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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39765/psn-pdf
    February 17, 2011 - ACGME duty-hour recommendations—a national survey of residency program directors. February 17, 2011 Antiel RM, Thompson SM, Reed DA, et al. ACGME duty-hour recommendations - a national survey of residency program directors. N Engl J Med. 2010;363(8):e12. doi:10.1056/NEJMp1008305. https://psnet.ahrq.gov/issue/acgme…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43836/psn-pdf
    March 11, 2015 - Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. March 11, 2015 Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic re…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839835/psn-pdf
    November 09, 2022 - Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. November 9, 2022 Chicago, IL: The National Association for Healthcare Quality; 2022. https://psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-qua…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867391/psn-pdf
    December 18, 2024 - The influence of context on diagnostic reasoning: a narrative synthesis of experimental findings. December 18, 2024 Schmidt HG, Norman GR, Mamede S, et al. The influence of context on diagnostic reasoning: a narrative synthesis of experimental findings. J Eval Clin Pract. 2024;30(6):1091-1101. doi:10.1111/jep.14023…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33993/psn-pdf
    March 02, 2011 - Improving patient care. My right knee. March 2, 2011 Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5. https://psnet.ahrq.gov/issue/improving-patient-care-my-right-knee Dr. Donald Berwick writes this compelling piece as a personal reflection on the current deficiencies in health…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41247/psn-pdf
    April 06, 2012 - Development of a pragmatic measure for evaluating and optimizing rapid response systems. April 6, 2012 Bonafide CP, Roberts KE, Priestley MA, et al. Development of a pragmatic measure for evaluating and optimizing rapid response systems. Pediatrics. 2012;129(4):e874-81. doi:10.1542/peds.2011-2784. https://psnet.ah…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45246/psn-pdf
    August 15, 2016 - Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. August 15, 2016 Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality Before and After Implementation of a Resident Handoff Bundle. Acad Pediat…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43598/psn-pdf
    October 08, 2014 - Clinical faculty: taking the lead in teaching quality improvement and patient safety. October 8, 2014 Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j.ajog.2014.05.043. https://psnet.ahrq…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46758/psn-pdf
    April 12, 2019 - Association of hospitalist years of experience with mortality in the hospitalized Medicare population. April 12, 2019 Goodwin JS, Salameh H, Zhou J, et al. Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population. JAMA Intern Med. 2017;178(2). doi:10.1001/jamainternmed.2…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45309/psn-pdf
    July 13, 2016 - Development of an emergency department trigger tool using a systematic search and modified Delphi process. July 13, 2016 Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient Saf. 2016;16(1):e11-e17. doi:10.109…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73958/psn-pdf
    October 13, 2021 - Acting wisely in complex clinical situations: 'Mutual safety' for clinicians as well as patients. October 13, 2021 Dornan T, Lee C, Findlay-White F, et al. Acting wisely in complex clinical situations: ‘Mutual safety’ for clinicians as well as patients. Med Teach. 2021;43(12):1419-1429. doi:10.1080/0142159x.2021.19…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39841/psn-pdf
    December 18, 2014 - Emergency department visits for medical device–associated adverse events among children. December 18, 2014 Wang C, Hefflin B, Cope JU, et al. Emergency department visits for medical device-associated adverse events among children. Pediatrics. 2010;126(2):247-59. doi:10.1542/peds.2010-0528. https://psnet.ahrq.gov/i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44582/psn-pdf
    January 23, 2017 - Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. January 23, 2017 Suzuki S, Chan A, Nomura H, et al. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. J Oncol Pract. 2017;23(1):18-25. doi:10.1177/10781552156…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867389/psn-pdf
    December 18, 2024 - Identifying missed care in pediatric nursing: a scoping review. December 18, 2024 Maffeo M, Parente E, Ciofi D. Identifying missed care in pediatric nursing: a scoping review. J Pediatr Nurs. 2024;80:115-120. doi:10.1016/j.pedn.2024.11.017. https://psnet.ahrq.gov/issue/identifying-missed-care-pediatric-nursing-sco…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37911/psn-pdf
    July 16, 2008 - Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of- hospital care: an ethnographic view.  July 16, 2008 Fairbanks RJ, Crittenden CN, O’Gara KG, et al. Emergency Medical Services Provider Perceptions of the Nature of Adverse Events and Near-misses in Out-of-hos…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35130/psn-pdf
    March 11, 2011 - A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. March 11, 2011 Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. J Am Med Inform Assoc…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47931/psn-pdf
    January 01, 2020 - Managing risk in hazardous conditions: improvisation is not enough. July 24, 2019 Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443. https://psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50398/psn-pdf
    October 02, 2019 - Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. October 2, 2019 Barbash IJ, Kahn JM. Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. J Crit Care. 2019;54:88-93. doi:10.1016/j.jcrc.2019.08.009. https://psnet.ahrq.gov/issue/sep…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48160/psn-pdf
    January 01, 2020 - Engaging the patient and family in the surgical safety process utilizing SafeStart. August 28, 2019 Elger BM, Esparaz JR, Nierstedt RT, et al. Engaging the patient and family in the surgical safety process utilizing. J Pediatr Surg. 2020;55(4). doi:10.1016/j.jpedsurg.2019.06.012. https://psnet.ahrq.gov/issue/engag…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60630/psn-pdf
    June 24, 2020 - Education is “predictably disappointing” and should never be relied upon alone to improve safety. June 24, 2020 ISMP Medication Safety Alert! Acute care edition. June 4, 2020;25(11):1-4. https://psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone- improve-safety Interven…