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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49769/psn-pdf
    September 01, 2016 - Complaints as Safety Surveillance September 1, 2016 Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/complaints-safety-surveillance The Case A 42-year-old woman presented to the emergency department with abdominal pain. She said the pain came on sudden…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33847/psn-pdf
    August 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS August 1, 2017 In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0 Editor's note: Dr. Bilimoria is the Director of the Surgical Outcomes and Quality Improvement Center of Northwest…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848809/psn-pdf
    May 10, 2023 - Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information. May 10, 2023 Allen G, Setzer J, Jones R, et al. Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50836/psn-pdf
    January 29, 2020 - Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data. January 29, 2020 Weingart SN, Nelson J, Koethe B, et al. Developing a cancer?specific trigger tool to identify treatment? related adverse events using administrative data. Cancer Med. 2020;9(4):1462-14…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866590/psn-pdf
    August 28, 2024 - Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. August 28, 2024 Peerally MF, Carr S, Waring J, et al. Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. J Patient Saf. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854630/psn-pdf
    October 18, 2023 - Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. October 18, 2023 Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. J Hosp Med. 20…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50906/psn-pdf
    February 19, 2020 - Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. February 19, 2020 Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients at high risk of medication err…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60550/psn-pdf
    June 03, 2020 - Clinical efficacy of combined surgical patient safety system and the World Health Organization's checklists in surgery: a nonrandomized clinical trial. June 3, 2020 Storesund A, Haugen AS, Flaatten H, et al. Clinical Efficacy of Combined Surgical Patient Safety System and the World Health Organization’s Checklists…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72742/psn-pdf
    February 17, 2021 - High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. February 17, 2021 Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emerg Surg. 2020;46(6):1367-1374. …
  10. psnet.ahrq.gov/issue/youre-boss-hospital
    February 28, 2024 - Newspaper/Magazine Article You're the boss at the hospital. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 28, 2016 This article shares guidelines for accompanying a fa…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852750/psn-pdf
    August 23, 2023 - Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons with advanced dementia in acute care settings. August 23, 2023 Erel M, Marcus E-L, DeKeyser Ganz F. Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons wit…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839816/psn-pdf
    January 01, 2023 - Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. November 9, 2022 Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. J Surg Educ. 2023;80(1):102-109. doi:…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866737/psn-pdf
    September 18, 2024 - Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 2016- 18. September 18, 2024 Van Wilder A, Bruyneel L, Cox B, et al. Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 2016-18. Health Aff. 2024;43(9…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838318/psn-pdf
    October 12, 2022 - Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study. October 12, 2022 Vauk S, Seelandt JC, Huber K, et al. Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study. Br J Anaesth. 2022;129(5):776-787…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43363/psn-pdf
    September 12, 2016 - Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. September 12, 2016 Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016. https://ps…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764389/psn-pdf
    March 02, 2022 - Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study. March 2, 2022 Morisawa T, Saitoh M, Otsuka S, et al. Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38505/psn-pdf
    February 10, 2015 - Health information technology and patient safety: evidence from panel data. February 10, 2015 Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data. Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357. https://psnet.ahrq.gov/issue/health-informati…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42281/psn-pdf
    May 22, 2013 - The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature. May 22, 2013 Georgiou A, Prgomet M, Paoloni R, et al. The effect of computerized provider order entry systems on clinical care and work processe…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854822/psn-pdf
    October 25, 2023 - Cognitive bias during clinical decision-making and its influence on patient outcomes in the emergency department: a scoping review. October 25, 2023 Jala S, Fry M, Elliott R. Cognitive bias during clinical decision?making and its influence on patient outcomes in the emergency department: a scoping review. J Clin N…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45313/psn-pdf
    September 27, 2016 - An acetaminophen icon helps reduce medication decision errors in an experimental setting. September 27, 2016 Shiffman S, Cotton H, Jessurun C, et al. An acetaminophen icon helps reduce medication decision errors in an experimental setting. J Am Pharm Assoc (2003). 2016;56(5):495-503.e4. doi:10.1016/j.japh.2016.04.…

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