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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45125/psn-pdf
    January 26, 2023 - FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. January 26, 2023 Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Institute for Safe Medication Practices; January 2023. https://psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-name…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847543/psn-pdf
    April 12, 2023 - What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. April 12, 2023 Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):457-469. doi:10.1136/bmjqs-2022- 0…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857445/psn-pdf
    January 01, 2024 - The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. December 6, 2023 Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant b…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865928/psn-pdf
    May 22, 2024 - Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. May 22, 2024 Rotenstein L, Wang H, West CP, et al. Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. Jt Comm J Qual Patient Saf. 2024;50(6):458-462. doi:10.1016/j.jcjq.2024.03.007. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47883/psn-pdf
    May 29, 2019 - Patient Safety in Obstetrics and Gynecology. May 29, 2019 Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in this speci…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862131/psn-pdf
    February 07, 2024 - Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. February 7, 2024 Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved ou…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47026/psn-pdf
    January 23, 2019 - Charter on Physician Well-being. January 23, 2019 Thomas LR, Ripp JA, West CP. Charter on Physician Well-being. JAMA. 2018;319(15):1541-1542. doi:10.1001/jama.2018.1331. https://psnet.ahrq.gov/issue/charter-physician-well-being Clinician burnout is a growing concern with known patient safety implications. This com…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837044/psn-pdf
    May 04, 2022 - How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. May 4, 2022 Doty MM, Horstman C, Shah A et al. Issue Brief. New York, NY: Commonwealth Fund: April 2022. https://psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health- sys…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837039/psn-pdf
    May 04, 2022 - The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. May 4, 2022 Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality an…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60725/psn-pdf
    July 29, 2020 - The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. July 29, 2020 Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decis…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61125/psn-pdf
    November 11, 2020 - The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to- rescue. November 11, 2020 Lin D, Peden CJ, Langness SM, et al. The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deteri…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46606/psn-pdf
    July 10, 2019 - Implementation of a mock root cause analysis to provide simulated patient safety training. July 10, 2019 Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-2017-000096. https://psnet.ahrq.gov/iss…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47680/psn-pdf
    January 16, 2019 - Perioperative medication errors: uncovering risk from behind the drapes. January 16, 2019 Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes The operating room environment harbors particular pat…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34642/psn-pdf
    June 24, 2015 - Human factor in cardiac surgery: errors and near misses in a high technology medical domain. June 24, 2015 Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Thorac Surg. 2001;72(1):300-5. https://psnet.ahrq.gov/issue/human-factor…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836749/psn-pdf
    March 16, 2022 - Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. March 16, 2022 Clift K, Macklin-Mantia S, Barnhorst M, et al. Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. J…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72790/psn-pdf
    March 03, 2021 - Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. March 3, 2021 Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high?income countries. BJOG. 2020;128(4):696-703. doi:10.11…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34707/psn-pdf
    September 29, 2017 - National Patient Safety Foundation agenda for research and development in patient safety. September 29, 2017 Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and development in patient safety. MedGenMed. 2000;2(3):E38. https://psnet.ahrq.gov/issue/national-patient-safe…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46618/psn-pdf
    June 25, 2018 - Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. June 25, 2018 Hassen Y, Singh P, Pucher PH, et al. Identifying quality markers of a safe surgical ward: An interview study of patients, clinical staff, and administrators. Surgery. 2018;163(6):1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37878/psn-pdf
    February 03, 2011 - Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment.  February 3, 2011 van der Togt R, van Lieshout EJ, Hensbroek R, et al. Electromagnetic interference from radio frequency identification inducing potentially hazardous incide…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46862/psn-pdf
    February 21, 2018 - Considering human factors and developing systems- thinking behaviours to ensure patient safety. February 21, 2018 Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical Pharmacist. 2018;10(2). https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-syste…

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