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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45228/psn-pdf
    June 29, 2016 - An innovative approach to the surgical time out: a patient- focused model. June 29, 2016 Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient- Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. https://psnet.ahrq.gov/issue/innovative-approach-su…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844748/psn-pdf
    February 15, 2023 - 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? February 15, 2023 Renault M. STAT. February 6, 2023. https://psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect- tyre-nichols Emergent care situations are vulnerable to a range …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865978/psn-pdf
    May 29, 2024 - Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. May 29, 2024 Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46633/psn-pdf
    November 22, 2017 - The high costs of unnecessary care. November 22, 2017 Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193. https://psnet.ahrq.gov/issue/high-costs-unnecessary-care The provision of unneeded care can result in physical, financial, and psychological harm to patie…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843087/psn-pdf
    January 25, 2023 - Interventions to increase patient safety in long-term care facilities-umbrella review. January 25, 2023 ?witalski J, Wnuk K, Tatara T, et al. Interventions to increase patient safety in long-term care facilities- umbrella review. Int J Environ Res Public Health. 2022;19(22):15354. doi:10.3390/ijerph192215354. http…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47503/psn-pdf
    October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs. October 24, 2018 Peeples L. Pharmacy Practice News. October 10, 2018. https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs Structured handoffs can reduce communication problems that contribute to medical error. This magazine article re…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47154/psn-pdf
    May 23, 2018 - Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. May 23, 2018 Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JAMA Surg. 2018;153(4):367-375. doi:1…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40622/psn-pdf
    September 25, 2011 - Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms. September 25, 2011 Hume AL, Quilliam BJ, Goldman R, et al. Alternatives to potentially inappropriate medications for use in e- prescribing software: triggers and treatment algorithms. BMJ Qua…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47271/psn-pdf
    August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid Epidemic. August 8, 2018 National Academy of Medicine; Aspen Institute. https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the Un…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47800/psn-pdf
    June 26, 2019 - Error and Uncertainty in Diagnostic Radiology. June 26, 2019 Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395. https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to uncer…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837340/psn-pdf
    June 08, 2022 - Wellbeing, burnout, and safe practice among healthcare professionals: predictive influences of mindfulness, values, and self-compassion. June 8, 2022 Prudenzi A, D. Graham C, Flaxman PE, et al. Wellbeing, burnout, and safe practice among healthcare professionals: predictive influences of mindfulness, values, and s…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48036/psn-pdf
    July 10, 2019 - Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. July 10, 2019 Stratman JL, Youssef-Morgan CM. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Safety Sci. 2019;116:13-25. doi:10.1016/j.ssci.2019.02.031. htt…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45376/psn-pdf
    November 09, 2016 - The new CMS hospital quality star ratings: the stars are not aligned. November 9, 2016 Bilimoria KY, Barnard C. The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned. JAMA. 2016;316(17):1761-1762. doi:10.1001/jama.2016.13679. https://psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47087/psn-pdf
    May 02, 2018 - The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. May 2, 2018 Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisation for Economic Co-operation and Development; 2018. https://psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind The global eco…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44791/psn-pdf
    January 13, 2016 - FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. January 13, 2016 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60286/psn-pdf
    April 29, 2020 - With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications. April 29, 2020 Brodwin E. STAT. April 14, 2020. https://psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew- complications Patients with cancer and other chronic disorder treatment …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46758/psn-pdf
    April 12, 2019 - Association of hospitalist years of experience with mortality in the hospitalized Medicare population. April 12, 2019 Goodwin JS, Salameh H, Zhou J, et al. Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population. JAMA Intern Med. 2017;178(2). doi:10.1001/jamainternmed.2…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47270/psn-pdf
    August 08, 2018 - A method to identify pediatric high-risk diagnoses missed in the emergency department. August 8, 2018 Sundberg M, Perron CO, Kimia A, et al. A method to identify pediatric high-risk diagnoses missed in the emergency department. Diagnosis (Berl). 2018;5(2):63-69. doi:10.1515/dx-2018-0005. https://psnet.ahrq.gov/iss…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73522/psn-pdf
    July 21, 2021 - Federal speech rulings may embolden health care workers to call out safety issues. July 21, 2021 Meyer H. Kaiser Health News. July 9, 2021. https://psnet.ahrq.gov/issue/federal-speech-rulings-may-embolden-health-care-workers-call-out-safety- issues Whistleblower protections are a key component to raising awarenes…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72778/psn-pdf
    February 24, 2021 - Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. February 24, 2021 Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:10.1136/openhrt-2020-001260. h…