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3741. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38592/psn-pdf
      April 29, 2009 - The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. April 29, 2009 Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Qual Saf Health Care. 2009;18(2):137-40. …

3742. 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…

3743. 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…

3744. 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…

3745. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50646/psn-pdf
      November 06, 2019 - My patient almost died from a mistake I made. I apologized and it changed my life. November 6, 2019 McLean K. Huffington Post. October 16, 2019. https://psnet.ahrq.gov/issue/my-patient-almost-died-mistake-i-made-i-apologized-and-it-changed-my-life Medical mistakes cause stress for both patients and their clinician…

3746. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60885/psn-pdf
      September 02, 2020 - Becoming a High Reliability Organization. September 2, 2020 VHA Forum. Summer 2020;1-12. https://psnet.ahrq.gov/issue/becoming-high-reliability-organization High reliability attainment is a stated goal for health care organizations. This special issue covers established initiatives at the United States Veterans He…

3747. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38521/psn-pdf
      September 19, 2016 - Inpatient suicide: preventing a common sentinel event. September 19, 2016 Tishler CL, Reiss NS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry. 2009;31(2):103-9. doi:10.1016/j.genhosppsych.2008.09.007. https://psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event Suici…

3748. 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…

3749. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838079/psn-pdf
      September 14, 2022 - Exploring the impact of employee engagement and patient safety. September 14, 2022 Scott G, Hogden A, Taylor R, et al. Exploring the impact of employee engagement and patient safety. Int J Qual Health Care. 2022;34(3):mzac059. doi:10.1093/intqhc/mzac059. https://psnet.ahrq.gov/issue/exploring-impact-employee-engag…

3750. 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…

3751. 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…

3752. 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…

3753. 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…

3754. 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 …

3755. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38405/psn-pdf
      February 11, 2009 - Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. February 11, 2009 Schnall R, Stone PW, Currie L, et al. Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. J Nurs Scholarsh. 2008;40(4):391-4. doi:10.1111/j.1547- 506…

3756. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45899/psn-pdf
      March 15, 2017 - Patient Safety: Investigating and Reporting Serious Clinical Incidents. March 15, 2017 Kelsey R. CRC Press: Boca Raton, FL; 2017. ISBN: 9781498781169. https://psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents Research is increasingly focusing on patient safety in primary ca…

3757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45169/psn-pdf
      June 08, 2016 - High Reliability in Health Care. June 8, 2016 Joint Commission Center for Transforming Healthcare. https://psnet.ahrq.gov/issue/high-reliability-health-care Development of high reliability remains an elusive goal for health care organizations. The Joint Commission has also advocated for achieving high reliability …

3758. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60663/psn-pdf
      January 01, 2021 - Apology laws and malpractice liability: what have we learned? July 8, 2020 Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955. https://psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-l…

3759. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50643/psn-pdf
      November 06, 2019 - Same Day Surgery in the US; Findings of Two Inaugural Leapfrog Surveys 2019. November 6, 2019 Washington DC: Leapfrog Group; 2019. https://psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019 Ambulatory surgery centers (ASC) are established venues for surgical care despite lack of …

3760. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40861/psn-pdf
      October 19, 2011 - Registered nurses' judgments of the classification and risk level of patient care errors. October 19, 2011 Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097/NCQ.0b013e31820f4c57. https://ps…