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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837791/psn-pdf
    August 05, 2022 - yield false negatives for a variety of reasons, such as testing too soon after exposure or inadequate sampling
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60665/psn-pdf
    July 08, 2020 - Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report. July 8, 2020 Johnson CD, Green BN, Konarski-Hart KK, et al. Response of Practicing Chiropractors during the Early Phase of the COVID-19 Pandemic: A Descriptive Report. J Manipulative Physiol Ther. 2020;43(5):…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35241/psn-pdf
    September 11, 2018 - Team communication in the operating room. September 11, 2018 Davies JM. Team communication in the operating room. Acta Anaesthesiol Scand. 2005;49(7):898-901. https://psnet.ahrq.gov/issue/team-communication-operating-room The author presents sample cases from aviation to illustrate failures in team communication an…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36253/psn-pdf
    November 28, 2018 - Medication Reconciliation Handbook, 2nd edition. November 28, 2018 American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare Organizations. Oakbrook Terrace IL; Joint Commission Resources: 2009. ISBN 9781599403090. https://psnet.ahrq.gov/issue/medication-reconciliation-handbook-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36514/psn-pdf
    May 11, 2014 - Medication reconciliation physician order form. May 11, 2014 Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117- 1119. doi:10.1310/hpj4111-1117. https://psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form The authors discuss background on one hospita…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74841/psn-pdf
    February 16, 2022 - Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey. February 16, 2022 Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey. BMJ Open.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849604/psn-pdf
    May 31, 2023 - Reducing errors resulting from commonly missed chest radiography findings. May 31, 2023 Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003. https://psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41562/psn-pdf
    August 01, 2012 - The Final Check: Say it Out Loud. August 1, 2012 https://psnet.ahrq.gov/issue/final-check-say-it-out-loud This Web site provides resources to help reduce incidence of mislabeled blood specimens based on just culture concepts. https://psnet.ahrq.gov/issue/final-check-say-it-out-loud https://psnet.ahrq.gov/web-mm/ri…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866735/psn-pdf
    September 18, 2024 - Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. September 18, 2024 McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Int J Health Policy Manag. 2024;13:804…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867589/psn-pdf
    January 22, 2025 - A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. January 22, 2025 Abdo A, Gallay L, Vallecillo T, et al. A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. Sci Rep. 2024;14(1):32022. doi:10.1038/s41598-02…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73870/psn-pdf
    September 22, 2021 - Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery. September 22, 2021 Combs CA, Einerson BD, Toner LE. Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery. Am J Obstet Gynecol. 2021;225(5):b43-b49. doi:10.1016…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73487/psn-pdf
    July 14, 2021 - The July Effect in podiatric medicine and surgery residency. July 14, 2021 Casciato DJ, Thompson J, Law R, et al. The July Effect in podiatric medicine and surgery residency. J Foot Ankle Surg. 2021;60(6):1152-1157. doi:10.1053/j.jfas.2021.04.020. https://psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-sur…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47903/psn-pdf
    January 01, 2021 - A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. April 17, 2019 Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Settings: Observed Safety Vulnerabilitie…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837806/psn-pdf
    August 10, 2022 - Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. August 10, 2022 Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. J Public Health Manag Pract. 2022;28(5):505-512. doi:…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60919/psn-pdf
    September 16, 2020 - Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. September 16, 2020 Di Simone E, Fabbian F, Giannetta N, et al. Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Eur Rev Med Pharmacol Sci. 2020;24(12):7058-7062. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39418/psn-pdf
    March 31, 2010 - Take Charge of Your Hospital Stay to Avoid Medical Mistakes. March 31, 2010 Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010. https://psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes This television interview offers recommendations for patients to keep themselves safe wh…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35773/psn-pdf
    March 15, 2006 - The association between hospital characteristics and rates of preventable complications and adverse events. March 15, 2006 Thornlow DK; Stukenborg GJ. https://psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable- complications-and-adverse Using the Agency for Healthcare Research…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36950/psn-pdf
    September 09, 2011 - Integrating quality and safety content into clinical teaching in the acute care setting. September 9, 2011 Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs Outlook. 2007;55(3). doi:10.1016/j.outlook.2007.03.002. https://psnet.ahrq.gov/issue/integrating-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41150/psn-pdf
    February 22, 2012 - Diagnostic errors in primary care: lessons learned. February 22, 2012 Ely JW, Kaldjian LC, D'Alessandro DM. Diagnostic errors in primary care: lessons learned. J Am Board Fam Med. 2012;25(1):87-97. doi:10.3122/jabfm.2012.01.110174. https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care-lessons-learned This st…
  20. psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
    April 08, 2018 - Study Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. Citation Text: Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and fa…

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