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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41413/psn-pdf
    September 26, 2012 - The effects of a 'discharge time-out' on the quality of hospital discharge summaries. September 26, 2012 Mohta N, Vaishnava P, Liang C, et al. The effects of a 'discharge time-out' on the quality of hospital discharge summaries. BMJ Qual Saf. 2012;21(10):885-90. https://psnet.ahrq.gov/issue/effects-discharge-time-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844549/psn-pdf
    February 15, 2023 - Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment. February 15, 2023 Wong CI, Vannatta K, Gilleland Marchak J, et al. Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60176/psn-pdf
    April 01, 2020 - Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. April 1, 2020 Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37771/psn-pdf
    June 29, 2011 - Effect of crew resource management training in a multidisciplinary obstetrical setting. June 29, 2011 Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:10.1093/intqhc/mzn018. https://psnet…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42803/psn-pdf
    February 13, 2014 - Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. February 13, 2014 Arriaga AF, Gawande AA, Raemer D, et al. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. Ann Surg. 2014;259(3):403-1…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852746/psn-pdf
    August 23, 2023 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. August 23, 2023 Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutc…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60212/psn-pdf
    January 29, 2021 - Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 January 29, 2021 La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland: International Society for Quality in Health Care; 2021. https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epide…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42223/psn-pdf
    August 15, 2013 - Development of a checklist of safe discharge practices for hospital patients. August 15, 2013 Soong C, Daub S, Lee J, et al. Development of a checklist of safe discharge practices for hospital patients. J Hosp Med. 2013;8(8):444-9. doi:10.1002/jhm.2032. https://psnet.ahrq.gov/issue/development-checklist-safe-disch…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37290/psn-pdf
    February 15, 2011 - Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. February 15, 2011 Singh H, Thomas EJ, Petersen L, et al. Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Arch Intern Med. 2007;167(19):2030-6. https://psnet.ahrq.gov/issue/medical-error…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72586/psn-pdf
    December 23, 2020 - Code Status vs. Care Status December 23, 2020 Krisman RK, Spero H. Code Status vs. Care Status. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/code-status-vs-care-status Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for Continuing Medical Education (AC…
  11. psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
    October 24, 2021 - The Role of Community Pharmacists in Patient Safety October 24, 2021  Also Read the Conversation View more articles from the same authors. Citation Text: Luchen GG, Hall KK, Hough KR. The Role of Community Pharmacists in Patient Safety . PSNet [internet]. Rockv…
  12. psnet.ahrq.gov/web-mm/who-nose-where-airway
    May 01, 2016 - Who Nose Where the Airway Is? Citation Text: Lee CR. Who Nose Where the Airway Is?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  13. psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx Spotlight Code Status vs. Care Status Source and Credits • This presentation is based on the December 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Rebe…
  14. psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
    January 01, 2024 - The Different Count Contributions to Retention Differential Count Contributions in Retained Surgical Sponge Cases: Examination of Administrative Penalty Cases from the California Department of Public Health (CDPH), Health and Safety Code Section 1280.1 Enforcement Reports from 2007-2014 A NoThing Left Behin…
  15. psnet.ahrq.gov/toolkits
    March 01, 2025 - Toolkits Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols. Want to submit a Toolkit? Has your organization deve…
  16. psnet.ahrq.gov/web-mm/inside-time-out
    March 01, 2004 - The Inside of a Time Out Citation Text: Feldman DL. The Inside of a Time Out. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38524/psn-pdf
    July 13, 2009 - How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? July 13, 2009 Kaafarani HMA, Itani KMF, Rosen AK, et al. How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? Am J Surg. 2009;…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39139/psn-pdf
    June 02, 2010 - Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. June 2, 2010 Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc. https://psnet.ahrq.gov/issue/assessing-res…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45314/psn-pdf
    September 01, 2018 - The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. September 1, 2018 Lambert BL, Centomani NM, Smith KM, et al. The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and Outcomes. Health Serv Res. 2016;51(suppl 3)…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39551/psn-pdf
    May 26, 2010 - Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. May 26, 2010 Bruppacher HR, Alam SK, LeBlanc VR, et al. Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. Anest…

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