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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836775/psn-pdf
    March 23, 2022 - Embracing multiple aims in healthcare improvement and innovation. March 23, 2022 Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation. Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006. https://psnet.ahrq.gov/issue/embracing-multiple-aims-healthc…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39803/psn-pdf
    April 17, 2011 - New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis. April 17, 2011 Howard J, Levy F, Mareiniss DP, et al. New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33931/psn-pdf
    June 23, 2015 - An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. June 23, 2015 Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Anesthesiology. 1984;60(…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74130/psn-pdf
    December 01, 2021 - Malpractice cases in breast surgery: an assessment of litigation involving surgeons. December 1, 2021 Fan B, Pardo J, Yu-Moe CW, et al. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. Ann Surg Oncol. 2021;28(13):8109-8115. doi:10.1245/s10434-021-10236-2. https://psnet.ahrq.gov/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44421/psn-pdf
    October 07, 2015 - Classification of antecedents towards safety use of health information technology: a systematic review. October 7, 2015 Salahuddin L, Ismail Z. Classification of antecedents towards safety use of health information technology: A systematic review. Int J Med Inform. 2015;84(11):877-891. doi:10.1016/j.ijmedinf.2015.0…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43592/psn-pdf
    November 23, 2016 - Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. November 23, 2016 Stickney CA, Ziniel SI, Brett MS, et al. Family participation during intensive care unit rounds: goals and expectations of parents and h…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47879/psn-pdf
    June 05, 2019 - The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. June 5, 2019 Halperin O, Bronshtein O. The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. Nurse Educ Pract. 2019;36:34-39. doi:…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60046/psn-pdf
    March 18, 2020 - Adverse outcomes of polypharmacy in older people: systematic review of reviews. March 18, 2020 Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic review of reviews. J Am Med Dir Assoc. 2020;21(2):181-187. doi:10.1016/j.jamda.2019.10.022. https://psnet.ahrq.gov/issu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854830/psn-pdf
    January 01, 2024 - The effect of evidence in crisis learning: based on a perspective integration framework. October 25, 2023 Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1468-5973.12506. https://psnet.ahrq.g…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47493/psn-pdf
    January 27, 2019 - Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease. January 27, 2019 Mantri S, Fullard M, Gray SL, et al. Patterns of Dementia Treatment and Frank Prescribing Errors in Older Adults With Parkinson Disease. JAMA Neurol. 2019;76(1):41-49. doi:10.1001/jamaneurol.2018.282…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73529/psn-pdf
    July 28, 2021 - Prevalence and characteristics of interruptions and distractions during surgical counts. July 28, 2021 Bubric KA, Biesbroek SL, Laberge JC, et al. Prevalence and characteristics of interruptions and distractions during surgical counts. Jt Comm J Qual Patient Saf. 2021;47(9):556-562. doi:10.1016/j.jcjq.2021.05.004. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47257/psn-pdf
    September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. September 26, 2018 Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in Reporting Adverse Events. J Pa…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60559/psn-pdf
    June 03, 2020 - Omissions of care in nursing home settings: a narrative review. June 3, 2020 Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. https://psnet.ahrq.gov/issue/omissions-care-nursing-home-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855001/psn-pdf
    November 01, 2023 - Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. November 1, 2023 Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. https://psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and- leaders Patient saf…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34784/psn-pdf
    June 24, 2015 - The potential for improved teamwork to reduce medical errors in the emergency department. June 24, 2015 Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4. https://ps…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34700/psn-pdf
    January 04, 2017 - Reducing adverse drug events: lessons from a breakthrough series collaborative. January 4, 2017 Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31. https://psnet.ahrq.gov/issue/reducing-adverse-drug-event…
  17. psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
    August 01, 2014 - Beyond the Hospital: the New Frontier of Patient Safety Margaret Plews-Ogan, MD, MS | August 22, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Plews-Ogan M. Beyond the Hospital: the New Frontier of Patient Safety. PSNet …
  18. psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
    June 01, 2014 - Patient Advocacy in Patient Safety: Have Things Changed? Helen Haskell, MA | June 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Haskell H. Patient Advocacy in Patient Safety: Have Things Changed?. PSNet [internet]. Ro…
  19. psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
    August 21, 2016 - Annual Perspective Rethinking Root Cause Analysis Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016  View more articles from the same authors. Citation Text: Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49767/psn-pdf
    August 21, 2016 - Falling Between the Cracks in the Software August 21, 2016 Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/falling-between-cracks-software The Case A 61-year-old man with a history of osteoarthritis was scheduled for a total knee replacement. Prio…

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