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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838322/psn-pdfOctober 12, 2022 - COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. October 12, 2022 Washington, DC: United States Government Accountability Office; September 14, 2022. Publication GAO-22-105133. https://psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845652/psn-pdfMarch 14, 2023 - Controlled substance drug diversion by healthcare workers as a threat to patient safety. March 14, 2023 ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4):1-4; March 9, 2023:28(5):1-4. https://psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety D… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854641/psn-pdfOctober 18, 2023 - Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. October 18, 2023 Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023. https://psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021 There are recognized systemic w… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854827/psn-pdfOctober 25, 2023 - Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. October 25, 2023 Ramjaun A, Hammond Mobilio M, Wright N, et al. Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. Ann Surg. 2023;278… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46737/psn-pdfFebruary 07, 2018 - The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England. February 7, 2018 Lee R, Baeza JI, Fulop NJ. The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England. BMJ Qual Saf. 2018;27(2):103-109. doi:10.11… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60701/psn-pdfJuly 22, 2020 - Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. July 22, 2020 Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864847/psn-pdfMarch 20, 2024 - Inter-hospital transfer is an independent risk factor for hospital-associated infection. March 20, 2024 Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital- associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:10.1089/sur.2023.077. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45308/psn-pdfSeptember 28, 2016 - Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. September 28, 2016 Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44148/psn-pdfNovember 06, 2015 - Role of cognition in generating and mitigating clinical errors. November 6, 2015 Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482. https://psnet.ahrq.gov/issue/role-cognition-generating-and-miti… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46207/psn-pdfJuly 19, 2017 - Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. July 19, 2017 Dyrbye LN, Shanafelt TD, Sinsky CA, et al. Washington, DC: National Academy of Medicine; July 5, 2017. https://psnet.ahrq.gov/issue/burnout-among-health-care-professionals-ca… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74192/psn-pdfJanuary 01, 2022 - Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. December 15, 2021 Wallis KA, Elley CR, Moyes SA, et al. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. BJGP Open. 2022;6(1):BJGPO.2021.0129. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866115/psn-pdfJune 12, 2024 - Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. June 12, 2024 Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. BMJ Open. 2024;14(5):e0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44778/psn-pdfJuly 18, 2016 - How safe is primary care? A systematic review. July 18, 2016 Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178. https://psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review Patient safety in ambulato… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866252/psn-pdfJanuary 01, 2025 - Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. July 10, 2024 Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. BMJ Qual Saf. 2025;34(1):18-27. doi:10.1136/b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838136/psn-pdfSeptember 21, 2022 - Exploration of a rapid response team model of care: a descriptive dual methods study. September 21, 2022 Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44592/psn-pdfDecember 02, 2015 - Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. December 2, 2015 Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44134/psn-pdfNovember 06, 2015 - Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. November 6, 2015 Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Br J Cancer. 2015;112 Suppl 1:S… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34673/psn-pdfDecember 23, 2008 - Relationship between medication errors and adverse drug events. December 23, 2008 Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995;10(4):199-205. https://psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44011/psn-pdfMay 06, 2015 - Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. May 6, 2015 Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. Adv Health Sc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862152/psn-pdfFebruary 07, 2024 - Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. February 7, 2024 Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…
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