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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863002/psn-pdf
    February 21, 2024 - Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. February 21, 2024 Tscholl DW, Hunn CA, Gasciauskaite G. APSF Newsletter. 2024;39:29–30. https://psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness- b…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50827/psn-pdf
    January 22, 2020 - Becoming a high-reliability organization through shared learning of safety events January 22, 2020 Klenklen J. Patient Saf Qual HCare. December 19, 2019. https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events High reliability organizations consistently examine wha…
  3. psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
    October 01, 2013 - In Conversation With… Rebecca Smith-Bindman, MD October 1, 2013  Also Read an Essay Citation Text: In Conversation With… Rebecca Smith-Bindman, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
  4. psnet.ahrq.gov/perspective/safety-radiology
    October 01, 2013 - Safety in Radiology Antonio Pinto, MD, PhD | October 1, 2013  Also Read a Conversation View more articles from the same authors. Citation Text: Pinto A. Safety in Radiology. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865655/psn-pdf
    April 24, 2024 - Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. April 24, 2024 Barnes DK, Randhawa SDS, Fitzpatrick EP. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-comp…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864867/psn-pdf
    April 10, 2024 - Hindsight is 20/20: Thrombolytics for Alcohol Intoxication April 10, 2024 Hindsight is 20/20: Thrombolytics for Alcohol Intoxication. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication Disclosure of Relevant Financial Relationships: As a provider accredited by th…
  7. psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
    September 27, 2023 - SPOTLIGHT CASE Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations Citation Text: Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
  8. psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
    November 25, 2020 - Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. Citation Text: Barnes DK, Randhawa SDS, Fitzpatrick EP. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
  9. psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
    December 18, 2024 - SPOTLIGHT CASE Hindsight is 20/20: Thrombolytics for Alcohol Intoxication Citation Text: Hindsight is 20/20: Thrombolytics for Alcohol Intoxication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841790/psn-pdf
    September 01, 2021 - Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. September 1, 2021 Ibrahim SA, Pronovost PJ. Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. JAMA Health Forum. 2021;2(9):e212430. doi:10.1001/jamahealthforum.20…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39454/psn-pdf
    October 04, 2017 - The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. October 4, 2017 Reason J. Farnham Surrey, UK: Ashgate; 2008. ISBN: 9780754674023. https://psnet.ahrq.gov/issue/human-contribution-unsafe-acts-accidents-and-heroic-recoveries The British psychologist James Reason’s insights into the nature of hum…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61001/psn-pdf
    October 07, 2020 - The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. October 7, 2020 de Bienassis K, Llena-Nozal A, Klazinga N for the Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2020. OECD Health Working Papers, No. 121. https://psnet.ah…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846755/psn-pdf
    March 29, 2023 - Reducing diagnostic errors in the emergency department at the time of patient treatment. March 29, 2023 Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/1742-6723.14146. https://psnet.ahrq.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847056/psn-pdf
    April 05, 2023 - Early diagnosis of cancer: systems approach to support clinicians in primary care. April 5, 2023 Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225. https://psnet.ahrq.gov/issue/early-di…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838256/psn-pdf
    October 05, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. October 5, 2022 Tran AK, Calabrese M, Quatrara B, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2022. AHRQ Publication No. 22-0026-4-EF. https://psnet.ahrq.gov/i…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47168/psn-pdf
    April 27, 2019 - Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical and managerial perspectives. April 27, 2019 Mazurenko O, Andraka-Christou BT, Bair MJ, et al. Balancing Patient-Centered and Safe Pain Care for Nonsurgical Inpatients: Clinical and Managerial Perspectives. Jt Comm J Qual Patient Saf…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863210/psn-pdf
    February 28, 2024 - Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. February 28, 2024 Parikh K, Hall M, Tieder JS, et al. Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. Pediatrics. 2024;153(3):e2023063714. doi:10.1542/peds.2023-063714. https://…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838130/psn-pdf
    September 21, 2022 - Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. September 21, 2022 Ghaith S, Campbell RL, Pollock JR, et al. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Healthcare (Basel). 2022;10(7):1328. doi:10.3390/healthcare10071328. https:/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47274/psn-pdf
    November 21, 2018 - Developing a hospital-wide quality and safety dashboard: a qualitative research study. November 21, 2018 Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. doi:10.1136/bmjqs-2018- 007784. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844059/psn-pdf
    February 08, 2023 - Misdiagnosis in the emergency department: time for a system solution. February 8, 2023 Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577. https://psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solu…

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