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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50706/psn-pdf
    December 04, 2019 - Improving end-of-rotation transitions of care among ICU patients December 4, 2019 Denson JL, Knoeckel J, Kjerengtroen S, et al. Improving end-of-rotation transitions of care among ICU patients. BMJ Qual Saf. 2019;29(3):250-259. doi:10.1136/bmjqs-2019-009867. https://psnet.ahrq.gov/issue/improving-end-rotation-tran…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45783/psn-pdf
    March 25, 2017 - Year-end resident clinic handoffs: narrative review and recommendations for improvement. March 25, 2017 Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79. doi:10.1016/j.jcjq.2016.11.006. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36588/psn-pdf
    March 03, 2011 - Oral chemotherapy safety practices at US cancer centres: questionnaire survey. March 3, 2011 Weingart SN, Flug J, Brouillard D, et al. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. BMJ. 2007;334(7590). doi:10.1136/bmj.39069.489757.55. https://psnet.ahrq.gov/issue/oral-chemotherapy-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43413/psn-pdf
    October 20, 2014 - The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. October 20, 2014 Cifra CL, Jones KL, Ascenzi J, et al. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. BMJ Qual Saf. 2014;23(11):930-8. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35739/psn-pdf
    July 15, 2010 - CT for suspected appendicitis in children: an analysis of diagnostic errors. July 15, 2010 Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of diagnostic errors. Pediatr Radiol. 2006;36(4):331-7. https://psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analy…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46518/psn-pdf
    October 29, 2017 - Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. October 29, 2017 Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Academic Primary Care Practice. Jt …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45480/psn-pdf
    November 16, 2016 - Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. November 16, 2016 Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats: Common data representation for Patient Safety Organizations. J Biomed Info…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41542/psn-pdf
    October 29, 2012 - Uncharted territory: measuring costs of diagnostic errors outside the medical record. October 29, 2012 Schwartz A, Weiner SJ, Weaver FM, et al. Uncharted territory: measuring costs of diagnostic errors outside the medical record. BMJ Qual Saf. 2012;21(11):918-24. doi:10.1136/bmjqs-2012-000832. https://psnet.ahrq.g…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44430/psn-pdf
    October 28, 2015 - The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. October 28, 2015 Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emergency care. Reliab Eng Syst Saf.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38157/psn-pdf
    October 22, 2008 - Contributing factors identified by hospital incident report narratives. October 22, 2008 Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721. https://psnet.ahrq.gov/issue/contributing-f…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853237/psn-pdf
    September 06, 2023 - Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. September 6, 2023 Grubenhoff JA, Bakel LA, Dominguez F, et al. Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. Jt Comm J Qual Patient Saf. 2…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45643/psn-pdf
    November 30, 2016 - Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. November 30, 2016 Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia in a UK paediatric hospita…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38579/psn-pdf
    February 18, 2011 - Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. February 18, 2011 Snow V, Beck D, Budnitz T, et al. Transitio…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47746/psn-pdf
    July 19, 2019 - Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. July 19, 2019 Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1136/bmjqs-2018-008328. https://psn…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74084/psn-pdf
    November 17, 2021 - Healthcare failure mode and effect analysis in the chemotherapy preparation process. November 17, 2021 Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):1588-1595. doi:10.1177/107815522…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35648/psn-pdf
    February 03, 2011 - The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. February 3, 2011 Berwick DM, Calkins DR, McCannon CJ, et al. The 100 000 Lives Campaign. JAMA. 2006;295(3). doi:10.1001/jama.295.3.324. https://psnet.ahrq.gov/issue/100000-lives-campaign-setting-goal-and-deadline-improving…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44592/psn-pdf
    December 02, 2015 - Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. December 2, 2015 Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge…
  18. psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
    February 23, 2022 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia Citation Text: Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation …
  19. psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
    May 16, 2022 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital Citation Text: Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
  20. psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
    January 29, 2020 - Delayed Diagnosis of Kidney Transplant Complications Citation Text: Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Goo…

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