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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41726/psn-pdf
    September 26, 2012 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012. September 26, 2012 Oakbrook Terrace, IL: The Joint Commission; September 2012. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2012 The seventh annual Joint…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42692/psn-pdf
    April 21, 2015 - Surgical skill and complication rates after bariatric surgery. April 21, 2015 Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625. https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34669/psn-pdf
    June 26, 2015 - Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. June 26, 2015 Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences on the Detection and Correction of Human Error. J Appl Behav Sci. 200…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46267/psn-pdf
    December 21, 2017 - Pictograms, units and dosing tools, and parent medication errors: a randomized study. December 21, 2017 Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3237. https://psnet.ahrq.gov/is…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45538/psn-pdf
    December 14, 2016 - Liquid medication errors and dosing tools: a randomized controlled experiment. December 14, 2016 Yin S, Parker RM, Sanders LM, et al. Liquid Medication Errors and Dosing Tools: A Randomized Controlled Experiment. Pediatrics. 2016;138(4):e20160357. https://psnet.ahrq.gov/issue/liquid-medication-errors-and-dosing-to…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36697/psn-pdf
    February 03, 2011 - Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. February 3, 2011 Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication and information transfer between hospital-based and primary care phys…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43694/psn-pdf
    November 17, 2015 - Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. November 17, 2015 McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. J Hosp Med. 2014;9(12):7…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42266/psn-pdf
    May 15, 2013 - Medication errors in the home: a multisite study of children with cancer. May 15, 2013 Walsh KE, Roblin DW, Weingart SN, et al. Medication errors in the home: a multisite study of children with cancer. Pediatrics. 2013;131(5):e1405-14. doi:10.1542/peds.2012-2434. https://psnet.ahrq.gov/issue/medication-errors-home…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45410/psn-pdf
    July 27, 2018 - Allocation of physician time in ambulatory practice: a time and motion study in four specialties. July 27, 2018 Sinsky CA, Colligan L, Li L, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Ann Intern Med. 2016;165(11). doi:10.7326/m16-0961. https://psnet.ahrq.g…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44963/psn-pdf
    January 23, 2017 - The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study. January 23, 2017 Schnock KO, Dykes PC, Albert J, et al. The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational st…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847537/psn-pdf
    April 12, 2023 - Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. April 12, 2023 Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46459/psn-pdf
    August 20, 2018 - Readiness of US general surgery residents for independent practice. August 20, 2018 George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.0000000000002414. https://psnet.ahrq.gov/issue/readiness-us-general-surger…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73704/psn-pdf
    September 15, 2021 - TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care? September 15, 2021 Mirarchi FL, Cammarata C, Cooney TE, et al. TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care? J Patient Saf. 2021;17(6):4…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37997/psn-pdf
    June 16, 2011 - Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. June 16, 2011 Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34688/psn-pdf
    March 28, 2005 - Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. March 28, 2005 Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. JAMA. 1997;277(4):301-6. https://psne…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47787/psn-pdf
    February 20, 2019 - How to be a very safe maternity unit: an ethnographic study. February 20, 2019 Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01.035. https://psnet.ahrq.gov/issue/how-be-very-safe-maternity-unit-ethnog…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866081/psn-pdf
    June 05, 2024 - "The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. June 5, 2024 Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication in the face of medical error and p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39193/psn-pdf
    April 21, 2011 - Disclosing harmful mammography errors to patients. April 21, 2011 Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. https://psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients Disclosing errors to pati…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42836/psn-pdf
    January 08, 2014 - Comparison of medication safety effectiveness among nine critical access hospitals. January 8, 2014 Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067. https://psnet.ahrq.gov/issue/comparis…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40539/psn-pdf
    June 22, 2011 - Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. June 22, 2011 Zimmerman S, Love K, Sloane PD, et al. Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. J Am Geriatr Soc. 2011;59(6):1060…