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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74042/psn-pdfNovember 03, 2021 - An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust. November 3, 2021 Manchester, UK: Parliamentary and Health Service Ombudsman; October 2021. https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs- foundation-trust… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840163/psn-pdfNovember 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37909/psn-pdfFebruary 23, 2009 - Prevalence of adverse drug combinations in a large post- mortem toxicology database. February 23, 2009 Launiainen T, Vuori E, Ojanperä I. Prevalence of adverse drug combinations in a large post-mortem toxicology database. Int J Legal Med. 2009;123(2):109-15. doi:10.1007/s00414-008-0261-3. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47801/psn-pdfMay 11, 2019 - Opioid prescribing trends and the physician’s role in responding to the public health crisis. May 11, 2019 Adams JM, Giroir BP. Opioid Prescribing Trends and the Physician's Role in Responding to the Public Health Crisis. JAMA Intern Med. 2019;179(4):476-478. doi:10.1001/jamainternmed.2018.7934. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45264/psn-pdfSeptember 01, 2016 - Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative. September 1, 2016 Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following Participation in a Multicenter Quality Improvement Collaborative. Jt Co… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837214/psn-pdfMay 25, 2022 - Global Report on Infection Prevention and Control: Executive Summary. May 25, 2022 Geneva, Switzerland; World Health Organization; May 5, 2022. https://psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary Healthcare-acquired infection is a persistent systemic problem. This report r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35069/psn-pdfJune 22, 2009 - Towards an organization with a memory: exploring the organizational generation of adverse events in health care. June 22, 2009 Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manage Res. 2005;18(2). doi:10.1258/0951484053… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43184/psn-pdfMay 14, 2014 - Often overlooked problems with handoffs: from the intensive care unit to the operating room. May 14, 2014 Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.0000000000000075. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74015/psn-pdfOctober 27, 2021 - Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. October 27, 2021 National Confidential Inquiry into Suicide and Safety in Mental Health. Manchester, UK: University of Manchester; May 31, 2021 https://psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34797/psn-pdfOctober 06, 2015 - Adapting to new technologies in the operating room. October 6, 2015 Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593- 613. doi:10.1518/001872096778827224. https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room New technology continues to offer great ad… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73429/psn-pdfJune 23, 2021 - Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. June 23, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; June 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings Wrong site/wrong patent surgery is a persisten… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43478/psn-pdfAugust 27, 2014 - Is it time to move beyond errors in clinical reasoning and discuss accuracy? August 27, 2014 Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4. https://psnet.ahrq.gov/issue/it-time-move-beyond-er… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46206/psn-pdfAugust 02, 2017 - Patient safety in dentistry: development of a candidate 'never event' list for primary care. August 2, 2017 Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456. https://psnet.ahrq.gov/issue/patie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60625/psn-pdfJune 24, 2020 - Medical bias: from pain pills to COVID-19, racial discrimination in health care festers. June 24, 2020 O'Donnell J, Alltucker K. Medical bias: from pain pills to COVID-19, racial discrimination in health care festers. USA Today. 2020;Jun 14. https://psnet.ahrq.gov/issue/medical-bias-pain-pills-covid-19-racial-disc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44463/psn-pdfSeptember 16, 2015 - The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews. September 16, 2015 Kringos DS, Suñol R, Wagner C, et al. The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews. BMC Health Ser… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43390/psn-pdfJuly 30, 2014 - Hazards tied to medical records rush. July 30, 2014 Rowland C. https://psnet.ahrq.gov/issue/hazards-tied-medical-records-rush Government incentives have led to rapid development and adoption of electronic health records (EHRs). This newspaper article examines some of the unintended consequences of implementing ele… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48028/psn-pdfAugust 28, 2019 - Error Reduction and Prevention in Surgical Pathology, Second Edition. August 28, 2019 Nakhleh RE, Volmar KE, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030184636. https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition Surgical specimen and laboratory process proble… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60797/psn-pdfAugust 12, 2020 - Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. August 12, 2020 Borshoff DC, Sadleir P. Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. Curr Opin Anaesthesiol. 2020;33(4):55… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48159/psn-pdfJuly 31, 2019 - Fatigue in radiology: a fertile area for future research. July 31, 2019 Taylor-Phillips S, Stinton C. Fatigue in radiology: a fertile area for future research. Br J Radiol. 2019;92(1099):20190043. doi:10.1259/bjr.20190043. https://psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research Physician fatigu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46621/psn-pdfNovember 22, 2017 - Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. November 22, 2017 Skagerström J, Ericsson C, Nilsen P, et al. Patient involvement for improved patient safety: A qualitative study of nurses' perceptions and experiences. Nurs Open. 2017;4(4):230-239. doi:10…
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