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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42881/psn-pdf
    January 22, 2014 - Speaking up about the dangers of the hidden curriculum. January 22, 2014 Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff (Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073. https://psnet.ahrq.gov/issue/speaking-about-dangers-hidden-curriculum Relating an a…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45015/psn-pdf
    July 18, 2016 - Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. July 18, 2016 Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:10.1002/jhm.2577. https://psnet.ahr…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42272/psn-pdf
    November 26, 2014 - Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program. November 26, 2014 Graham KL, Marcantonio ER, Huang GC, et al. Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program. J Gen Int…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61097/psn-pdf
    November 04, 2020 - Obstetrician-gynecologist views of pregnancy-related medication safety. November 4, 2020 SteelFisher GK, Hero JO, Caporello HL, et al. Obstetrician-gynecologist views of pregnancy-related medication safety. J Womens Health (Larchmt). 2020;29(8):1113-1121. doi:10.1089/jwh.2019.8007. https://psnet.ahrq.gov/issue/obs…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60819/psn-pdf
    August 19, 2020 - Register-based research of adverse events revealing incomplete records threatening patient safety. August 19, 2020 Kinnunen U-M, Kivekäs E, Palojoki S, et al. Register-based research of adverse events revealing incomplete records threatening patient safety. Stud Health Technol Inform. 2020;270:771-775. doi:10.3233…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41459/psn-pdf
    August 02, 2012 - The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. August 2, 2012 Orledge J, Phillips WJ, Murray B, et al. The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39840/psn-pdf
    September 15, 2010 - Wrong-site craniotomy: analysis of 35 cases and systems for prevention. September 15, 2010 Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. https://psnet.ahrq.gov/issue/wrong-site-craniotomy-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838030/psn-pdf
    September 07, 2022 - Rethinking use of air-safety principles to reduce fatal hospital errors. September 7, 2022 Rethinking use of air-safety principles to reduce fatal hospital errors. doi:10.1377/forefront.20220824.965364. https://psnet.ahrq.gov/issue/rethinking-use-air-safety-principles-reduce-fatal-hospital-errors The safety of co…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50561/psn-pdf
    October 16, 2019 - Patient Safety Organizations: Hospital Participation, Value, and Challenges. October 16, 2019 US Department of Health and Human Services; Office of the Inspector General, September 2019. OIG Report No. OEI-01-17-00420.  https://psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837626/psn-pdf
    July 06, 2022 - Frailty, gaps in care coordination, and preventable adverse events. July 6, 2022 Akinyelure OP, Colvin CL, Sterling MR, et al. Frailty, gaps in care coordination, and preventable adverse events. BMC Geriatr. 2022;22(1):476. doi:10.1186/s12877-022-03164-7. https://psnet.ahrq.gov/issue/frailty-gaps-care-coordination…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47060/psn-pdf
    April 25, 2018 - Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. April 25, 2018 Mimmo L, Harrison R, Hinchcliff R. Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. BMJ…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46699/psn-pdf
    March 20, 2018 - Disclosure of harmful medical error to patients: a review with recommendations for pathologists. March 20, 2018 Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/PAP.0000000000000181. https://psnet…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46716/psn-pdf
    January 10, 2018 - Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. January 10, 2018 Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2017. AHRQ Publication No. 1800051EF. https://psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-tran…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859347/psn-pdf
    December 20, 2023 - Making surgery as safe as it should be: a qualitative study. December 20, 2023 Robinson DJ, Beaumont G. Making surgery as safe as it should be: a qualitative study. Am J Med Qual. 2023;38(5):238-244. doi:10.1097/jmq.0000000000000139. https://psnet.ahrq.gov/issue/making-surgery-safe-it-should-be-qualitative-study …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46973/psn-pdf
    June 25, 2018 - Balancing innovation and safety when integrating digital tools into health care. June 25, 2018 Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. https://psnet.ahrq.gov/issue/balancing-inno…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837140/psn-pdf
    May 18, 2022 - Nursing surveillance: a concept analysis May 18, 2022 Halverson CC, Scott Tilley D. Nursing surveillance: a concept analysis. Nurs Forum. 2022;57(3):454-460. doi:10.1111/nuf.12702. https://psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis Nursing surveillance is an intervention for maintaining patient saf…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50925/psn-pdf
    February 19, 2020 - Report of the Independent Inquiry into the Issues Raised by Paterson. February 19, 2020 James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020. ISBN 9781528617284. https://psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson Shari…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867049/psn-pdf
    October 30, 2024 - National Review of Maternity Services in England 2022 to 2024. October 30, 2024 National Review Of Maternity Services In England 2022 To 2024. Newcastle Upon Tyne, UK: Care Quality Commission; September 2024. https://psnet.ahrq.gov/issue/national-review-maternity-services-england-2022-2024 Maternal safety is a gl…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44736/psn-pdf
    December 16, 2015 - Harms from discharge to primary care: mixed methods analysis of incident reports. December 16, 2015 Williams H, Edwards A, Hibbert P, et al. Harms from discharge to primary care: mixed methods analysis of incident reports. Br J Gen Pract. 2015;65(641):e829-e837. doi:10.3399/bjgp15X687877. https://psnet.ahrq.gov/is…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43776/psn-pdf
    March 17, 2015 - Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. March 17, 2015 Hudson CCC, McDonald B, Hudson JKC, et al. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. J Cardiothorac Vasc Anesth. 2015;29(1):11-6. doi:10.1053/j.jvca.2014.05…
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