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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45192/psn-pdf
    December 04, 2016 - Evidence summary and recommendations for improved communication during care transitions. December 4, 2016 Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230. https://psnet.ahrq.gov/iss…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837316/psn-pdf
    June 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items. June 1, 2022 Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2022. AHRQ Publication No. 22-0027. https://psnet.ahrq.gov/issue/2022-updated-results-a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836773/psn-pdf
    March 23, 2022 - Association between operative autonomy of surgical residents and patient outcomes. March 23, 2022 Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.6444. https://psnet.ahrq.gov/issue/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73136/psn-pdf
    April 14, 2021 - Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. April 14, 2021 Campbell AA, Harlan T, Campbell M, et al. Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. J Nurs Scholarsh. 2021;53(3):333-342. doi:10.1111/jnu.12652. https://psn…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863209/psn-pdf
    February 28, 2024 - Emergency department volume and delayed diagnosis of serious pediatric conditions. February 28, 2024 Michelson KA, Rees CA, Florin TA, et al. Emergency department volume and delayed diagnosis of serious pediatric conditions. JAMA Pediatr. 2024;178(4):362-368. doi:10.1001/jamapediatrics.2023.6672. https://psnet.ahr…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34641/psn-pdf
    March 03, 2011 - Study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inclusive. March 3, 2011 BEECHER HK, TODD DP. A study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inc…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34829/psn-pdf
    April 06, 2011 - Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. April 6, 2011 Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4. https://psnet.ahrq.gov/issue/use-medical-emerg…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60616/psn-pdf
    June 24, 2020 - Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. June 24, 2020 Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. J Nurs Care Qual. 2020;35(3):206-212. doi:10.1097/ncq.000…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73563/psn-pdf
    August 04, 2021 - Understanding complaints made about surgical departments in a UK district general hospital. August 4, 2021 Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intqhc/mzab095. https://psnet.ahrq.go…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74270/psn-pdf
    January 19, 2022 - Adverse events associated with patient isolation: a systematic literature review and meta-analysis. January 19, 2022 Saliba R, Karam-Sarkis D, Zahar J-R, et al. Adverse events associated with patient isolation: a systematic literature review and meta-analysis. J Hosp Infect. 2022;119:54-63. doi:10.1016/j.jhin.2021.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838321/psn-pdf
    October 12, 2022 - Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. October 12, 2022 Adler-Milstein J, Aggarwal N, Ahmed M, et al. NAM Perspectives. Washington DC: National Academy of Medicine; 2022. https://psnet.ahrq.gov/issue/meeting-moment-addressing-bar…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45919/psn-pdf
    July 05, 2017 - Managing the patient identification crisis in healthcare and laboratory medicine. July 5, 2017 Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004. https://psnet.ahrq.gov/i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34795/psn-pdf
    December 23, 2008 - Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. December 23, 2008 Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Med. 1997;25(8):1289-1297. doi:10.1097/00003246-199708000-00014. ht…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866077/psn-pdf
    June 05, 2024 - Associations between patient safety culture and workplace safety culture in hospital settings. June 5, 2024 Hesgrove B, Zebrak K, Yount N, et al. Associations between patient safety culture and workplace safety culture in hospital settings. BMC Health Serv Res. 2024;24(1):568. doi:10.1186/s12913-024-10984-3. https…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867349/psn-pdf
    December 11, 2024 - Prevalence and Burden of Healthcare-Associated Infections (HAIs), 2016–2021. HCUP Statistical Brief #313. December 11, 2024 Miller MA, Umscheid CA, Dowell J, et al. Prevalence And Burden Of Healthcare-Associated Infections (Hais), 2016–2021. Hcup Statistical Brief #313. Rockville, MD: Agency for Healthcare Research…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845353/psn-pdf
    March 01, 2023 - Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. March 1, 2023 Washington, DC: VA Office of the Inspector General; February 2, 2023. Report no. 22-01363-52. https://psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34067/psn-pdf
    January 04, 2017 - Does full disclosure of medical errors affect malpractice liability? The jury is still out. January 4, 2017 Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11. https://psnet.ahrq.gov/issue/does…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847541/psn-pdf
    April 12, 2023 - Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. April 12, 2023 Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622. https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39913/psn-pdf
    October 13, 2010 - The frequency of diagnostic errors in radiologic reports depends on the patient's age. October 13, 2010 Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age. Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192. https://psnet.ahrq.gov/issue/frequency-di…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839820/psn-pdf
    November 09, 2022 - Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway. November 9, 2022 Krvavac S, Jansson B, Bukholm IRK, et al. Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway. Int J Environ Res Public Health. 2022;19(17):10686. doi:10…

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