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4381. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863226/psn-pdf
      February 28, 2024 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report. February 28, 2024 Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; February 2024. AHRQ Publication No. 24-0028. https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-med…

4382. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35571/psn-pdf
      April 06, 2011 - Overestimation of clinical diagnostic performance caused by low necropsy rates. April 6, 2011 Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13. https://psnet.ahrq.gov/issue/overestimation-clinical-dia…

4383. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43192/psn-pdf
      December 15, 2014 - Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? December 15, 2014 Rosen AK, Chen Q, Borzecki A, et al. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? Health Serv Res.…

4384. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837199/psn-pdf
      May 25, 2022 - Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. May 25, 2022 Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safet…

4385. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44616/psn-pdf
      November 04, 2015 - Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. November 4, 2015 Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…

4386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837968/psn-pdf
      August 31, 2022 - The perception of the patient safety climate by health professionals during the COVID-19 pandemic- international research. August 31, 2022 Kosydar-Bochenek J, Krupa S, Religa D, et al. The Perception of the Patient Safety Climate by Health Professionals during the COVID-19 Pandemic—International Research. Int J En…

4387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45195/psn-pdf
      September 14, 2016 - Adverse drug event reporting systems: a systematic review. September 14, 2016 Bailey C, Peddie D, Wickham ME, et al. Adverse drug event reporting systems: a systematic review. Br J Clin Pharm. 2016;82(1):17-29. doi:10.1111/bcp.12944. https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-revi…

4388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/862989/psn-pdf
      February 21, 2024 - Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. February 21, 2024 Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Adv Anesth. 2023;41(1):39-52. doi:…

4389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45014/psn-pdf
      July 18, 2016 - Improving patient safety through simulation training in anesthesiology: where are we? July 18, 2016 Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523. https://psnet.ahrq.gov/issue/impro…

4390. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837742/psn-pdf
      July 27, 2022 - Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. July 27, 2022 Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard recognition among various hospita…

4391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47240/psn-pdf
      March 06, 2019 - Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. March 6, 2019 Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their …

4392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860728/psn-pdf
      January 17, 2024 - Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. January 17, 2024 Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professio…

4393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47269/psn-pdf
      August 15, 2018 - AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis. August 15, 2018 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. August 2, 2018. Publication No. NOT-HS-18-015. https://psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-address…

4394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50795/psn-pdf
      January 15, 2020 - Diagnostic error in the emergency department: learning from national patient safety incident report analysis. January 15, 2020 Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…

4395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41814/psn-pdf
      March 04, 2015 - Autopsy as a quality control measure for radiology, and vice versa. March 4, 2015 Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386. https://psnet.ahrq.gov/issue/autopsy-quality-control-mea…

4396. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50816/psn-pdf
      January 29, 2020 - Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program January 29, 2020 Pacheco TB, Hettinger AZ, Ratwani RM. Identifying Potential Patient Safety Issues From the Federal Electronic Health Record Surveillance Program. JAMA. 2019;322(23):2339-2340. doi:10.1001/jam…

4397. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47554/psn-pdf
      November 07, 2018 - Diagnostic Excellence Initiative. November 7, 2018 Gordon and Betty Moore Foundation. https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite an increasing focus on di…

4398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44390/psn-pdf
      July 18, 2016 - Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. July 18, 2016 Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure. Acad Pediatr. 2016;16(5):482-488. doi:10.1016/j.aca…

4399. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50735/psn-pdf
      December 11, 2019 - Never events in UK general practice: A survey of the views of general practitioners on their frequency and acceptability as a safety improvement approach December 11, 2019 Stocks SJ, Alam R, Bowie P, et al. Never Events in UK General Practice: A Survey of the Views of General Practitioners on Their Frequency and A…

4400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838252/psn-pdf
      October 05, 2022 - A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. October 5, 2022 Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. Jt Co…