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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866934/psn-pdf
    October 09, 2024 - How America’s health care system fails women in pain. October 9, 2024 Neklason A. How America’s health care system fails women in pain. The Hill. September 23, 2024; https://psnet.ahrq.gov/issue/how-americas-health-care-system-fails-women-pain Appropriate treatment of pain is a complicated process vulnerable to rac…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34816/psn-pdf
    February 28, 2018 - Blaming others for threatening events. February 28, 2018 Tennen H; Affleck G. https://psnet.ahrq.gov/issue/blaming-others-threatening-events This detailed review summarizes existing evidence on how people adapt to threatening events by blaming others. Discussion includes a synthesis of past work and explanations f…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45006/psn-pdf
    April 06, 2016 - Quality and Patient Safety. April 6, 2016 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/quality-and-patient-safety The Agency for Healthcare Research and Quality has provided access to patient safety research, information, and tools for nearly two decades. This website offers a wide rang…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38846/psn-pdf
    August 05, 2009 - Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures. August 5, 2009 Landro L. https://psnet.ahrq.gov/issue/seeking-safer-surgery-some-states-crack-down-doctors-who-perform- unregulated-outpatient This article discusses growing legal oversight on outpatient surg…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45659/psn-pdf
    November 16, 2016 - Misdiagnoses: a hidden risk of genetic testing. November 16, 2016 Howard J. CNN. October 31, 2016. https://psnet.ahrq.gov/issue/misdiagnoses-hidden-risk-genetic-testing Although genetic testing can provide proactive assessment for disease, it can also result in unnecessary care. This news article reports on the un…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48128/psn-pdf
    August 28, 2019 - Burnout in healthcare: the case for organisational change. August 28, 2019 Montgomery A, Panagopoulou E, Esmail A, et al. Burnout in healthcare: the case for organisational change. BMJ. 2019;366:l4774. doi:10.1136/bmj.l4774. https://psnet.ahrq.gov/issue/burnout-healthcare-case-organisational-change Burnout has be…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43720/psn-pdf
    November 26, 2014 - Hamilton father misdiagnosed with lung cancer demands answers. November 26, 2014 Carville O. The Star. November 14, 2014. https://psnet.ahrq.gov/issue/hamilton-father-misdiagnosed-lung-cancer-demands-answers This news article reports on a case involving a patient who was misdiagnosed with terminal cancer and touc…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35982/psn-pdf
    September 17, 2010 - Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS). September 17, 2010 Varricchio F, Reed J, Group VAERSW. Follow-up study of medication errors reported to the vaccine adverse event reporting system (VAERS). South Med J. 2006;99(5):486-9. https://psnet.ahrq.gov/issu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34788/psn-pdf
    March 28, 2005 - Cost of medication-related problems at a university hospital. March 28, 2005 Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE https://psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital This study used retrospective chart review to determine estimated costs of defined medication-related …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45849/psn-pdf
    February 22, 2017 - Monitoring teamwork: a narrative review. February 22, 2017 Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94. doi:10.1111/anae.13744. https://psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review Anesthesiology was an early adopter of teamwork as a safety improvement st…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43020/psn-pdf
    May 29, 2014 - Handoff practices in undergraduate medical education. May 29, 2014 Liston BW, Tartaglia KM, Evans D, et al. Handoff practices in undergraduate medical education. J Gen Intern Med. 2014;29(5):765-9. doi:10.1007/s11606-014-2806-0. https://psnet.ahrq.gov/issue/handoff-practices-undergraduate-medical-education This su…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36026/psn-pdf
    March 28, 2011 - Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. March 28, 2011 Kunac DL, Reith DM, Kennedy J, et al. Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Qual Saf Health Care. 2006;15(3):196-201. ht…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36075/psn-pdf
    September 28, 2010 - Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems. September 28, 2010 Armbruster DA, Alexander DB. Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoas…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60889/psn-pdf
    January 01, 2021 - Expert consensus on currently accepted measures of harm. September 9, 2020 Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754. https://psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50729/psn-pdf
    December 11, 2019 - Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. December 11, 2019 Washington DC; National Quality Forum: October 28, 2019. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement- considerations Efforts to track, understand…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37225/psn-pdf
    December 15, 2011 - Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey. December 15, 2011 Elder NC, Regan SL, Pallerla H, et al. Development of an instrument to measure seniors’ patient safety health beliefs: The Seniors Empowerment and…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74076/psn-pdf
    November 17, 2021 - Influence of perioperative handoffs on complications and outcomes. November 17, 2021 Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008. https://psnet.ahrq.gov/issue/influence-perioperative-handoffs-complic…
  18. psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
    December 12, 2014 - June 22, 2022 Factors associated with missed nursing care and nurse-assessed quality
  19. psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
    June 16, 2011 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed
  20. psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
    January 18, 2013 - January 18, 2013 The effect of hospital electronic health record adoption on nurse-assessed

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