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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837608/psn-pdf
    September 06, 2023 - Harm Caused by Delays in Transferring Patients to the Right Place of Care. September 6, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; August 2023. https://psnet.ahrq.gov/issue/harm-caused-delays-transferring-patients-right-place-care Handoffs between prehospital emergency medical services (EMS) pro…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845078/psn-pdf
    February 22, 2023 - Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. February 22, 2023 Kennedy-Moulton K, Miller S, Persson P, et al. Cambridge, MA: National Bureau of Economic Research; 2022. NBER Working Paper No. 30693. https://psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73396/psn-pdf
    June 16, 2021 - The impact of the built environment on patient falls in hospital rooms: an integrative review. June 16, 2021 Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi:10.1097/pts.0000000000000613. http…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847058/psn-pdf
    April 05, 2023 - Care Delivery within Community Mental Health Teams. April 5, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; March 2023. https://psnet.ahrq.gov/issue/care-delivery-within-community-mental-health-teams Patient suicide is a sentinel event. This report examines a suicide incident that identified problems…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74846/psn-pdf
    February 16, 2022 - Weight-based Medication Errors in Children. February 16, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. https://psnet.ahrq.gov/issue/weight-based-medication-errors-children Weight-calculation errors can result in pediatric patient harm as they affect medication prescribing, dispensing…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838196/psn-pdf
    July 01, 2019 - The impact of racism on child and adolescent health. July 1, 2019 Trent M, Dooley DG, Dougé J, et al. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765. doi:10.1542/peds.2019-1765. https://psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health Children and adolescents a…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46468/psn-pdf
    December 13, 2017 - The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. December 13, 2017 Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:10.1016/j.annemergmed.2017.03.0…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73475/psn-pdf
    July 07, 2021 - Opioids in the United Kingdom: safety and surveillance during COVID-19. July 7, 2021 Osborne V. Opioids in the United Kingdom: safety and surveillance during COVID-19. Curr Opin Psychiatry. 2021;34(4):357-362. doi:10.1097/yco.0000000000000719. https://psnet.ahrq.gov/issue/opioids-united-kingdom-safety-and-surveill…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50915/psn-pdf
    February 19, 2020 - Malpractice liability and health care quality: a review February 19, 2020 Mello MM, Frakes MD, Blumenkranz E, et al. Malpractice liability and health care quality: A review . JAMA. 2020;323(4):352-366. doi:10.1001/jama.2019.21411. https://psnet.ahrq.gov/issue/malpractice-liability-and-health-care-quality-review Th…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847060/psn-pdf
    January 01, 2001 - The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? January 1, 2001 Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop on Human Error, Safety and Systems Development. Linköping Sweden: Linköping University; 2001. https://psnet.ahrq.gov/issu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60897/psn-pdf
    January 01, 2022 - Association between surgeon technical skills and patient outcomes. September 9, 2020 Stulberg JJ, Huang R, Kreutzer L, et al. Association Between Surgeon Technical Skills and Patient Outcomes. JAMA Surg. 2022;157(3):219-220. doi:10.1001/jamasurg.2020.3007. https://psnet.ahrq.gov/issue/association-between-surgeon-t…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45619/psn-pdf
    August 16, 2017 - Checking the lists: a systematic review of electronic checklist use in health care. August 16, 2017 Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006. https://psnet.ahrq.gov/issue/checking-lists-s…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837605/psn-pdf
    June 29, 2022 - Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. June 29, 2022 Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.  https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation Health inequities are receiving increased …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843318/psn-pdf
    February 01, 2023 - Bending the patient safety curve: how much can AI help? February 1, 2023 Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5. https://psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help Artificial…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60604/psn-pdf
    June 17, 2020 - The limits of current A.I. in health care: patient safety policing in hospitals. June 17, 2020 Furrow BR. NE Univ Law Rev. 2020;12(1):1-55. https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals Artificial intelligence (AI) has the potential to improve the use of big data to e…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38177/psn-pdf
    March 02, 2011 - Violations of behavioral practices revealed in closed claims reviews. March 2, 2011 Griffen FD, Stephens LS, Alexander JB, et al. Violations of behavioral practices revealed in closed claims reviews. Ann Surg. 2008;248(3):468-474. doi:10.1097/sla.0b013e318185e196. https://psnet.ahrq.gov/issue/violations-behavioral…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44445/psn-pdf
    September 16, 2015 - Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician characteristics, organization demographics, or leadership factors? September 16, 2015 Castel ES, Ginsburg LR, Zaheer S, et al. Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician cha…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47774/psn-pdf
    April 08, 2019 - Association of emotional intelligence with malpractice claims: a review. April 8, 2019 Shouhed D, Beni C, Manguso N, et al. Association of Emotional Intelligence With Malpractice Claims: A Review. JAMA Surg. 2019;154(3):250-256. doi:10.1001/jamasurg.2018.5065. https://psnet.ahrq.gov/issue/association-emotional-int…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43648/psn-pdf
    November 21, 2016 - Patient- and family-centered care: error disclosure and investigation. November 21, 2016 Connor M; Wayman KI; Garcia C; Fischer PR; Consortium for Maximizing Family-Centered Care. https://psnet.ahrq.gov/issue/patient-and-family-centered-care-error-disclosure-and-investigation Patients are increasingly encouraged t…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838191/psn-pdf
    September 28, 2022 - Improved Diagnostic Accuracy Through Probability- Based Diagnosis. September 28, 2022 Rockville, MD: Agency for Healthcare Research and Quality; September 2022. AHRQ Publication No. 22- 0026-3-EF. https://psnet.ahrq.gov/issue/improved-diagnostic-accuracy-through-probability-based-diagnosis Correct consideration o…

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