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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45857/psn-pdf
    July 11, 2017 - Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. July 11, 2017 Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospective Study. Anesth Analg. 2017;124(5…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47863/psn-pdf
    May 22, 2019 - The dangers of ignoring the Beers criteria—the prescribing cascade. May 22, 2019 DeRhodes KH. The Dangers of Ignoring the Beers Criteria-The Prescribing Cascade. JAMA Intern Med. 2019;179(7):863-864. doi:10.1001/jamainternmed.2019.1288. https://psnet.ahrq.gov/issue/dangers-ignoring-beers-criteria-prescribing-casca…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45138/psn-pdf
    May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover (WOOSH). May 25, 2016 Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72759/psn-pdf
    February 17, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. February 17, 2021 Mangus CW, Singh H, Mahajan P. Rockville, MD: Agency for Healthcare Research and Quality; February 2021. AHRQ Publication No. 20(21)-0040-4-EF. https://psnet.ahrq.gov/issue/health-info…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36496/psn-pdf
    February 28, 2011 - Literacy and misunderstanding prescription drug labels. February 28, 2011 Davis TC, Wolf MS, Bass PF, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med. 2006;145(12):887-94. https://psnet.ahrq.gov/issue/literacy-and-misunderstanding-prescription-drug-labels Poor health literacy has been…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44290/psn-pdf
    April 10, 2023 - Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management. April 10, 2023 Copeland AW. UpToDate. April 10, 2023. https://psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items- prevention-and Retained surgical items are rare and potent…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45539/psn-pdf
    November 18, 2016 - Overuse of medical imaging and its radiation exposure: who’s minding our children? November 18, 2016 Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2147. https://psnet.ahrq.gov/issue/o…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47818/psn-pdf
    April 03, 2019 - Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. April 3, 2019 Misasi P, Keebler JR. Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. Ther Adv Drug Saf. 2019;10:204209861882…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47790/psn-pdf
    April 08, 2019 - The "hemolyzed" physical examination—situational challenges to accurate bedside diagnosis. April 8, 2019 Sargsyan Z. The "Hemolyzed" Physical Examination-Situational Challenges to Accurate Bedside Diagnosis. JAMA Intern Med. 2019;179(4):465-466. doi:10.1001/jamainternmed.2018.8753. https://psnet.ahrq.gov/issue/hem…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45815/psn-pdf
    January 25, 2017 - Handoffs: transitions of care for children in the emergency department. January 25, 2017 American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association Pediatric Committee. Pediatrics. 2016;138:…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47995/psn-pdf
    July 24, 2019 - Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). July 24, 2019 Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The Harm Associated with Medication Error Cl…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47400/psn-pdf
    November 28, 2018 - Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. November 28, 2018 Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. doi:10.1136/bmjopen-2018-022202…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41606/psn-pdf
    February 01, 2019 - Safe use of opioids in hospitals. December 23, 2016 Sentinel Event Alert. 2012;49:1-5. https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals Opioid pain medications are considered high-risk medications due to the potential for respiratory depression and other adverse effects. Because these medications are freque…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73984/psn-pdf
    October 20, 2021 - Analyzing diagnostic errors in the acute setting: a process-driven approach. October 20, 2021 Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a process-driven approach. Diagnosis (Berl). 2022;9(1):77-88. doi:10.1515/dx-2021-0033. https://psnet.ahrq.gov/issue/analyzing-diagno…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45031/psn-pdf
    February 18, 2017 - Information transfer in multidisciplinary operating room teams: a simulation-based observational study. February 18, 2017 Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation- based observational study. BMJ Qual Saf. 2017;26(3):209-216. doi:10.1136/bmjqs-2015-00…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866814/psn-pdf
    September 25, 2024 - Accuracy of a proprietary large language model in labeling obstetric incident reports. September 25, 2024 Johnson J, Brown C, Lee GM, et al. Accuracy of a proprietary large language model in labeling obstetric incident reports. Jt Comm J Qual Patient Saf. 2024;50(12):877-881. doi:10.1016/j.jcjq.2024.08.001. https:…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43500/psn-pdf
    November 17, 2014 - A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application? November 17, 2014 Dietz AS, Pronovost P, Benson KN, et al. A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and applica…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45573/psn-pdf
    November 16, 2016 - High reliability of care in orthopedic surgery: are we there yet? November 16, 2016 Anoushiravani AA, Sayeed Z, El-Othmani MM, et al. High Reliability of Care in Orthopedic Surgery: Are We There Yet? Orthop Clin North Am. 2016;47(4):689-95. doi:10.1016/j.ocl.2016.05.011. https://psnet.ahrq.gov/issue/high-reliabili…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44253/psn-pdf
    August 24, 2015 - Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States. August 24, 2015 Cho IS, Lee J-H, Choi S-K, et al. Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the Unit…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41206/psn-pdf
    March 14, 2012 - SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations. March 14, 2012 Mitchell EL, Lee DY, Arora S, et al. SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations.…

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