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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44386/psn-pdf
    August 12, 2015 - Using simulation to improve systems. August 12, 2015 Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885- 92. doi:10.1016/j.suc.2015.04.007. https://psnet.ahrq.gov/issue/using-simulation-improve-systems Safety approaches from aviation that can be applied to health c…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46206/psn-pdf
    August 02, 2017 - Patient safety in dentistry: development of a candidate 'never event' list for primary care. August 2, 2017 Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456. https://psnet.ahrq.gov/issue/patie…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46988/psn-pdf
    April 25, 2018 - Opioid Stewardship. April 25, 2018 Ochsner J. 2018;18(1):20-45. https://psnet.ahrq.gov/issue/opioid-stewardship Both organizational and national strategies are required to reduce opioid-related harm. This special issue section explores one health system's efforts to address the opioid epidemic. Articles discuss em…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867686/psn-pdf
    March 05, 2025 - Association between surgeon stress and major surgical complications. March 5, 2025 Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications. JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072. https://psnet.ahrq.gov/issue/association-between-surgeon-stre…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48045/psn-pdf
    June 05, 2019 - Obstetric practice guidelines: labor's love lost? June 5, 2019 Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. https://psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost Guidelines play a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34062/psn-pdf
    February 18, 2011 - Adverse drug events in ambulatory care. February 18, 2011 Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564. https://psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care This prospective cohort study evaluated more than 1200 outpatient prescr…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39121/psn-pdf
    March 04, 2011 - The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study. March 4, 2011 van Doormaal J, van den Bemt PMLA, Zaal RJ, et al. The influence that electronic prescribing has on medication errors and preventable adverse drug events: an inter…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73569/psn-pdf
    August 04, 2021 - Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021 Morris AH, Stagg B, Lanspa M, et al. Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846164/psn-pdf
    March 15, 2023 - Crowding in the Emergency Department: Challenges for the Care of Children. March 15, 2023 Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10.1542/peds.2022-060971. https://psnet.ahrq.gov/issue/crowdin…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60992/psn-pdf
    October 14, 2020 - Another medical malpractice crisis?: Try something different. October 14, 2020 Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. https://psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-d…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863757/psn-pdf
    March 06, 2024 - Debriefing to improve interprofessional teamwork in the operating room: a systematic review. March 6, 2024 Skegg E, McElroy C, Mudgway M, et al. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. J Nurs Scholarsh. 2023;55(6):1179-1188. doi:10.1111/jnu.12924. https://psnet.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857459/psn-pdf
    December 06, 2023 - Five strategies for a safer EHR modernization journey. December 6, 2023 Sittig DF, Yackel EE, Singh H. Five strategies for a safer EHR modernization journey. J Gen Intern Med. 2023;38(S4):940-942. doi:10.1007/s11606-023-08331-z. https://psnet.ahrq.gov/issue/five-strategies-safer-ehr-modernization-journey Large-sca…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60032/psn-pdf
    March 11, 2020 - Medical teamwork and the evolution of safety science: a critical review. March 11, 2020 Neuhaus C, Lutnæs DE, Bergström J. Medical teamwork and the evolution of safety science: a critical review. Cogn Technol Work. 2020;22(1):13-27. doi:10.1007/s10111-019-00545-8. https://psnet.ahrq.gov/issue/medical-teamwork-and-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40892/psn-pdf
    February 06, 2012 - Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. February 6, 2012 Rothberg MB, Belforti R, Fitzgerald J, et al. Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. J Hosp Med. 2012;7(2):98-103. doi:10.1002/jhm.953. https…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47738/psn-pdf
    February 06, 2019 - ISMP Guidelines for Safe Electronic Communication of Medication Information. February 6, 2019 Horsham, PA: Institute for Safe Medication Practices; January 2019. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information Inaccurate or incomplete data in electronic health reco…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72499/psn-pdf
    November 25, 2020 - Transformational improvement in quality care and health systems: the next decade. November 25, 2020 Braithwaite J, Vincent CA, Garcia-Elorrio E, et al. Transformational improvement in quality care and health systems: the next decade. BMC Med. 2020;18(1):340. doi:10.1186/s12916-020-01739-y. https://psnet.ahrq.gov/i…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838623/psn-pdf
    October 19, 2022 - Resident and nurse perspectives on the use of secure text messaging systems. October 19, 2022 Aziz S, Barber J, Singh A, et al. Resident and nurse perspectives on the use of secure text messaging systems. J Hosp Med. 2022;17(11):880-887. doi:10.1002/jhm.12953. https://psnet.ahrq.gov/issue/resident-and-nurse-perspe…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47646/psn-pdf
    February 06, 2019 - Systematic review of computerized prescriber order entry and clinical decision support. February 6, 2019 Vélez-Díaz-Pallarés M, Pérez-Menéndez-Conde C, Bermejo-Vicedo T. Systematic review of computerized prescriber order entry and clinical decision support. Am J Health Syst Pharm. 2018;75(23):1909-1921. doi:10.214…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34643/psn-pdf
    December 23, 2008 - The health care cost of drug-related morbidity and mortality in nursing facilities. December 23, 2008 Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2089-96. https://psnet.ahrq.gov/issue/health-care-cost-drug-related…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43478/psn-pdf
    August 27, 2014 - Is it time to move beyond errors in clinical reasoning and discuss accuracy? August 27, 2014 Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4. https://psnet.ahrq.gov/issue/it-time-move-beyond-er…

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