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  1. psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
    March 15, 2023 - July 2, 2019 Reducing pediatric emergency department prescription errors.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49537/psn-pdf
    June 01, 2007 - Beeline to Spine June 1, 2007 Smetana GW. Beeline to Spine. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/beeline-spine Case Objectives Understand the elements of preoperative medical evaluation. Appreciate the limited role for preoperative laboratory testing. Appreciate the importance of communication a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866432/psn-pdf
    August 07, 2024 - Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis. August 7, 2024 Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hosp…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73364/psn-pdf
    January 01, 2022 - Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. June 9, 2021 Krancevich NM, Belfer JJ, Draper HM, et al. Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. Ann Pharmacother. 2022;56(1):52-59. doi:10.1177/10…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38608/psn-pdf
    January 02, 2017 - Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. January 2, 2017 Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36201/psn-pdf
    July 10, 2008 - US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. July 10, 2008 Gallagher TH, Waterman AD, Garbutt J, et al. US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. Arch Intern Med. 2006;166(15):1605-11. https://psnet.ahrq.gov/issu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46064/psn-pdf
    April 19, 2017 - Prognosis of undiagnosed chest pain: linked electronic health record cohort study. April 19, 2017 Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194. https://psnet.ahrq.gov/issue/prognosis-undiagnosed-ch…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45891/psn-pdf
    October 11, 2017 - Extent of diagnostic agreement among medical referrals. October 11, 2017 Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747. https://psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals Diagn…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37942/psn-pdf
    May 04, 2014 - Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. May 4, 2014 Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44042/psn-pdf
    November 03, 2015 - Deployment of rapid response teams by 31 hospitals in a statewide collaborative. November 3, 2015 Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Jt Comm J Qual Patient Saf. 2015;41(4):186-191. https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866643/psn-pdf
    September 04, 2024 - Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients. September 4, 2024 Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic method for finding missed and…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38877/psn-pdf
    April 08, 2011 - Computerized order entry with limited decision support to prevent prescription errors in a PICU. April 8, 2011 Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-940. doi:10.1542/peds.2008-2737. https…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42047/psn-pdf
    March 18, 2013 - Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. March 18, 2013 Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-2012-001537. https://psnet.ahrq.gov…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47900/psn-pdf
    January 01, 2021 - Is physician mentorship associated with the occurrence of adverse patient safety events? April 10, 2019 Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097/PTS.0000000000000592. https://p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866908/psn-pdf
    October 09, 2024 - Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. October 9, 2024 Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.33940/001c.117084. https://psnet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43193/psn-pdf
    June 17, 2014 - Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. June 17, 2014 Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: applicati…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42710/psn-pdf
    December 29, 2014 - Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. December 29, 2014 Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from a…
  19. 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41847/psn-pdf
    November 28, 2012 - Improving organizational climate for quality and quality of care: does membership in a collaborative help? November 28, 2012 Nembhard IM, Northrup V, Shaller D, et al. Improving organizational climate for quality and quality of care: does membership in a collaborative help? Med Care. 2012;50 Suppl:S74-82. doi:10.1…

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