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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41993/psn-pdf
    April 21, 2015 - Simulation-based trial of surgical-crisis checklists. April 21, 2015 Arriaga AF, Bader AM, Wong JM, et al. Simulation-based trial of surgical-crisis checklists. N Engl J Med. 2013;368(3):246-53. doi:10.1056/NEJMsa1204720. https://psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists Surgical check…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73698/psn-pdf
    September 15, 2021 - Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial. September 15, 2021 Siebert JN, Bloudeau L, Combescure C, et al. Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical tria…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47496/psn-pdf
    June 15, 2019 - Fatal flaws in clinical decision making. June 15, 2019 Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955. https://psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making Clinical decision-making is a complex process affected…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42836/psn-pdf
    January 08, 2014 - Comparison of medication safety effectiveness among nine critical access hospitals. January 8, 2014 Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067. https://psnet.ahrq.gov/issue/comparis…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849319/psn-pdf
    May 24, 2023 - Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. May 24, 2023 White VanGompel E, Carlock F, Singh L, et al. Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. J Obstet Gynecol Neonatal Nurs. 2023;52(3):211-222. doi:10.1016/j.jogn.2022.12.007. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60642/psn-pdf
    July 01, 2020 - Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. July 1, 2020 Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid- Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414. doi:10.7326/m19-3805. https://psn…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60579/psn-pdf
    June 10, 2020 - Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington. June 10, 2020 Roxby AC, Greninger AL, Hatfield KM, et al. Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living communit…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37923/psn-pdf
    July 23, 2008 - Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. July 23, 2008 Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260. doi:10.2146/ajhp0…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37534/psn-pdf
    February 13, 2008 - Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. February 13, 2008 DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. J …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867091/psn-pdf
    November 06, 2024 - Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. November 6, 2024 Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high?risk drugs for older adults presenting to the emergency department after falls. J Am Geriatr Soc. 2024;72(Supp 3):s60-s…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867233/psn-pdf
    December 04, 2024 - Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. December 4, 2024 Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identify diagnostic errors and analys…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38639/psn-pdf
    May 20, 2009 - Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. May 20, 2009 McCreadie G, Oliver TB. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43567/psn-pdf
    October 21, 2016 - National Action Plan for Adverse Drug Event Prevention. October 21, 2016 Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health and Human Services; September 2014. https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention This national action pla…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36279/psn-pdf
    May 27, 2011 - Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. May 27, 2011 Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. Am J Manag Care. 2006;12(7):389…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44379/psn-pdf
    August 05, 2015 - Implementing computerized provider order entry in acute care hospitals in the United States could generate substantial savings to society. August 5, 2015 Nuckols TK, Asch SM, Patel V, et al. Implementing Computerized Provider Order Entry in Acute Care Hospitals in the United States Could Generate Substantial Savin…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50871/psn-pdf
    February 05, 2020 - Association of low-dose whole-body computed tomography with missed injury diagnoses and radiation exposure in patients with blunt multiple trauma. February 5, 2020 Stengel D, Mutze S, Güthoff C, et al. Association of Low-Dose Whole-Body Computed Tomography With Missed Injury Diagnoses and Radiation Exposure in Pat…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44699/psn-pdf
    December 16, 2015 - Suicide attempts after emergency room visits: the effect of patient safety goals. December 16, 2015 Robst J. Suicide Attempts After Emergency Room Visits: The Effect of Patient Safety Goals. Psych Q. 2015;86(4):497-504. doi:10.1007/s11126-015-9345-7. https://psnet.ahrq.gov/issue/suicide-attempts-after-emergency-ro…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836967/psn-pdf
    April 20, 2022 - Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures. April 20, 2022 Tham N, Fazio T, Johnson D, et al. Hospital acquired infections in surgical patients: impact of COVID-19- related infection prevention measures. World J Surg. 2022;46:1249-1258. doi:10.1007/s0…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35742/psn-pdf
    July 15, 2010 - Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? July 15, 2010 Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Med Decis Making. 2006;26(1):48-56. https://psnet.ahrq.gov/issue/physi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853621/psn-pdf
    September 20, 2023 - Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use. September 20, 2023 Rapp T, Sicsic J, Tavassoli N, et al. Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents’ emergency care…

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