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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47952/psn-pdfJanuary 01, 2020 - Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. May 15, 2019 Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47184/psn-pdfAugust 08, 2018 - Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. August 8, 2018 Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. Acad Med. 2018;93(6):898-903. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837066/psn-pdfMay 11, 2022 - Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. May 11, 2022 Morsø L, Birkeland S, Walløe S, et al. Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. Jt Comm J Qual Patient Saf. 2022;48(5):271-279.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60662/psn-pdfJanuary 01, 2022 - Medication order errors at hospital admission among children with medical complexity July 8, 2020 Blaine K, Wright J, Pinkham A, et al. Medication Order Errors at Hospital Admission Among Children With Medical Complexity. J Patient Saf. 2022;18(1):e156-e162. doi:10.1097/pts.0000000000000719. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865723/psn-pdfJune 18, 2024 - Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association. June 18, 2024 Agency for Healthcare Research and Quality. May 23, 2024. https://psnet.ahrq.gov/issue/using-ahrqs-sops-hospital-survey-and-workplace-safety-item-set-experiences- state-hospital An unders… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47254/psn-pdfSeptember 19, 2018 - Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. September 19, 2018 Mannion R, Blenkinsopp J, Powell M, et al. Southampton (UK): NIHR Journals Library; August 2018.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37585/psn-pdfApril 29, 2010 - Medication errors involving patient-controlled analgesia. April 29, 2010 Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. https://psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850354/psn-pdfJune 14, 2023 - The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study. June 14, 2023 Tataei A, Rahimi B, Afshar HL, et al. The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 inten… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866194/psn-pdfJune 26, 2024 - Patient safety and satisfaction with fully remote management of radiation oncology care. June 26, 2024 Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570. doi:10.1001/jamanetworkopen.2024.16570. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35497/psn-pdfJune 30, 2011 - Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. June 30, 2011 Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45432/psn-pdfSeptember 14, 2016 - Clinical decision support: a 25 year retrospective and a 25 year vision. September 14, 2016 Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. https://psnet.ahrq.gov/issue/clinical-decision-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46987/psn-pdfAugust 01, 2018 - Between demarcation and discretion: the medical- administrative boundary as a locus of safety in high- volume organisational routines. August 1, 2018 Grant S, Guthrie B. Between demarcation and discretion: The medical-administrative boundary as a locus of safety in high-volume organisational routines. Soc Sci Med.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60793/psn-pdfAugust 12, 2020 - Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. August 12, 2020 He M, Li Y, Fang F. Is There a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. J Am Med Dir Assoc. 2020;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46550/psn-pdfNovember 15, 2017 - "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. November 15, 2017 Wu MS, Rawal S. "It's the difference between life and death": The views of professional medical interpreters on th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37992/psn-pdfAugust 20, 2008 - Medication errors reported by US family physicians and their office staff. August 20, 2008 Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. https://psnet.ahrq.gov/issue/medic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36227/psn-pdfAugust 30, 2006 - Does crew resource management training work? An update, an extension, and some critical needs. August 30, 2006 Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412. doi:10.1518/001872006777724444. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867234/psn-pdfDecember 04, 2024 - Survey results reveal tubing misconnections are common and underreported—Parts I and II. December 4, 2024 Survey results reveal tubing misconnections are common and underreported—Parts I and II. ISMP Medication Safety Alert! Acute Care. October 31, 2024;29(22 & 23):1-5;1-4. https://psnet.ahrq.gov/issue/survey-resu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866639/psn-pdfSeptember 04, 2024 - Relationship between patient safety culture and patient experience in hospital settings: a scoping review. September 4, 2024 Alabdaly A, Hinchcliff R, Debono D, et al. Relationship between patient safety culture and patient experience in hospital settings: a scoping review. BMC Health Serv Res. 2024;24(1):906. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866280/psn-pdfJuly 10, 2024 - Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. July 10, 2024 Shennan S, Coyle N, Lockwood B, et al. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. J Patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842427/psn-pdfJanuary 11, 2023 - Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. January 11, 2023 Svedahl ER, Pape K, Austad B, et al. Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further hea…
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