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1841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36264/psn-pdf
      October 21, 2010 - The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. October 21, 2010 Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. J Health Commun. 2006;11(6):555-67. https:/…

1842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50759/psn-pdf
      December 18, 2019 - The lurking danger in the “business case” for patient safety December 18, 2019 Millenson ML. Health Affairs Blog. December 2, 2019. https://psnet.ahrq.gov/issue/lurking-danger-business-case-patient-safety The two decades since To Err Is Human was published have raised and addressed a myriad of concerns affecting …

1843. 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…

1844. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38586/psn-pdf
      April 30, 2014 - Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. April 30, 2014 Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. Arch Surg. 2009;144(4):371-6. do…

1845. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42358/psn-pdf
      June 12, 2013 - CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. June 12, 2013 Prevention C for DC and. CDC grand rounds: preventing unsafe injection practices in the U.S. health-care system. MMWR Morb Mortal Wkly Rep. 2013;62(21):423-5. https://psnet.ahrq.gov/issue/cdc-grand-rounds-preventi…

1846. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50762/psn-pdf
      December 18, 2019 - Mounting drug shortages delay treatments for patients with bladder cancer December 18, 2019 Tirrell M, Taylor H. CNBC. November 27, 2019. https://psnet.ahrq.gov/issue/mounting-drug-shortages-delay-treatments-patients-bladder-cancer Drug shortages are associated with increased medication errors and longer length of…

1847. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36499/psn-pdf
      January 07, 2011 - Retrospective analysis of medication incidents reported using an on-line reporting system. January 7, 2011 Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-9040-8. https://psnet.ahrq.gov/iss…

1848. 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…

1849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73380/psn-pdf
      June 09, 2021 - Wrong Site Surgery–Wrong Tooth Extraction. June 9, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; April 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction Wrong-site surgery in dentistry is a frequent and persistent never event. This report examines a case of pediatric wron…

1850. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44492/psn-pdf
      September 23, 2015 - Teamwork in Healthcare. September 23, 2015 Fam Syst Health. 2015;33(3):175-269. https://psnet.ahrq.gov/issue/teamwork-healthcare Teamwork is a key element of patient-centered care, but evidence regarding its use in the primary care environment is limited. Articles in this special issue examine the reasons for this…

1851. 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.…

1852. 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…

1853. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34783/psn-pdf
      March 28, 2005 - The organizational and intraorganizational development of disasters. March 28, 2005 Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. https://psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters This article…

1854. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46971/psn-pdf
      July 18, 2018 - The Future of NHS Patient Safety Investigation. July 18, 2018 NHS Improvement. London, UK: National Health Service; 2018. https://psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation Organizational processes to investigate adverse care incidents play an important part in generating the learning needed for …

1855. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61031/psn-pdf
      October 14, 2020 - Special Section: Event Analysis and Risk Management. October 14, 2020 Alemi F ed. Qual Manag Health Care. 2020;29(4):232-278. https://psnet.ahrq.gov/issue/special-section-event-analysis-and-risk-management Adverse event analysis is core for organizational learning from poor performance. This special section d…

1856. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41956/psn-pdf
      December 21, 2014 - Integrating human factors research and surgery: a review. December 21, 2014 Shouhed D, Gewertz BL, Wiegmann D, et al. Integrating human factors research and surgery: a review. Arch Surg. 2012;147(12):1141-1146. doi:10.1001/jamasurg.2013.596. https://psnet.ahrq.gov/issue/integrating-human-factors-research-and-surger…

1857. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866284/psn-pdf
      February 26, 2025 - AJR Podcast Series on Diagnostic Excellence and Error. February 26, 2025 Deng F, ed. AJR Am J Roentgenol. July 2024-February 2025. https://psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error Reducing diagnostic errors relies on a variety of professionals across the spectrum of care. This podcast…

1858. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72562/psn-pdf
      December 09, 2020 - Missed or Rationed Nursing Care. December 9, 2020 J Nurs Manag. 2020;28(8): i-iv, 1767-2275. https://psnet.ahrq.gov/issue/missed-or-rationed-nursing-care Incomplete nursing care is known to affect care quality and safety. This special issue documents the global problem of missed or rationed nursing care in a varie…

1859. Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives. | PSNet
      psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
      July 20, 2009 - Resources From the Same Author(s) Database construction for improving patient safety by examining

1860. "Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs. | PSNet
      psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs
      April 17, 2019 - November 4, 2014 Examining the diagnostic justification abilities of fourth-year medical