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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41661/psn-pdf
    March 11, 2013 - 'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature. March 11, 2013 Kullberg A, Larsen J, Sharp L. 'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care - a review of the literature. Eur J Oncol Nurs. 2013;17…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37771/psn-pdf
    June 29, 2011 - Effect of crew resource management training in a multidisciplinary obstetrical setting. June 29, 2011 Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:10.1093/intqhc/mzn018. https://psnet…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46807/psn-pdf
    July 02, 2019 - Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. July 2, 2019 Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions. J Am Med Inform Assoc. 2018;25(6):709-714. doi:1…
  4. psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
    January 01, 2016 - Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute
  5. psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
    May 01, 2007 - the threat of litigation certainly has hindered some safety initiatives by limiting open dialogue and reducing
  6. psnet.ahrq.gov/perspective/building-capacity-patient-safety
    July 31, 2023 - Committee for Patient Safety (NSC), an interdisciplinary group focused on achieving safer care and reducing … encompasses a variety of approaches and strategies aimed at promoting safe healthcare practices and reducing
  7. psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
    July 31, 2023 - Committee for Patient Safety (NSC), an interdisciplinary group focused on achieving safer care and reducing … encompasses a variety of approaches and strategies aimed at promoting safe healthcare practices and reducing
  8. psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
    November 30, 2023 - Improving end of life care: an information systems approach to reducing medical errors. … March 13, 2024 The safe day call: reducing silos in health care through frontline risk
  9. psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
    April 01, 2009 - would have thought of the modern patient safety movement, with its reliance on a systems approach to reducing … Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86:9-19.
  10. psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
    January 01, 2024 - Antibiotics 33 Risk of Infection and Role of Antibiotics (1) High risk wounds require attention to reducingReducing Risk in Emergency Department Wound Management.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33853/psn-pdf
    March 01, 2018 - We hypothesize that this explains why we haven't achieved the gains in reducing patient harm that the
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49872/psn-pdf
    August 08, 2019 - The National Academy of Science, Engineering, and Medicine made recommendations about reducing diagnostic
  13. psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
    April 24, 2018 - Checklists have been repetitively demonstrated to be effective at reducing errors.
  14. psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
    January 12, 2011 - types of units, practicing the pre-procedure processes in a simulated environment might be helpful in reducing
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45329/psn-pdf
    April 24, 2018 - State legal restrictions and prescription-opioid use among disabled adults. April 24, 2018 Meara E, Horwitz JR, Powell W, et al. State Legal Restrictions and Prescription-Opioid Use among Disabled Adults. N Engl J Med. 2016;375(1):44-53. doi:10.1056/NEJMsa1514387. https://psnet.ahrq.gov/issue/state-legal-restricti…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43617/psn-pdf
    September 24, 2016 - Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? September 24, 2016 Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.acra.2014.08.001. https://psne…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37327/psn-pdf
    March 03, 2011 - Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. March 3, 2011 Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical pati…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47716/psn-pdf
    June 26, 2019 - Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. June 26, 2019 Chen Y-F, Armoiry X, Higenbottam C, et al. Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. BMJ Open. 2019;9(6):e025764. doi:10.1136/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44112/psn-pdf
    November 03, 2015 - Unexpected death within 72 hours of emergency department visit: were those deaths preventable? November 3, 2015 Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s13054-015-0877-x. https://psnet…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46599/psn-pdf
    August 20, 2018 - Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. August 20, 2018 Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curriculum on Improved Clinician Preparedness in the Intensive Care Un…

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