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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41272/psn-pdf
    April 06, 2012 - Closed medical negligence claims can drive patient safety and reduce litigation. April 6, 2012 Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5. https://psnet.ahrq.gov/issue/closed-medical-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60961/psn-pdf
    September 30, 2020 - Identifying psychiatric diagnostic errors with the Safer Dx Instrument. September 30, 2020 Fletcher TL, Helm A, Vaghani V, et al. Identifying psychiatric diagnostic errors with the Safer Dx Instrument. Int J Qual Health Care. 2020;32(6):405-411. doi:10.1093/intqhc/mzaa066. https://psnet.ahrq.gov/issue/identifying-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48025/psn-pdf
    June 19, 2019 - Accuracy of a popular online symptom checker for ophthalmic diagnoses. June 19, 2019 Shen C, Nguyen M, Gregor A, et al. Accuracy of a Popular Online Symptom Checker for Ophthalmic Diagnoses. JAMA Ophthalmol. 2019;137(6):690-692. doi:10.1001/jamaophthalmol.2019.0571. https://psnet.ahrq.gov/issue/accuracy-popular-on…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38630/psn-pdf
    May 13, 2009 - Seasoned surgeons assessed in a laparoscopic surgical crisis. May 13, 2009 Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1. https://psnet.ahrq.gov/issue/seasoned-surgeons-assessed-lapa…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47144/psn-pdf
    June 13, 2018 - Canadian Anesthesia Incident Reporting System. June 13, 2018 Canadian Anaesthesiologists Society. https://psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system Reporting mistakes in anesthesiology practice can motivate and inform error reduction work. This website provides a secure tool for submitting…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60885/psn-pdf
    September 02, 2020 - Becoming a High Reliability Organization. September 2, 2020 VHA Forum. Summer 2020;1-12. https://psnet.ahrq.gov/issue/becoming-high-reliability-organization High reliability attainment is a stated goal for health care organizations. This special issue covers established initiatives at the United States Veterans He…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35254/psn-pdf
    April 06, 2011 - Adverse events and near miss reporting in the NHS. April 6, 2011 Shaw R. Adverse events and near miss reporting in the NHS. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010553. https://psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs This study evaluated the utility of a volu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42273/psn-pdf
    December 29, 2014 - Assessing patient safety culture in hospitals across countries. December 29, 2014 Wagner C, Smits M, Sorra J, et al. Assessing patient safety culture in hospitals across countries. Int J Qual Health Care. 2013;25(3):213-21. doi:10.1093/intqhc/mzt024. https://psnet.ahrq.gov/issue/assessing-patient-safety-culture-ho…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38812/psn-pdf
    April 12, 2011 - Management of test results in family medicine offices. April 12, 2011 Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. https://psnet.ahrq.gov/issue/management-test-results-family-medicine-offices This study evaluated co…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35302/psn-pdf
    July 14, 2009 - Technology induced error and usability: the relationship between usability problems and prescription errors when using a handheld application. July 14, 2009 Kushniruk AW, Triola MM, Borycki EM, et al. Technology induced error and usability: The relationship between usability problems and prescription errors when u…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45006/psn-pdf
    April 06, 2016 - Quality and Patient Safety. April 6, 2016 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/quality-and-patient-safety The Agency for Healthcare Research and Quality has provided access to patient safety research, information, and tools for nearly two decades. This website offers a wide rang…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43489/psn-pdf
    September 03, 2014 - Did hospital engagement networks actually improve care? September 3, 2014 Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med. 2014;371(8):691-693. doi:10.1056/NEJMp1405800. https://psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care In this commentary,…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35181/psn-pdf
    June 23, 2009 - Communication during trauma resuscitation: do we know what is happening? June 23, 2009 Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50553/psn-pdf
    October 16, 2019 - Impact of an electronic health record transition on chemotherapy error reporting October 16, 2019 Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/1078155219870590. https://psnet.ahrq.gov/i…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41762/psn-pdf
    May 03, 2017 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report. May 3, 2017 Price CS, Savitz LA. Rockville, MD: Agency for Healthcare Research and Quality; March 2012. AHRQ Publication No. 12-0046-EF. https://psnet.ahrq.gov/issue/improving-measurement-surgical-si…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36004/psn-pdf
    March 28, 2011 - Opportunities for performance improvement in relation to medication administration during pediatric stabilization. March 28, 2011 Morgan N. Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Quality and Safety in Health Care. 2006;15(3). doi:10.1136/qs…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38258/psn-pdf
    April 14, 2011 - How often do physicians review medication charts on ward rounds? April 14, 2011 Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9. https://psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds Thi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39442/psn-pdf
    March 23, 2011 - Adverse events in hospitals: the patient's point of view. March 23, 2011 Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585. https://psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45169/psn-pdf
    June 08, 2016 - High Reliability in Health Care. June 8, 2016 Joint Commission Center for Transforming Healthcare. https://psnet.ahrq.gov/issue/high-reliability-health-care Development of high reliability remains an elusive goal for health care organizations. The Joint Commission has also advocated for achieving high reliability …
  20. psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
    June 15, 2024 - What do you think AHRQ's role is in evaluating the ACA and informing decisions about its future?

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