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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50457/psn-pdf
    October 09, 2019 - Combined SNA and LDA methods to understand adverse medical events October 9, 2019 Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. https://psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understa…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36755/psn-pdf
    May 04, 2014 - Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan. May 4, 2014 Murphy JG, Stee LA, McEvoy MT, et al. Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan. Chest. 2007;131(3):890-896. doi:10.1378…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43877/psn-pdf
    February 25, 2015 - Training situational awareness to reduce surgical errors in the operating room. February 25, 2015 Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643. https://psnet.ahrq.gov/issue/train…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46036/psn-pdf
    July 05, 2017 - Operational failures detected by frontline acute care nurses. July 5, 2017 Stevens KR, Engh EP, Tubbs-Cooley HL, et al. Operational Failures Detected by Frontline Acute Care Nurses. Res Nurs Health. 2017;40(3):197-205. doi:10.1002/nur.21791. https://psnet.ahrq.gov/issue/operational-failures-detected-frontline-acut…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46465/psn-pdf
    February 21, 2018 - Preventing mistransfusions: an evaluation of institutional knowledge and a response. February 21, 2018 MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000000000002443. https://psnet.ah…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46035/psn-pdf
    May 17, 2017 - Economic impact of medication error: a systematic review. May 17, 2017 Walsh EK, Hansen CR, Sahm LJ, et al. Economic impact of medication error: a systematic review. Pharmacoepidemiol Drug Saf. 2017;26(5):481-497. doi:10.1002/pds.4188. https://psnet.ahrq.gov/issue/economic-impact-medication-error-systematic-review…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35233/psn-pdf
    August 10, 2005 - The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. August 10, 2005 Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50743/psn-pdf
    December 18, 2019 - Design of a safety dashboard for patients. December 18, 2019 Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021. https://psnet.ahrq.gov/issue/design-safety-dashboard-patients Patients and caregivers should be acti…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42864/psn-pdf
    January 15, 2014 - A unified model of patient safety (or "Who froze my cheese?"). January 15, 2014 Coiera E, Collins S, Kuziemsky C. A unified model of patient safety (or "Who froze my cheese?"). BMJ. 2013;347:f7273. doi:10.1136/bmj.f7273. https://psnet.ahrq.gov/issue/unified-model-patient-safety-or-who-froze-my-cheese This comment…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46687/psn-pdf
    February 21, 2018 - Oversedation of a patient with obstructive sleep apnea prior to imaging. February 21, 2018 Blay E, Barnard C, Bilimoria KY. Oversedation of a Patient With Obstructive Sleep Apnea Prior to Imaging. JAMA. 2018;319(5):495-496. doi:10.1001/jama.2017.22004. https://psnet.ahrq.gov/issue/oversedation-patient-obstructive-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46332/psn-pdf
    September 24, 2017 - Sharing the process of diagnostic decision making. September 24, 2017 Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. https://psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making Improving diagnosis has …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41709/psn-pdf
    September 26, 2012 - The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments. September 26, 2012 Cruz MF, Edwards J, Dinh MM, et al. The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments. Med …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43015/psn-pdf
    May 29, 2014 - Team-training in healthcare: a narrative synthesis of the literature. May 29, 2014 Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014;23(5):359-72. doi:10.1136/bmjqs-2013-001848. https://psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthe…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44452/psn-pdf
    September 04, 2016 - Reflecting on diagnostic errors: taking a second look is not enough. September 4, 2016 Monteiro SD, Sherbino J, Patel A, et al. Reflecting on Diagnostic Errors: Taking a Second Look is Not Enough. J Gen Intern Med. 2015;30(9):1270-4. doi:10.1007/s11606-015-3369-4. https://psnet.ahrq.gov/issue/reflecting-diagnostic…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46875/psn-pdf
    March 07, 2018 - Improving medication-related clinical decision support. March 7, 2018 Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. https://psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-suppo…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34048/psn-pdf
    May 27, 2011 - Computerized physician order entry: helpful or harmful? May 27, 2011 Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3. https://psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful The authors critically review the published …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48025/psn-pdf
    June 19, 2019 - Accuracy of a popular online symptom checker for ophthalmic diagnoses. June 19, 2019 Shen C, Nguyen M, Gregor A, et al. Accuracy of a Popular Online Symptom Checker for Ophthalmic Diagnoses. JAMA Ophthalmol. 2019;137(6):690-692. doi:10.1001/jamaophthalmol.2019.0571. https://psnet.ahrq.gov/issue/accuracy-popular-on…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841197/psn-pdf
    December 07, 2022 - Does malpractice liability promote patient safety? A methodological excursion. December 7, 2022 Saks MJ, Landsman S. Jurimetrics. 2022;62:397-419. https://psnet.ahrq.gov/issue/does-malpractice-liability-promote-patient-safety-methodological-excursion Malpractice liability is an unconfirmed driver for safety. This …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35393/psn-pdf
    April 06, 2011 - Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? April 6, 2011 Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):358-63. https://psnet.ahrq.gov/issue/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35410/psn-pdf
    September 11, 2009 - Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. September 11, 2009 Keohane C, Hayes J, Saniuk C, et al. Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. J Infus Nurs. 2005;28(5):321-328. https://psnet.ahrq.gov/is…

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