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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40743/psn-pdf
    February 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy. December 23, 2016 Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019). https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging The Joint Commission issues Sentinel Event Alerts periodically to highlight emerging patient safety issues …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73291/psn-pdf
    May 19, 2021 - How can never event data be used to reflect or improve hospital safety performance? May 19, 2021 Olivarius?McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/anae.15476. https://psnet.ahrq.gov/i…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866265/psn-pdf
    July 31, 2024 - Example Preparation Reference (Standard) Figure 3.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866841/psn-pdf
    September 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary September 23, 2024 https://psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and- intervention-innovation Summary UNC Health is a nonprofit healthcare system of more than 500 clinics and…
  5. psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
    January 01, 2014 - Annual Perspective Computerized Provider Order Entry and Patient Safety Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015  View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…
  6. psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
    December 22, 2018 - Annual Perspective Burnout Among Health Professionals and Its Effect on Patient Safety Audrey Lyndon, PhD | January 1, 2015  View more articles from the same authors. Citation Text: Lyndon A. Burnout Among Health Professionals and Its Effect on Patient Safety…
  7. psnet.ahrq.gov/web-mm/dropping-new-lows
    December 18, 2024 - and mortality in tightly (versus moderately) controlled cohorts.( 8 ) This evidence established new standards
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865586/psn-pdf
    April 17, 2024 - Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. April 17, 2024 Chen F, Wang L, Hong J, et al. Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72815/psn-pdf
    March 10, 2021 - Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs. March 10, 2021 Abraham J, Meng A, Tripathy S, et al. Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs. BMJ Qual Saf. 2021;30(6):513-524. doi:10.1136/bmjqs-2…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865678/psn-pdf
    April 24, 2024 - Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. April 24, 2024 Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Jt Comm J Q…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45238/psn-pdf
    September 29, 2017 - Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. September 29, 2017 Fargen KM, Drolet BC, Philibert I. Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature With a Focus on Risk Factors, Tem…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44961/psn-pdf
    May 09, 2017 - Parent-reported errors and adverse events in hospitalized children. May 9, 2017 Khan A, Furtak SL, Melvin P, et al. Parent-reported errors and adverse events in hospitalized children. JAMA Pediatr. 2016;170(4):e154608. doi:10.1001/jamapediatrics.2015.4608. https://psnet.ahrq.gov/issue/parent-reported-errors-and-ad…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36804/psn-pdf
    August 26, 2011 - Patterns of communication breakdowns resulting in injury to surgical patients. August 26, 2011 Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204(4):533-40. https://psnet.ahrq.gov/issue/patterns-communication-brea…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44850/psn-pdf
    September 06, 2016 - Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. September 6, 2016 Hughes KM, Goswami ES, Morris JL. Impact of a Drug Shortage on Medication Errors and Clinical Outcomes in the Pediatric Intensive Care Unit. J Pediatr Pharmacol Ther. 2015;20(6):453-61. doi:…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46472/psn-pdf
    August 20, 2018 - Wide variation and overprescription of opioids after elective surgery. August 20, 2018 Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.0000000000002365. https://psnet.ahrq.gov/issue/wide-variation-and-overp…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41030/psn-pdf
    March 04, 2015 - A systematic review to evaluate the accuracy of electronic adverse drug event detection. March 4, 2015 Forster AJ, Jennings A, Chow C, et al. A systematic review to evaluate the accuracy of electronic adverse drug event detection. J Am Med Inform Assoc. 2012;19(1):31-8. doi:10.1136/amiajnl-2011-000454. https://psn…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43027/psn-pdf
    July 23, 2014 - Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. July 23, 2014 Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Br J Anaesth. 2014;112(…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36205/psn-pdf
    May 27, 2011 - Physician characteristics, attitudes, and use of computerized order entry. May 27, 2011 Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized order entry. J Hosp Med. 2006;1(4):221-30. https://psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computeri…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74175/psn-pdf
    December 15, 2021 - The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimental setting. December 15, 2021 Centola D, Guilbeault D, Sarkar U, et al. The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimen…

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