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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35832/psn-pdf
    August 04, 2009 - The incorporation of patient safety into board certification examinations. August 4, 2009 Kachalia A, Johnson J, Miller ST, et al. The incorporation of patient safety into board certification examinations. Acad Med. 2006;81(4):317-25. https://psnet.ahrq.gov/issue/incorporation-patient-safety-board-certification-ex…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34058/psn-pdf
    September 29, 2017 - Research designs for studies evaluating the effectiveness of change and improvement strategies. September 29, 2017 Eccles M, Grimshaw J, Campbell M, et al. Research designs for studies evaluating the effectiveness of change and improvement strategies. Qual Saf Health Care. 2003;12(1):47-52. https://psnet.ahrq.gov/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34013/psn-pdf
    December 22, 2008 - Defining and measuring patient safety. December 22, 2008 Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin. 2005;21(1):1-19, vii. https://psnet.ahrq.gov/issue/defining-and-measuring-patient-safety This review discusses the increasing demand for improving patient…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43413/psn-pdf
    October 20, 2014 - The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. October 20, 2014 Cifra CL, Jones KL, Ascenzi J, et al. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. BMJ Qual Saf. 2014;23(11):930-8. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49524/psn-pdf
    November 01, 2006 - Secured But Not Always Safe November 1, 2006 Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/secured-not-always-safe The Case An 84-year-old healthy woman underwent an elective left total knee replacement for degenerative osteoarthritis. She received spinal …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35840/psn-pdf
    May 27, 2011 - Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. May 27, 2011 Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. Qual…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35748/psn-pdf
    February 02, 2011 - Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging. February 2, 2011 Freed GL, Uren RL, Hudson EJ, et al. Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging. JAMA.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39709/psn-pdf
    September 20, 2011 - A systems approach to morbidity and mortality conference. September 20, 2011 Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference. Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010. https://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36007/psn-pdf
    February 02, 2011 - A piece of my mind. Copy-and-paste. February 2, 2011 Hirschtick RE. A piece of my mind. Copy-and-paste. JAMA. 2006;295(20):2335-6. https://psnet.ahrq.gov/issue/piece-my-mind-copy-and-paste While the impact on time efficiency and quality of ambulatory care has raised questions about the utility of electronic health…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35434/psn-pdf
    June 14, 2011 - Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. June 14, 2011 Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):1605-15. https://psnet.ahrq.gov/issue/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38731/psn-pdf
    April 30, 2014 - Preventable morbidity at a mature trauma center. April 30, 2014 Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144(6):536-541. https://psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center Patient safety in trauma poses unique challenges given the acuity of the patients and the need for rapid ass…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49432/psn-pdf
    February 09, 2004 - We now have monthly patient safety discussions at residents' report.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49552/psn-pdf
    January 01, 2008 - and therefore may place providers at risk for public humiliation and shame.(11,14,22) However, if discussions
  14. psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us
    August 19, 2009 - Study Office surgery incidents: what seven years of Florida data show us. Citation Text: Coldiron BM, Healy C, Bene NI. Office surgery incidents: what seven years of Florida data show us. Dermatol Surg. 2008;34(3):285-91; discussion 291-2. doi:10.1111/j.1524-4725.2007.34060.x. Copy C…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39691/psn-pdf
    January 22, 2014 - Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. January 22, 2014 Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Chest. 2010;138(1):171-8. doi:10…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38570/psn-pdf
    April 22, 2009 - Factors influencing incident reporting in surgical care. April 22, 2009 Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534. https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-sur…
  17. psnet.ahrq.gov/web-mm/inadvertent-castration
    October 27, 2010 - In subsequent discussions with both the patient and his wife about hormonal replacement, the patient
  18. psnet.ahrq.gov/web-mm/do-me-favor
    September 12, 2016 - "( 4,6 ) Open discussions about appropriate types of caregiving among colleagues in institutions is a
  19. psnet.ahrq.gov/web-mm/after-visit-confusion
    August 21, 2007 - They may also provide patients with tailored information relevant to the clinical discussions that occurred
  20. psnet.ahrq.gov/web-mm/cultural-dimensions-depression
    September 01, 2018 - After this event, subsequent discussions with the family revealed some relevant details.

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