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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73069/psn-pdf
    March 24, 2021 - Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. March 24, 2021 Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler to successful implementation of a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74271/psn-pdf
    January 19, 2022 - Improving shared situation awareness for high-risk therapies in hospitalized children. January 19, 2022 Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.2021-006193. https://psnet.ahrq.go…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46815/psn-pdf
    April 29, 2018 - Designing and evaluating an automated system for real- time medication administration error detection in a neonatal intensive care unit. April 29, 2018 Ni Y, Lingren T, Hall ES, et al. Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care …
  5. 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…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866247/psn-pdf
    July 10, 2024 - Analysis of critical incident reports using natural language processing. July 10, 2024 Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002. https://psnet.ahrq.gov/issue/analysis-critical-incident-reports-using…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865659/psn-pdf
    April 24, 2024 - Diagnostic error in mental health: a review. April 24, 2024 Bradford A, Meyer AND, Khan S, et al. Diagnostic error in mental health: a review. BMJ Qual Saf. 2024;33(10):663-672. doi:10.1136/bmjqs-2023-016996. https://psnet.ahrq.gov/issue/diagnostic-error-mental-health-review Diagnostic errors in mental health diso…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60018/psn-pdf
    March 04, 2020 - 2019 update on pediatric medical overuse: a systematic review. March 4, 2020 Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849. https://psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-r…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43958/psn-pdf
    April 22, 2015 - Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. April 22, 2015 Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann Oncol. 2015;26(5):981-6. doi:10.10…
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45766/psn-pdf
    February 08, 2017 - Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. February 8, 2017 Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, Heller School for Social Policy and Management at Brandeis University; 2016. https://psnet.ahrq.gov/issue/prescription-drug-monit…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43398/psn-pdf
    July 30, 2014 - Strategies to prevent healthcare-associated infections through hand hygiene. July 30, 2014 Ellingson K, Haas JP, Aiello AE, et al. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol. 2014;35(8):937-960. doi:10.1086/677145. https://psnet.ahrq.gov/issue/strateg…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866955/psn-pdf
    October 16, 2024 - Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. October 16, 2024 Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single- centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. doi:10.1136/bmjqs-2024-017183. …
  15. 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 …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47581/psn-pdf
    January 09, 2019 - Patient safety in inpatient psychiatry: a remaining frontier for health policy. January 9, 2019 Shields MC, Stewart MT, Delaney KR. Patient Safety In Inpatient Psychiatry: A Remaining Frontier For Health Policy. Health Aff (Millwood). 2018;37(11):1853-1861. doi:10.1377/hlthaff.2018.0718. https://psnet.ahrq.gov/iss…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45371/psn-pdf
    April 24, 2017 - Patient safety and workplace bullying: an integrative review. April 24, 2017 Houck NM, Colbert AM. Patient Safety and Workplace Bullying: An Integrative Review. J Nurs Care Qual. 2017;32(2):164-171. doi:10.1097/NCQ.0000000000000209. https://psnet.ahrq.gov/issue/patient-safety-and-workplace-bullying-integrative-rev…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46079/psn-pdf
    June 28, 2017 - Death due to pharmacy compounding error reinforces need for safety focus. June 28, 2017 ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4. https://psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus Compounding pharmacies prepare medicines for patients that a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45339/psn-pdf
    August 10, 2016 - Hospital at night: an organizational design that provides safer care at night. August 10, 2016 Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17. https://psnet.ahrq.gov/issue/hospi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44222/psn-pdf
    December 04, 2016 - The Institute for Safe Medication Practices and poison control centers: collaborating to prevent medication errors and unintentional poisonings. December 4, 2016 Vaida AJ. The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent Medication Errors and Unintentional Poisonings…

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