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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844757/psn-pdfSeptember 11, 2019 - Diagnostic overshadowing in dentistry. September 11, 2019 Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x. https://psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry Assumptions, communication barriers, and implicit biases can compromis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72559/psn-pdfDecember 09, 2020 - The Life and Death of Elizabeth Dixon: A Catalyst for Change. December 9, 2020 Kirkup B. London, England: Crown Copyright; 2020. ISBN 9781528622714. https://psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change Missed diagnosis of a dangerous condition in utero, treatment errors, lack of respons… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44327/psn-pdfAugust 26, 2015 - Safely Home: What Happens When People Leave Hospital Care Settings? August 26, 2015 London, UK: Healthwatch England; July 2015. https://psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings Discharges are vulnerable periods for patients, often due to miscommunication, delays, and l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34100/psn-pdfFebruary 09, 2011 - Safety of patients isolated for infection control. February 9, 2011 Stelfox HT, Bates DW, Redelmeier DA. Safety of patients isolated for infection control. JAMA. 2003;290(14):1899-1905. https://psnet.ahrq.gov/issue/safety-patients-isolated-infection-control This study discovered that patients isolated for coloniza… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72534/psn-pdfDecember 02, 2020 - Patients' perceptions of safety in emergency medical services: an interview study. December 2, 2020 Venesoja A, Castrén M, Tella S, et al. Patients’ perceptions of safety in emergency medical services: an interview study. BMJ Open. 2020;10(10):e037488. doi:10.1136/bmjopen-2020-037488. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46516/psn-pdfDecember 16, 2017 - The business case for investing in physician well-being. December 16, 2017 Shanafelt TD, Goh J, Sinsky CA. The Business Case for Investing in Physician Well-being. JAMA Intern Med. 2017;177(12):1826-1832. doi:10.1001/jamainternmed.2017.4340. https://psnet.ahrq.gov/issue/business-case-investing-physician-well-being … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846451/psn-pdfMarch 22, 2023 - Reducing risks in complex care transitions in rural areas: a grounded theory. March 22, 2023 Winqvist I, Näppä U, Rönning H, et al. Reducing risks in complex care transitions in rural areas: a grounded theory. Int J Qual Stud Health Well-being. 2023;18(1):2185964. doi:10.1080/17482631.2023.2185964. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837042/psn-pdfApril 04, 2022 - Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management. April 4, 2022 Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management Crisis management skills are valuable at both the organizational and clinical … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43505/psn-pdfApril 25, 2016 - Hospitals often ignore policies on using qualified medical interpreters. April 25, 2016 Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20. https://psnet.ahrq.gov/issue/hospitals-often-ignore-polici… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42991/psn-pdfMarch 12, 2014 - Medication errors in hospitalised children. March 12, 2014 Manias E, Kinney S, Cranswick N, et al. Medication errors in hospitalised children. J Paediatr Child Health. 2014;50(1):71-7. doi:10.1111/jpc.12412. https://psnet.ahrq.gov/issue/medication-errors-hospitalised-children Consistent with findings from prior st… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852806/psn-pdfFebruary 24, 2025 - Covering Health: Patient Safety. February 24, 2025 Jaklevic MC. HealthJournalism.org. Columbia, MO: Association of Health Care Journalists; 2010-2025. https://psnet.ahrq.gov/issue/covering-health-patient-safety The role media plays in raising awareness of patient safety issues in a timely and appropriate… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60567/psn-pdfJune 03, 2020 - Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19. June 3, 2020 National Academy of Medicine. April-June 2020. https://psnet.ahrq.gov/issue/keeping-nursing-home-residents-and-staff-safe-era-covid-19 Nursing homes are care environments that are particularly challenged by the COVID-19 pandemic. Th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48082/psn-pdfJune 19, 2019 - Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. June 19, 2019 Redmond P, McDowell R, Grimes TC, et al. Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. BMJ Open. 2019;9(6):e024747. doi:10.1136/bmjopen-2018- 024747. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41511/psn-pdfJune 03, 2013 - A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills. June 3, 2013 Flowerdew L, Gaunt A, Spedding J, et al. A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills. Emerg Med J. 2013;30(6):437-43. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34770/psn-pdfApril 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd ed. April 17, 2017 Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed Vincent has updated his text on risk management, infusing it with concepts directly rela… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41873/psn-pdfNovember 28, 2012 - A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. November 28, 2012 Chesluk BJ, Bernabeo E, Hess B, et al. A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. Health Aff (Millwood). 2012;31(11):2485-2492. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38970/psn-pdfJuly 05, 2013 - Joint Commission Center for Transforming Healthcare. July 5, 2013 Joint Commission. https://psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare The Joint Commission has traditionally focused on accreditation of health care organizations and, through its Joint Commission Resources arm, on quality i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46240/psn-pdfJune 21, 2017 - Implementation of a modified bedside handoff for a postpartum unit. June 21, 2017 Wollenhaup CA, Stevenson EL, Thompson J, et al. Implementation of a Modified Bedside Handoff for a Postpartum Unit. J Nurs Admin. 2017;47(6):320-326. doi:10.1097/NNA.0000000000000487. https://psnet.ahrq.gov/issue/implementation-modif… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836727/psn-pdfMarch 09, 2022 - A family and hospital's journey and commitment to improving diagnostic safety. March 9, 2022 Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091. https://psnet.ahrq.gov/issue/family-an… -
psnet.ahrq.gov/web-mm/surprise-wireJuly 15, 2020 - Surprise Wire Citation Text: Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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