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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34679/psn-pdf
    February 09, 2011 - Patient complaints and malpractice risk. February 9, 2011 Hickson GB, Federspiel CF, Pichert JW, et al. Patient complaints and malpractice risk. JAMA. 2002;287(22):2951-7. https://psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk This study examines the association between physicians’ patient complaint …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37039/psn-pdf
    September 14, 2007 - Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. September 14, 2007 Callender AN, Hastings DA, Hemsley MC, et al. Washington DC: Office of the Inspector General of the US Department of Health and Human Services, American Health Lawyers Association; September 2007. h…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37739/psn-pdf
    June 07, 2008 - Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. June 7, 2008 Washington, DC: United States Government Accountability Office; March 31, 2008. Publication GAO-08- 283. https://psnet.ahrq.gov/issue/health-care-associa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37432/psn-pdf
    November 29, 2009 - The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. November 29, 2009 Hanlon C; Rosenthal J. Portland, ME: National Academy for State Health Policy; 2007. https://psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35828/psn-pdf
    July 21, 2010 - Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. July 21, 2010 Armstrong KJ, Laschinger H. Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. J Nurs Care Qual. 2006;21(2):124-134. https://psnet.ahrq.gov/issue/st…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38478/psn-pdf
    March 11, 2009 - Medication administration process assessment: applying lessons learned from commercial aviation. March 11, 2009 Donahue M, Brown JP, Fitzpatrick JJ. Medication administration process assessment: applying lessons learned from commercial aviation. J Nurs Admin. 2009;39(2):77-83. doi:10.1097/NNA.0b013e318195a5e6. htt…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35946/psn-pdf
    July 26, 2010 - A review of educational philosophies as applied to radiation safety training at medical institutions. July 26, 2010 Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at medical institutions. Health Phys. 2006;90(5 Suppl):S67-72. https://psnet.ahrq.gov/issue/review…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41261/psn-pdf
    May 04, 2012 - Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. May 4, 2012 Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s00268-012-1499-y. https://psnet.ahrq.gov/iss…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853443/psn-pdf
    September 13, 2023 - Complications and Errors in Periodontal and Implant Therapy. September 13, 2023 Zucchelli G, Stefanini M, eds. Periodontol 2000. 2023;92(1):1-398. https://psnet.ahrq.gov/issue/complications-and-errors-periodontal-and-implant-therapy Patient safety in dentistry shares common challenges with medicine and t…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837644/psn-pdf
    July 06, 2022 - Reducing administrative harm in medicine - clinicians and administrators together. July 6, 2022 O’Donnell WJ. Reducing administrative harm in medicine - clinicians and administrators together. N Engl J Med. 2022;386(25):2429-2432. doi:10.1056/nejmms2202174. https://psnet.ahrq.gov/issue/reducing-administrative-harm…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861779/psn-pdf
    January 31, 2024 - Health Care Equity January 31, 2024 Jt Comm J Qual Patient Saf. 2024;50(1);1-92. https://psnet.ahrq.gov/issue/health-care-equity Health care inequities are the result of both clinical and community system failures. This special issue highlights activities in the field that examine investigative methods to better u…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40516/psn-pdf
    July 15, 2013 - Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. July 15, 2013 Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. J Nurs Educ. 2011;50(8):437-46. doi:10.3928/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853626/psn-pdf
    September 20, 2023 - Uncovering the shocking dangers of misdiagnosis. September 20, 2023 Graedon T. People’s Pharmacy.  Show 1355. September 8, 2023. https://psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis Misdiagnosis continues to impact the safety of health care. This podcast with David Newman-Toker discusses foun…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39144/psn-pdf
    June 09, 2011 - Medication safety in community pharmacy: a qualitative study of the sociotechnical context. June 9, 2011 Phipps D, Noyce PR, Parker D, et al. Medication safety in community pharmacy: a qualitative study of the sociotechnical context. BMC Health Serv Res. 2009;9:158. doi:10.1186/1472-6963-9-158. https://psnet.ahrq.…
  15. psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
    January 01, 2024 - Spotlight Hindsight is 20/20: Thrombolytics for Alcohol Intoxication Source and Credits • This presentation is based on the April 2024 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Eric Signoff, MD, Noelle Boctor, MD, and David K. B…
  16. psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
    November 18, 2016 - SPOTLIGHT CASE Adolescent Diabetes: A Routine Visit? Citation Text: Slap GB. Adolescent Diabetes: A Routine Visit?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar Bi…
  17. psnet.ahrq.gov/issue/impact-electronic-alert-notification-system-embedded-radiologists-workflow-closed-loop
    November 26, 2014 - Study Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. Citation Text: Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiolo…
  18. psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
    August 18, 2021 - Study Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. Citation Text: Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…
  19. psnet.ahrq.gov/issue/relationship-between-state-malpractice-environment-and-quality-health-care-united-states
    June 21, 2017 - Study Relationship between state malpractice environment and quality of health care in the United States. Citation Text: Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and Quality of Health Care in the United States. Jt Comm J Qual Patient Sa…
  20. psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
    September 09, 2015 - March 18, 2020 Examining causes and prevention strategies of adverse events in deceased

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