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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837152/psn-pdf
    May 18, 2022 - AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. May 18, 2022 Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and Quality; 2022. AHRQ Publication No. 17(22)-0019. https://psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45745/psn-pdf
    August 02, 2017 - Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. August 2, 2017 Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. Br J Gen Pract. 2017;67(65…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48034/psn-pdf
    May 22, 2019 - Chasing zero harm in radiation oncology: using pre- treatment peer review. May 22, 2019 Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre- treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. https://psnet.ahrq.gov/issue/chasing-zero-harm-ra…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854255/psn-pdf
    October 04, 2023 - Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. October 4, 2023 McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qual. 2023;12(3):e002220. doi:10.11…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854826/psn-pdf
    October 25, 2023 - Observing sources of system resilience using in situ alarm simulations. October 25, 2023 McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. https://psnet.ahrq.gov/issue/observing-sources-system-r…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46129/psn-pdf
    September 28, 2017 - Missed diagnosis of cardiovascular disease in outpatient general medicine: insights from malpractice claims data. September 28, 2017 Quinn GR, Ranum D, Song E, et al. Missed Diagnosis of Cardiovascular Disease in Outpatient General Medicine: Insights from Malpractice Claims Data. Jt Comm J Qual Patient Saf. 2017;43…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47713/psn-pdf
    June 14, 2019 - Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. June 14, 2019 Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. doi:10.1111/jgs.15798. https://psne…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72832/psn-pdf
    March 10, 2021 - Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. March 10, 2021 Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicine; 2021. doi:10.31478/202103a. https:/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60213/psn-pdf
    April 08, 2020 - FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. April 8, 2020 FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. MedWatch Safety Alert. Silv…
  10. 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):…
  11. 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. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836827/psn-pdf
    March 30, 2022 - Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review. March 30, 2022 McCleskey SG, Shek L, Grein J, et al. Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73372/psn-pdf
    June 09, 2021 - Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. June 9, 2021 Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single- center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135. https://psnet.ahrq.gov/issue/imp…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845076/psn-pdf
    February 22, 2023 - Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. February 22, 2023 Giardina TD, Woodard LCD, Singh H. Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. J Gen Intern Med. 2023;38(5):1293-1295. doi:10.1007/s1160…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35332/psn-pdf
    September 21, 2005 - Are language barriers associated with serious medical events in hospitalized pediatric patients? September 21, 2005 Cohen AL. Are Language Barriers Associated With Serious Medical Events in Hospitalized Pediatric Patients? Pediatrics. 2005;116(3):575-579. doi:10.1542/peds.2005-0521. https://psnet.ahrq.gov/issue/ar…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866325/psn-pdf
    July 17, 2024 - "What do health inequities have to do with anything?". July 17, 2024 Kalinowski J. "What do health inequities have to do with anything?". N Engl J Med. 2024;390(23):e61. doi:10.1056/nejmpv2404787. https://psnet.ahrq.gov/issue/what-do-health-inequities-have-do-anything Personal stories of poor care can catalyze the…
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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