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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60304/psn-pdf
    January 01, 2021 - Patients' perspectives of diagnostic error: a qualitative study. May 6, 2020 Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642. https://psnet.ahrq.gov/issue/patients-perspectives-diagnostic…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865815/psn-pdf
    May 08, 2024 - Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. May 8, 2024 Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. Jt Com…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74080/psn-pdf
    January 01, 2022 - The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. November 17, 2021 Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837044/psn-pdf
    May 04, 2022 - How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. May 4, 2022 Doty MM, Horstman C, Shah A et al. Issue Brief. New York, NY: Commonwealth Fund: April 2022. https://psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health- sys…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45605/psn-pdf
    November 30, 2016 - Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. November 30, 2016 Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. J Interprof Ca…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851055/psn-pdf
    June 28, 2023 - How do we learn about error? A cross-sectional study of urology trainees. June 28, 2023 Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007. https://psnet.ahrq.gov/issue/how-do-we-learn-about-error…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860387/psn-pdf
    January 10, 2024 - An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practice. January 10, 2024 Doolin JW, Schaffer AC, Tishler RB, et al. An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practic…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44150/psn-pdf
    August 21, 2015 - Reflection on adverse event disclosure in the postsurgical hospital context. August 21, 2015 Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016. https://psnet.ahrq.gov/issue/reflection…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44754/psn-pdf
    March 23, 2016 - Use of failure mode and effects analysis to improve emergency department handoff processes. March 23, 2016 Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000169. https://psnet.ahrq.gov/issue/use-…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837899/psn-pdf
    August 24, 2022 - Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients. August 24, 2022 Occelli P, Mougeot F, Robelet M, et al. Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative stu…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38054/psn-pdf
    July 05, 2013 - Ticket to ride: reducing handoff risk during hospital patient transport. July 5, 2013 Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5. https://psnet.ahrq.gov/issue/ticket-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43899/psn-pdf
    February 18, 2015 - Development and validation of a taxonomy of adverse handover events in hospital settings. February 18, 2015 Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1). doi:10.1007/s10111-014- 0303-…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44596/psn-pdf
    December 04, 2016 - Health literacy in transitions of care: an innovative objective structured clinical examination for fourth-year medical students in an internship preparation course. December 4, 2016 Bloom-Feshbach K, Casey D, Schulson L, et al. Health Literacy in Transitions of Care: An Innovative Objective Structured Clinical Ex…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73517/psn-pdf
    July 21, 2021 - Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. July 21, 2021 Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring healthcare professionals' misaligned me…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45774/psn-pdf
    October 11, 2017 - Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? October 11, 2017 Behrman S, Wilkinson P, Lloyd H, et al. Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46255/psn-pdf
    September 06, 2017 - Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities. September 6, 2017 Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities The ambulatory env…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867388/psn-pdf
    December 18, 2024 - Secure messaging use and wrong-patient ordering errors among inpatient clinicians. December 18, 2024 Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47797. https://psnet.ahrq.gov/is…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838244/psn-pdf
    October 05, 2022 - Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. October 5, 2022 Hebballi NB, Gupta VS, Sheppard K, et al. Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. J…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865342/psn-pdf
    March 27, 2024 - Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit. March 27, 2024 Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU: a standard electronic template …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73563/psn-pdf
    August 04, 2021 - Understanding complaints made about surgical departments in a UK district general hospital. August 4, 2021 Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intqhc/mzab095. https://psnet.ahrq.go…
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