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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837890/psn-pdf
    August 24, 2022 - Accuracy of pressure ulcer events in US nursing home ratings. August 24, 2022 Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763. https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ra…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45256/psn-pdf
    July 01, 2017 - Applied use of safety event occurrence control charts of harm and non-harm events: a case study. July 1, 2017 Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291. doi:10.1177/1062860616646197. https://p…
  3. 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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36539/psn-pdf
    March 03, 2011 - Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. March 3, 2011 Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. B…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47083/psn-pdf
    June 21, 2018 - Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system. June 21, 2018 Anderson AM, Matsumoto M, Saul MI, et al. Accuracy of Skin Cancer Diagnosis by Physician Assistants Compared With Dermatologists in a Large Health Care System. JAMA Dermatol. 2018;154…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45393/psn-pdf
    November 16, 2016 - Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. November 16, 2016 Nguyen MC, Moffatt-Bruce SD, Strosberg DS, et al. Agency for Healthcare Research and Quality (AHRQ) Patient Sa…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867234/psn-pdf
    December 04, 2024 - Survey results reveal tubing misconnections are common and underreported—Parts I and II. December 4, 2024 Survey results reveal tubing misconnections are common and underreported—Parts I and II. ISMP Medication Safety Alert! Acute Care. October 31, 2024;29(22 & 23):1-5;1-4. https://psnet.ahrq.gov/issue/survey-resu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46849/psn-pdf
    May 23, 2018 - 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). May 23, 2018 Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018;44(5):260-269. doi:10.1016/j.jcjq.2017.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50913/psn-pdf
    February 19, 2020 - "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. February 19, 2020 Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective observational study of triggers and effects of…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35908/psn-pdf
    March 03, 2011 - Patient safety in surgery. March 3, 2011 Makary MA, Sexton B, Freischlag JA, et al. Patient safety in surgery. Ann Surg. 2006;243(5):628-32; discussion 632-5. https://psnet.ahrq.gov/issue/patient-safety-surgery This AHRQ-supported study used a surgery-specific safety questionnaire (modified from the Safety Attitu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36675/psn-pdf
    January 18, 2011 - Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. January 18, 2011 Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. Med Educ. 2007;41(2):173-80…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46631/psn-pdf
    March 20, 2018 - Simulation-based education to ensure provider competency within the healthcare system. March 20, 2018 Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10.1111/acem.13322. https://psnet.ahrq.g…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47034/psn-pdf
    May 16, 2018 - Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. May 16, 2018 John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13(3):210-212. doi:10.12788/jhm.2945. htt…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72474/psn-pdf
    January 01, 2021 - Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. November 18, 2020 Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform Assoc. 2021;28(6):1074-1080. do…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843079/psn-pdf
    January 25, 2023 - Electronic health record use issues and diagnostic error: a scoping review and framework. January 25, 2023 Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/pts.0000000000001081. https://psn…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45501/psn-pdf
    October 28, 2016 - Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis. October 28, 2016 Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events o…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850932/psn-pdf
    June 21, 2023 - Evaluation of detected medication errors within the operating room at an academic medical center. June 21, 2023 Wolf M, Rolf J, Nelson D, et al. Evaluation of detected medication errors within the operating room at an academic medical center. Hosp Pharm. 2023;58(3):309-314. doi:10.1177/00185787221145110. https://p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837029/psn-pdf
    May 04, 2022 - Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. May 4, 2022 doi:10.1001/jamaoncol.2022.0114. https://psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment- breast-radiotherapy Concordance of patient-reported symptoms and p…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60900/psn-pdf
    September 09, 2020 - State policies for prescription drug monitoring programs and adverse opioid-related hospital events. September 9, 2020 Wen K, Johnson P, Jeng PJ, et al. State policies for prescription drug monitoring programs and adverse opioid-related hospital events. Med Care. 2020;58(7):610-616. doi:http://doi.org/10.1097/mlr.…
  20. 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…

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