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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45788/psn-pdf
    March 01, 2017 - Latest Results From the "FIRST" Trial. March 1, 2017 J Am Coll Surg. 2017;224:103-159. https://psnet.ahrq.gov/issue/latest-results-first-trial The Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial examined residency program response to duty hour rules. This special issue features studies ex…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72645/psn-pdf
    January 13, 2021 - The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. January 13, 2021 Wright L. New Yorker. January 4, 2021;96(463):20-59.  https://psnet.ahrq.gov/issue/plague-year-mistakes-and-struggles-behind-americas-covid-19-tragedy Uncertainty, misinformation, management gaps, and r…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72754/psn-pdf
    February 17, 2021 - Telehealth in the COVID-19 era: a balancing act to avoid harm. February 17, 2021 Reeves JJ, Ayers JW, Longhurst CA. Telehealth in the COVID-19 Era: a balancing act to avoid harm. J Med Internet Res. 2021;23(2):e24785. doi:10.2196/24785. https://psnet.ahrq.gov/issue/telehealth-covid-19-era-balancing-act-avoid-harm …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40017/psn-pdf
    December 14, 2016 - Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. December 14, 2016 Sidhu M, Goske MJ, Connolly B, et al. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. AJR Am J Roentgenol. 2010;195(4):W299-301. doi:10.2214/AJR.09.3938. htt…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45379/psn-pdf
    August 17, 2016 - A piece of my mind. How many have you done? August 17, 2016 Reisman A. A PIECE OF MY MIND. How Many Have You Done? JAMA. 2016;316(5):491. doi:10.1001/jama.2016.1996. https://psnet.ahrq.gov/issue/piece-my-mind-how-many-have-you-done This commentary explores transparency in response to patient and family inquiry reg…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72801/psn-pdf
    March 03, 2021 - Teamwork in the time of COVID-19. March 3, 2021 Takizawa PA, Honan L, Brissette D, et al. Teamwork in the time of COVID?19. FASEB Bioadv. 2020;3(3):175-181. doi:10.1096/fba.2020-00093. https://psnet.ahrq.gov/issue/teamwork-time-covid-19 The COVID-19 pandemic has led to wide-ranging changes in the health care syste…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34695/psn-pdf
    June 26, 2015 - Do house officers learn from their mistakes? June 26, 2015 Wu AW, Folkman S, McPhee SJ, et al. Do house officers learn from their mistakes? JAMA. 1991;265(16):2089-94. https://psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes The authors report their 1991 survey on medical errors among internal medicine …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849338/psn-pdf
    May 24, 2023 - The impact of language barriers on patient care: a pharmacy perspective. May 24, 2023 Patel J. PM Healthcare Journal. Spring 2023(4):5-18. https://psnet.ahrq.gov/issue/impact-language-barriers-patient-care-pharmacy-perspective Language discordance is known to degrade medication safety. The article discusses an exa…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866697/psn-pdf
    September 11, 2024 - Patient Safety: Emerging Applications of Safety Science. September 11, 2024 Cox C, Hughes H, Nicholls J. Patient Safety: Emerging Applications Of Safety Science. Somerset, UK: Class Publishing; 2024. ISBN 9781801610834. https://psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science Patient safety…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37457/psn-pdf
    February 15, 2011 - Benefits of direct observation in medication administration to detect errors. February 15, 2011 Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3. https://psnet.ahrq.gov/issue/be…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840164/psn-pdf
    November 16, 2022 - Medical error and vulnerable communities. November 16, 2022 Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392. https://psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities Bias and discrimination are receiving overdue attention as primary barriers to patient safety. This article discusses medical erro…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44835/psn-pdf
    January 01, 2019 - The potential of Twitter as a data source for patient safety. January 27, 2016 Nakhasi A, Bell SG, Passarella RJ, et al. The Potential of Twitter as a Data Source for Patient Safety. J Patient Saf. 2019;15(4):e32-e35. doi:10.1097/PTS.0000000000000253. https://psnet.ahrq.gov/issue/potential-twitter-data-source-pati…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36500/psn-pdf
    January 07, 2011 - Development and implementation of a patient safety program in an academic, urban emergency department. January 7, 2011 Blank FSJ, Henneman PL, Maynard AM, et al. Development and implementation of a patient safety program in an academic, urban emergency department. Journal of emergency nursing: JEN : official publi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42974/psn-pdf
    September 07, 2016 - Chemotherapy drug shortages in pediatric oncology: a consensus statement. September 7, 2016 Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.2013-2946. https://psnet.ahrq.gov/issue/chemotherapy-drug-sh…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36323/psn-pdf
    November 14, 2018 - Our long journey towards a safety-minded just culture. Part II: where we're going. November 14, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 21, 2006;11:1-2. https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going This second part of this series…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35982/psn-pdf
    September 17, 2010 - Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS). September 17, 2010 Varricchio F, Reed J, Group VAERSW. Follow-up study of medication errors reported to the vaccine adverse event reporting system (VAERS). South Med J. 2006;99(5):486-9. https://psnet.ahrq.gov/issu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38278/psn-pdf
    January 15, 2009 - The impact of introducing medical emergency team system on the documentations of vital signs. January 15, 2009 Chen J, Hillman KM, Bellomo R, et al. The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation. 2008;80(1). doi:10.1016/j.resuscitation.2008.10.009. http…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44363/psn-pdf
    May 05, 2018 - Selection of incorrect medication pump leads to chemotherapy overdose. May 5, 2018 ISMP Canada. August 26, 2015;15:1-4. https://psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose Checklists are cognitive aids that help clinicians remember important steps to ensure safe practice. I…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72685/psn-pdf
    January 27, 2021 - Human Factors and Ergonomics in Healthcare. January 27, 2021 Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.    https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare Human factors approaches have been identified as one of the primary vehicles to create las…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37920/psn-pdf
    May 24, 2015 - Functional health literacy and understanding of medications at discharge. May 24, 2015 Maniaci MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at discharge. Mayo Clin Proc. 2008;83(5):554-8. doi:10.4065/83.5.554. https://psnet.ahrq.gov/issue/functional-health-literacy-and-und…