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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866900/psn-pdf
    October 09, 2024 - Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. October 9, 2024 Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. J Patient Saf. 2024;20(7…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45662/psn-pdf
    January 23, 2017 - National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. January 23, 2017 Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;170(12):1195-1201. doi:10.1001/j…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37837/psn-pdf
    June 11, 2008 - Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. June 11, 2008 Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and consequences reported from family medicin…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858164/psn-pdf
    December 13, 2023 - Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. December 13, 2023 Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:10.1001/jamasurg.2023.3673. htt…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60180/psn-pdf
    April 01, 2020 - Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. April 1, 2020 Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. J Patient Saf. 2020;16(1):79-83. doi:10.109…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35467/psn-pdf
    March 11, 2011 - The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. March 11, 2011 Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. J Am Med Inform Assoc. 2005;12(5):505-16. https…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842421/psn-pdf
    January 11, 2023 - Weight and size descriptors for drug dosing: too many options and too many errors. January 11, 2023 Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zxac283. https://psnet.ahrq.gov/issue/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60048/psn-pdf
    March 18, 2020 - 'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. March 18, 2020 Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. BMJ Qual Saf. 2020;29(7):…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36524/psn-pdf
    May 31, 2011 - A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional. May 31, 2011 Karsh B-T, Holden RJ, Alper SJ, et al. A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional. Qual Saf He…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846161/psn-pdf
    March 15, 2023 - Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. March 15, 2023 Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Chiropr Man Therap. 2023;31(1):9. doi:10.1186/s12998-023-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43655/psn-pdf
    December 19, 2014 - Systematic biases in group decision-making: implications for patient safety. December 19, 2014 Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083. https://psnet.ahrq.gov/issue/systematic-biases-gro…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40128/psn-pdf
    January 12, 2011 - Impact of a comprehensive safety initiative on patient- controlled analgesia errors. January 12, 2011 Paul JE, Bertram B, Antoni K, et al. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Anesthesiology. 2010;113(6):1427-32. doi:10.1097/ALN.0b013e3181fcb427. https://psnet.ahrq.go…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74179/psn-pdf
    January 01, 2022 - Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. December 12, 2021 Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst Pharm. 2022;79(4):297-305. doi:10.10…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50443/psn-pdf
    October 09, 2019 - Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation. October 9, 2019 Hamadi H, Tafili A, Apatu E, et al. Medicare' Hospital-Acquired Condition Reduction Program and Community Diversity in the United States: The…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61092/psn-pdf
    November 04, 2020 - Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. November 4, 2020 Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. Am Psychol. 2020;75(6):784-795. doi:…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851919/psn-pdf
    August 02, 2023 - A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. August 2, 2023 Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. Jt Comm J Qual Pati…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46894/psn-pdf
    June 20, 2018 - Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. June 20, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 31, 2018;23:1-4. https://psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can- lead-patient-harm Smart p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73159/psn-pdf
    April 21, 2021 - Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. April 21, 2021 Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. Drugs Aging. 2021;38(4):341-346…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865969/psn-pdf
    May 29, 2024 - Impact of pharmacist-led interventions on medication- related problems among patients treated for cancer: a systematic review and meta-analysis of randomized control trials. May 29, 2024 Fentie AM, Huluka SA, Gebremariam GT, et al. Impact of pharmacist-led interventions on medication- related problems among patie…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42283/psn-pdf
    February 27, 2014 - Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? February 27, 2014 Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ Theory Pract. 2014;19(1):43-51. d…

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