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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866113/psn-pdfJune 12, 2024 - Reducing the risk of delayed colorectal cancer diagnoses through an ambulatory safety net collaborative. June 12, 2024 Moyal-Smith R, Elam M, Boulanger J, et al. Reducing the risk of delayed colorectal cancer diagnoses through an ambulatory safety net collaborative. Jt Comm J Qual Patient Saf. 2024;50(10):690-699. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73137/psn-pdfApril 14, 2021 - Adverse drug event-related admissions to a pediatric emergency unit. April 14, 2021 Carvalho IV, Sousa VM de, Visacri MB, et al. Adverse drug event-related admissions to a pediatric emergency unit. Pediatr Emerg Care. 2021;37(4):e152-e158. doi:10.1097/pec.0000000000001582. https://psnet.ahrq.gov/issue/adverse-drug… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73286/psn-pdfMay 19, 2021 - Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. May 19, 2021 Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. Appl Er… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73425/psn-pdfJune 23, 2021 - A qualitative study of what care workers do to provide patient safety at home through telecare. June 23, 2021 Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at home through telecare. BMC Health Serv Res. 2021;21(1):553. doi:10.1186/s12913-021-06556-4. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48181/psn-pdfAugust 07, 2019 - Managing the risks of direct oral anticoagulants. August 7, 2019 Sentinel Event Alert. July 30, 2019;(61):1-5. https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants Anticoagulant medications are known to be high-risk for adverse drug events. Although direct oral anticoagulants (DOACs) require less… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73446/psn-pdfJune 30, 2021 - A comprehensive departmental care review model: requirements, structure, and flow. June 30, 2021 Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model: requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509. doi:10.1016/j.jcjq.2021.04.009. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838319/psn-pdfOctober 12, 2022 - Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors. October 12, 2022 Windish DM, Catalanotti JS, Zaas A, et al. Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849599/psn-pdfMay 31, 2023 - Racial inequality in receipt of medications for opioid use disorder. May 31, 2023 Barnett ML, Meara E, Lewinson T, et al. Racial inequality in receipt of medications for opioid use disorder. New Engl J Med. 2023;388(19):1779-1789. doi:10.1056/nejmsa2212412. https://psnet.ahrq.gov/issue/racial-inequality-receipt-me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42980/psn-pdfFebruary 17, 2017 - Disclosing adverse events to patients: international norms and trends. February 17, 2017 Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107. https://psnet.ahrq.gov/issue/disclosing-adverse-event… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73512/psn-pdfJuly 21, 2021 - Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. July 21, 2021 Kruper A, Domeyer-Klenske A, Treat R, et al. Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. J Surg Educ. 2021;78(3):1024-1034. doi:10.1016/j.jsurg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72521/psn-pdfDecember 02, 2020 - I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. December 2, 2020 Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300/jgme-d-19-00755.1. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842761/psn-pdfJanuary 18, 2023 - Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA. January 18, 2023 Armstrong-Mensah E, Rasheed N, Williams D, et al. Implicit racial bias, health care provider attitudes, and perceptions of health care quality among… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44680/psn-pdfFebruary 24, 2018 - Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. February 24, 2018 McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44552/psn-pdfJune 21, 2016 - Reducing diagnostic errors—why now? June 21, 2016 Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491- 2493. doi:10.1056/NEJMp1508044. https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now Diagnostic error has recently garnered attention as a patient safety pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74757/psn-pdfFebruary 09, 2022 - Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. February 9, 2022 Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.1001/jamanetworkopen.2021.44531. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60027/psn-pdfJanuary 01, 2021 - Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. March 11, 2020 Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high reliability journey at a special hospital f… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34087/psn-pdfJune 16, 2011 - Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. June 16, 2011 Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Qual Saf Health Care. 2003;12(6):405-10. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36455/psn-pdfDecember 22, 2010 - Changing the work environment in ICUs to achieve patient-focused care: the time has come. December 22, 2010 McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006;130(5):1571-8. https://psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837203/psn-pdfMay 25, 2022 - Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. May 25, 2022 Joseph K, Newman B, Manias E, et al. Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. Patient Educ Couns. 2022;105(8):2778-2784. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852749/psn-pdfJanuary 01, 2024 - A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. August 23, 2023 Axelsen MS, Baumgarten M, Egholm CL, et al. A multi?facetted patient safety resource—a qualitative interview study on hospital managers' perception of the n…
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