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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34653/psn-pdf
    March 07, 2005 - Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. March 7, 2005 Gaba DM. California Manage Rev. 2000;43(1):83-102. https://psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care- other-high-hazard Gaba ana…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866938/psn-pdf
    October 09, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception towards Co-Design. October 9, 2024 Epstein HM, Haskell H, Hemmelgarn C, et al. The Patient’s Role In Diagnostic Safety And Excellence: From Passive Reception Towards Co-Design. Rockville, MD: Agency for Healthcare Research and Quality; …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39032/psn-pdf
    September 19, 2016 - The natural history of recovery for the healthcare provider "second victim" after adverse patient events. September 19, 2016 Scott SD, Hirschinger LE, Cox KR, et al. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Qual Saf Health Care. 2009;18(5):325-330. d…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47204/psn-pdf
    July 18, 2018 - The burden of opioid-related mortality in the United States. July 18, 2018 Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States. JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217. https://psnet.ahrq.gov/issue/burden-opioid-related-mortality-unite…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60881/psn-pdf
    September 02, 2020 - Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report. September 2, 2020 Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality’s Making Healthcare Safer III Report. J Patient Saf. 2020;16(3S Suppl 1):s1-s56. doi:1…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45591/psn-pdf
    January 11, 2017 - Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis. January 11, 2017 Shaheed CA, Maher CG, Williams KA, et al. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A Systematic Review and Meta-analys…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50576/psn-pdf
    October 23, 2019 - Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. October 23, 2019 Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provider encounter are a frequent sou…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851663/psn-pdf
    July 26, 2023 - Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023 Washington, DC: VA Office of the Inspector General; June 28, 2023. Report no. 22-02725-132. https://psnet.ahrq.gov/issue/quality-care-concerns-and-facility-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41464/psn-pdf
    November 26, 2014 - Risk of unintentional overdose with non-prescription acetaminophen products. November 26, 2014 Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen products. J Gen Intern Med. 2012;27(12):1587-93. doi:10.1007/s11606-012-2096-3. https://psnet.ahrq.gov/issue/risk-uni…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46570/psn-pdf
    April 12, 2019 - Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. April 12, 2019 Martin SK, Tulla K, Meltzer DO, et al. Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision: A Mixed Methods Stud…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46917/psn-pdf
    April 18, 2018 - Consumer mobile apps for potential drug–drug interaction check: systematic review and content analysis using the Mobile App Rating Scale (MARS). April 18, 2018 Kim BY, Sharafoddini A, Tran N, et al. Consumer Mobile Apps for Potential Drug-Drug Interaction Check: Systematic Review and Content Analysis Using the Mob…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836728/psn-pdf
    March 15, 2022 - Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. March 15, 2022 ISMP Medication Safety Alert! Acute care edition. February 24, 2022; 27(4):1-5; March 10, 2022; 27(5):1-5. https://psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838919/psn-pdf
    January 01, 2024 - Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. October 26, 2022 Michelson KA, McGarghan FLE, Patterson EE, et al. Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. BMJ Qual Saf. 2024;33(5):293-300. doi:10.1136/bmjqs-2022-015314. https…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843320/psn-pdf
    February 01, 2023 - Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. February 1, 2023 Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47590/psn-pdf
    February 20, 2019 - Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. February 20, 2019 Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quality improvement intervention: …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866402/psn-pdf
    July 31, 2024 - GPT versus resident physicians — a benchmark based on official board scores. July 31, 2024 Katz U, Cohen E, Shachar E, et al. GPT versus resident physicians — a benchmark based on official board scores. NEJM AI. 2024;1(5):5. doi:10.1056/aidbp2300192. https://psnet.ahrq.gov/issue/gpt-versus-resident-physicians-benc…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34735/psn-pdf
    June 16, 2014 - An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. June 16, 2014 Donaldson L. London, UK: The Stationery Office, 2000. https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs- chaired-ch…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60053/psn-pdf
    January 01, 2021 - A review of adverse event reports from emergency departments in the Veterans Health Administration. March 18, 2020 Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-e903. doi:10.1097/pts.0000000000000…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867591/psn-pdf
    January 22, 2025 - Biased language in simulated handoffs and clinician recall and attitudes. January 22, 2025 Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. https://psnet.ahrq.gov/issue/bias…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38026/psn-pdf
    March 21, 2017 - Does error and adverse event reporting by physicians and nurses differ? March 21, 2017 Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545. https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-ph…

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