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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73141/psn-pdf
    April 14, 2021 - Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. April 14, 2021 Øyri SF, Braut GS, Macrae C, et al. Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of Resilience. J Patient Saf. 2021;17…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73441/psn-pdf
    June 30, 2021 - Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. June 30, 2021 Green AR, Aschmann H, Boyd CM, et al. Assessment of patient-preferred language to achieve goal- aligned deprescribing in older adults. JAMA Netw Open. 2021;4(4):e212633. doi:10.1001/jamanetworkopen.2021.26…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73440/psn-pdf
    June 30, 2021 - Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. June 30, 2021 Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent clinical course and outcomes. BMJ Qual …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47374/psn-pdf
    April 07, 2019 - Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. April 7, 2019 Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the literature. Int J Health Plann Manage. 20…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850170/psn-pdf
    June 07, 2023 - A scoping review of distributed cognition in acute care clinical decision-making. June 7, 2023 Wilson E, Daniel M, Rao A, et al. A scoping review of distributed cognition in acute care clinical decision- making. Diagnosis (Berl). 2023;10(2):68-88. doi:10.1515/dx-2022-0095. https://psnet.ahrq.gov/issue/scoping-revi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44543/psn-pdf
    June 07, 2016 - Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. June 7, 2016 Xu T, Wick EC, Makary MA. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. BMJ Qual Saf. 2016;25(5):311-314. doi:10.1136/bmjqs-2015-004395. https://psnet.ahrq.go…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43169/psn-pdf
    May 07, 2014 - Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. May 7, 2014 Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Chest. 2014;145(3):632-8. doi:10.1378…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847054/psn-pdf
    April 05, 2023 - Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. April 5, 2023 Zwaan L, Smith KM, Giardina TD, et al. Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. Patient Educ Couns. 2023;110:107650. doi:10.1016/j…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34067/psn-pdf
    January 04, 2017 - Does full disclosure of medical errors affect malpractice liability? The jury is still out. January 4, 2017 Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11. https://psnet.ahrq.gov/issue/does…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39856/psn-pdf
    December 21, 2014 - Patient perceptions of mistakes in ambulatory care. December 21, 2014 Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. https://psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care Pat…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46999/psn-pdf
    June 27, 2018 - Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. June 27, 2018 Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and- polsts Patient harm associated with adva…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46365/psn-pdf
    September 06, 2017 - Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students. September 6, 2017 Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve Safer Patient Care: An Interprofess…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46351/psn-pdf
    December 19, 2017 - Intraoperative surgical performance measurement and outcomes: choose your tools carefully. December 19, 2017 Aggarwal R. Intraoperative Surgical Performance Measurement and Outcomes: Choose Your Tools Carefully. JAMA Surg. 2017;152(11):995-996. doi:10.1001/jamasurg.2017.0837. https://psnet.ahrq.gov/issue/intraoper…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45683/psn-pdf
    January 23, 2017 - Consensus bundle on prevention of surgical site infections after major gynecologic surgery. January 23, 2017 Pellegrini JE, Toledo P, Soper DE, et al. Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery. Obstet Gynecol. 2017;129(1):50-61. doi:10.1097/AOG.0000000000001751. htt…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36784/psn-pdf
    February 24, 2011 - The many faces of error disclosure: a common set of elements and a definition. February 24, 2011 Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):755-761. https://psnet.ahrq.gov/issue/many-faces-error-disclosure-co…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44377/psn-pdf
    August 05, 2015 - Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. August 5, 2015 Bell SK, Folcarelli PH, Anselmo MK, et al. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. Jt Comm J Qual Patient Saf. 2015…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73464/psn-pdf
    July 07, 2021 - Errors in breast imaging: how to reduce errors and promote a safety environment. July 7, 2021 Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118. https://psnet.ahrq.gov/issue/errors-breast-im…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852271/psn-pdf
    August 09, 2023 - Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. August 9, 2023 Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes Manag. 2023;30(3):67-70. doi:10.12788/j…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36668/psn-pdf
    June 29, 2011 - Language proficiency and adverse events in US hospitals: a pilot study. June 29, 2011 Divi C, Koss RG, Schmaltz SP, et al. Language proficiency and adverse events in US hospitals: a pilot study. Int J Qual Health Care. 2007;19(2):60-67. doi:10.1093/intqhc/mzl069. https://psnet.ahrq.gov/issue/language-proficiency-a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840145/psn-pdf
    November 16, 2022 - Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. November 16, 2022 Okoli J, Arroteia NP, Ogunsade AI. Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. Leadersh Health Serv (Bradf Engl). 2023;36(2):1…

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