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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43963/psn-pdf
    September 09, 2015 - Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations. September 9, 2015 Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing Error in Simulated Emergency …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46447/psn-pdf
    September 27, 2017 - Creating highly reliable accountable care organizations. September 27, 2017 Vogus TJ, Singer SJ. Creating Highly Reliable Accountable Care Organizations. Med Care Res Rev. 2016;73(6):660-672. https://psnet.ahrq.gov/issue/creating-highly-reliable-accountable-care-organizations High reliability is a goal throughout …
  3. 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…
  4. 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47020/psn-pdf
    January 16, 2019 - Unintended harm associated with the Hospital Readmissions Reduction Program. January 16, 2019 Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. https://psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmiss…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47619/psn-pdf
    April 08, 2019 - A decade of health information technology usability challenges and the path forward. April 8, 2019 Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the Path Forward. JAMA. 2019;321(8):743-744. doi:10.1001/jama.2019.0161. https://psnet.ahrq.gov/issue/decade-health-in…
  7. 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. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60813/psn-pdf
    January 01, 2021 - Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. August 19, 2020 Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. BMJ Qua…
  9. 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):…
  10. 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…
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46377/psn-pdf
    October 29, 2017 - Why it is so hard to talk about overuse in pediatrics and why it matters. October 29, 2017 Ralston SL, Schroeder AR. Why It Is So Hard to Talk About Overuse in Pediatrics and Why It Matters. JAMA Pediatr. 2017;171(10):931-932. doi:10.1001/jamapediatrics.2017.2239. https://psnet.ahrq.gov/issue/why-it-so-hard-talk-a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34777/psn-pdf
    February 16, 2011 - Systems errors versus physicians' errors: finding the balance in medical education. February 16, 2011 Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education. Acad Med. 1999;74(1):19-22. https://psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-bal…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44869/psn-pdf
    November 18, 2016 - Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. November 18, 2016 Torrie J, Cumin D, Sheridan J, et al. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. BMJ Qual Saf. 2016;25(12):917-920. doi:10.1136/bmjqs…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46154/psn-pdf
    June 07, 2017 - Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey. June 7, 2017 Lee JS, Hu HM, Brummett CM, et al. Postoperative Opioid Prescribing and the Pain Scores on Hospital Consumer Assessment of Healthcare Providers and Systems Survey. JAMA. 201…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50424/psn-pdf
    September 04, 2019 - From box ticking to the black box: the evolution of operating room safety. September 4, 2019 Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5. https://psnet.ahrq.gov/issue/box-ticking-black-box-e…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45539/psn-pdf
    November 18, 2016 - Overuse of medical imaging and its radiation exposure: who’s minding our children? November 18, 2016 Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2147. https://psnet.ahrq.gov/issue/o…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46364/psn-pdf
    September 24, 2017 - Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. September 24, 2017 Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, et al. Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. Expert Opin Drug Saf. 2017;16(10):…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46474/psn-pdf
    November 08, 2017 - Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. November 8, 2017 St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center; 2017. https://psnet.ahrq.gov/issue/cle…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43336/psn-pdf
    July 09, 2014 - Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? July 9, 2014 Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…