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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39932/psn-pdfOctober 20, 2010 - Incorrect surgical counts: a qualitative analysis. October 20, 2010 Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019. https://psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis Preventing surgical instruments from be… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74152/psn-pdfDecember 08, 2021 - Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. December 8, 2021 Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. Patient Relat Outcome … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855092/psn-pdfNovember 08, 2023 - Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. November 8, 2023 Grace MA, O'Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. Simul Healthc. 2023;19(4):243-253. doi:10.1097/sih.0000000000000748. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74086/psn-pdfNovember 17, 2021 - Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. November 17, 2021 Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. J Patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47409/psn-pdfApril 16, 2019 - Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. April 16, 2019 Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. J Healthc Risk Manag. 2019;38(4):32-42. doi:10.1002/jhrm.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837308/psn-pdfJune 01, 2022 - Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. June 1, 2022 Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. J Patient Saf. 2022;1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47508/psn-pdfOctober 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. October 24, 2018 Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44713/psn-pdfJanuary 20, 2016 - Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sample survey about "truth-telling practices" in the perioperative setting in the United States. January 20, 2016 Nurok M, Lee Y-Y, Ma Y, et al. Are surgeons and anesthesiologists lying to each other or gaming the syste… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39013/psn-pdfOctober 14, 2009 - The nature and causes of unintended events reported at ten emergency departments. October 14, 2009 Smits M, Groenewegen PP, Timmermans D, et al. The nature and causes of unintended events reported at ten emergency departments. BMC Emerg Med. 2009;9:16. doi:10.1186/1471-227X-9-16. https://psnet.ahrq.gov/issue/natur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46559/psn-pdfDecember 22, 2018 - Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. December 22, 2018 Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36348/psn-pdfMarch 09, 2009 - Reducing medical error in the Military Health System: how can team training help? March 9, 2009 Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72473/psn-pdfJanuary 01, 2021 - Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020 Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43141/psn-pdfApril 30, 2014 - Engaging residents and fellows to improve institution- wide quality: the first six years of a novel financial incentive program. April 30, 2014 Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862154/psn-pdfJune 18, 2020 - Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. June 18, 2020 Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. J Midwifery Womens Health. 2020;65(4):466-4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867014/psn-pdfOctober 23, 2024 - Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. October 23, 2024 Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. https://psnet.ahrq.gov/issue/secondary-analys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46715/psn-pdfMay 02, 2018 - Filling the gap: simulation-based crisis resource management training for emergency medicine residents. May 2, 2018 Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg Med. 2018;19(1):205-210. doi:10.5811/wes… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862615/psn-pdfAugust 12, 2019 - Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. August 12, 2019 Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. Soc Sci Med. 2019;238:1124… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72851/psn-pdfMarch 17, 2021 - Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. March 17, 2021 Gurwitz JH, Kapoor A, Garber L, et al. Effect of a multifaceted clinical pharmacist intervention on medication safety after … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45105/psn-pdfMay 11, 2016 - Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. May 11, 2016 Elliott RA, Lee CY, Beanland C, et al. Medicines Management, Medication Errors and Adverse Medication Events in Older People Referred to … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854829/psn-pdfJanuary 01, 2024 - Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. October 25, 2023 Vellonen M, Härkänen M, Välimäki T. Flow of information contributing to medication incidents in home care— an analysis considering incident reporters' perspectives. J Cl…
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