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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39856/psn-pdfDecember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46999/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46365/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46351/psn-pdfDecember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45683/psn-pdfJanuary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36784/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47748/psn-pdfJune 14, 2019 - The impact of health information technology on the management and follow-up of test results—a systematic review. June 14, 2019 Georgiou A, Li J, Thomas J, et al. The impact of health information technology on the management and follow-up of test results - a systematic review. J Am Med Inform Assoc. 2019;26(7):678-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44377/psn-pdfAugust 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73464/psn-pdfJuly 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852271/psn-pdfAugust 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36668/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840145/psn-pdfNovember 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… -
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…
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