - Study Emerging Classic Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. Citation Text: Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46377/psn-pdf
    October 29, 2017 - Why it is so hard to talk about overuse in pediatrics and why it matters. October 29, 2017 Ralston SL, Schroeder AR. Why It Is So Hard to Talk About Overuse in Pediatrics and Why It Matters. JAMA Pediatr. 2017;171(10):931-932. doi:10.1001/jamapediatrics.2017.2239. https://psnet.ahrq.gov/issue/why-it-so-hard-talk-a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45539/psn-pdf
    November 18, 2016 - Overuse of medical imaging and its radiation exposure: who’s minding our children? November 18, 2016 Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2147. https://psnet.ahrq.gov/issue/o…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46364/psn-pdf
    September 24, 2017 - Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. September 24, 2017 Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, et al. Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. Expert Opin Drug Saf. 2017;16(10):…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43336/psn-pdf
    July 09, 2014 - Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? July 9, 2014 Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855095/psn-pdf
    November 08, 2023 - Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. November 8, 2023 Milic V, Cameron L, Jones C. Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Br J Nurs. 2023;32(17):840-848. doi:10.12968/bjo…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45845/psn-pdf
    December 19, 2017 - You can't blame the wreck on the train. December 19, 2017 Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978. doi:10.1016/j.amjsurg.2016.11.046. https://psnet.ahrq.gov/issue/you-cant-blame-wreck-train Insufficient supervision can limit resident education, which may increase risks to p…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46070/psn-pdf
    May 10, 2017 - Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review. May 10, 2017 Ock M, Lim SY, Jo M-W, et al. Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Review. J Prev Med Public Health. 2017…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46270/psn-pdf
    April 16, 2018 - Impact of a restraint management bundle on restraint use in an intensive care unit. April 16, 2018 Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.0000000000000273. https://psnet.ahrq.gov…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865661/psn-pdf
    April 24, 2024 - Pay-for-performance and patient safety in acute care: a systematic review. April 24, 2024 Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. https://psnet.ahrq.gov/issue/pay-pe…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50569/psn-pdf
    October 23, 2019 - Design and implementation of a tool for pharmacists to register potential errors in prescribed medication. October 23, 2019 Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication. Stud Health Technol Inform. 2019;264:581-585. d…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46456/psn-pdf
    February 28, 2018 - Drug calculation ability of qualified paramedics: a pilot study. February 28, 2018 Boyle MJ, Eastwood K. Drug calculation ability of qualified paramedics: A pilot study. World J Emerg Med. 2018;9(1):41-45. doi:10.5847/wjem.j.1920-8642.2018.01.006. https://psnet.ahrq.gov/issue/drug-calculation-ability-qualified-par…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46811/psn-pdf
    May 17, 2018 - A surgical procedure grid for safety and operating room communication in multisite surgery. May 17, 2018 Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.1001/jamafacial.2017.2049. https://psnet.a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60255/psn-pdf
    April 22, 2020 - Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. April 22, 2020 Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/16199. https://psnet.ahrq.gov/issu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47108/psn-pdf
    June 06, 2018 - Cognitive bias in clinical practice—nurturing healthy skepticism among medical students. June 6, 2018 Bhatti A. Cognitive bias in clinical practice - nurturing healthy skepticism among medical students. Adv Med Educ Pract. 2018;9:235-237. doi:10.2147/AMEP.S149558. https://psnet.ahrq.gov/issue/cognitive-bias-clinic…
  17. 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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74097/psn-pdf
    November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. November 24, 2021 De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508. https://psnet.ahrq.gov/iss…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47160/psn-pdf
    August 08, 2018 - Preventing dispensing errors by alerting for drug confusions in the pharmacy information system—a survey of users. August 8, 2018 Campmans Z, van Rhijn A, Dull RM, et al. Preventing dispensing errors by alerting for drug confusions in the pharmacy information system-A survey of users. PLoS One. 2018;13(5):e0197469…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74169/psn-pdf
    December 08, 2021 - Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. December 8, 2021 Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021. https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution- bl…

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