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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863650/psn-pdf
    February 28, 2024 - References/Related Articles Brown JC, Querubin JA, Ding L, et al.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861880/psn-pdf
    January 31, 2024 - References/Related Articles Khan A, Spector ND, Baird JD, et al.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846769/psn-pdf
    March 29, 2023 - Crossen, MD Associate Professor Division of Pediatric Endocrinology UC Davis Children’s Hospital References
  4. psnet.ahrq.gov/glossary/latent-error-or-latent-condition
    September 13, 2021 - Latent Error (or Latent Condition) September 13, 2021 Anonymous (not verified) The terms active and latent as applied to errors were coined by Reason . Latent errors (or latent conditions) refer to less apparent failures of organization or design that contributed to the occurrence of errors or allowed them…
  5. psnet.ahrq.gov/glossary/active-error-or-active-failure
    September 13, 2021 - Active Error (or Active Failure) September 13, 2021 Anonymous (not verified) The terms active and latent as applied to errors were coined by Reason . Active errors occur at the point of contact between a human and some aspect of a larger system (e.g., a human machine interface). They are generally readily …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42178/psn-pdf
    April 10, 2013 - Outside case review of surgical pathology for referred patients: the impact on patient care. April 10, 2013 Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. doi:10.5858/arpa.2012-0088-OA. htt…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861738/psn-pdf
    January 31, 2024 - psnet.ahrq.gov//mailto:jazwhite@ucdavis.edu Physician Advisor UC Davis Health dbarnes@ucdavis.edu References
  8. psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
    September 01, 2006 - Professor of Health PolicyHarvard School of Public HealthStaff Physician, VA Boston Healthcare System References … Research Fellow, Risk and Safety Group Department of Experimental Psychology University of Oxford, UK References
  9. psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
    June 01, 2018 - Moore, MD Associate Professor, Department of Emergency Medicine Yale University School of Medicine References … For What, With What Training and Competency Quality Assurance The POCUS Point Person Summary References
  10. psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
    August 30, 2023 - References Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP. … Mossburg, RN, PhD Senior Researcher American Institutes for Research (AIR) Arlington, VA References
  11. psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
    February 26, 2025 - References Shortell SM, Gillies RR, Anderson DA, Mitchell JB, Morgan KL. … References Patient Safety. World Health Organization.
  12. psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
    August 30, 2023 - Mossburg, RN, PhD Senior Researcher American Institutes for Research (AIR) Arlington, VA ReferencesReferences Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP.
  13. psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
    February 26, 2025 - References Patient Safety. World Health Organization. … References Shortell SM, Gillies RR, Anderson DA, Mitchell JB, Morgan KL.
  14. psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
    October 27, 2022 - Department of Inpatient Pharmacy, Pain Management & Palliative Care UC Davis Health mkotova@ucdavis.edu References … Case Sections Learning Objectives The Case The Commentary Take Home Points References
  15. psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
    May 14, 2020 - Columbia, MD Bryan Gale, MA Senior Research Analyst, IMPAQ Health IMPAQ International  Columbia, MD       References … of Telehealth in the COVID-19 Crisis Alleviating Patient Safety Concerns Conclusion Authors References
  16. psnet.ahrq.gov/perspective/ems-patient-safety-field
    July 28, 2021 - administering medications, placing intravenous lines, and providing advanced airway management. 16 References … RIS Download Citation Sections Introduction Authors Appendix References
  17. psnet.ahrq.gov/issue/dosing-errors-made-paramedics-during-pediatric-patient-simulations-after-implementation-state
    August 25, 2021 - Study Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. Citation Text: Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation …
  18. psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
    October 30, 2024 - References/Related Articles Bailey MK, Weiss AJ, Barrett ML, Jiang, HJ.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852698/psn-pdf
    August 30, 2023 - References/Related Articles Litman KC, Lau H, Kanter MH, Jones JP. eAutopsy: using structured hybrid
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866205/psn-pdf
    July 10, 2024 - of Trauma, Acute Care Surgery, and Surgical Critical Care UC Davis Health szakaluzny@ucdavis.edu References

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