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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861773/psn-pdf
    January 31, 2024 - Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom? January 31, 2024 Urwin R, Pavithra A, Mcmullan RD, et al. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom? BMJ…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60578/psn-pdf
    June 10, 2020 - Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. June 10, 2020 Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using health information technology in ambulatory cancer care: …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73090/psn-pdf
    March 31, 2021 - Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. March 31, 2021 Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a systematic review of learning tools that co…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867600/psn-pdf
    January 22, 2025 - Application of a digital quality measure for cancer diagnosis in Epic Cosmos. January 22, 2025 Zimolzak AJ, Khan SP, Singh H, et al. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. J Am Med Inform Assoc. 2025;32(1):227-229. doi:10.1093/jamia/ocae253. https://psnet.ahrq.gov/issue/appli…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45953/psn-pdf
    July 22, 2020 - Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. July 22, 2020 Oakbrook Terrace, IL: Joint Commission Resources; 2020. ISBN: 9781635851618. https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73368/psn-pdf
    June 09, 2021 - Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture: a cross-national cross-sectional study. June 9, 2021 Gambashidze N, Hammer A, Wagner A, et al. Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34794/psn-pdf
    November 18, 2015 - Accident analysis of large-scale technological disasters applied to an anaesthetic complication. November 18, 2015 Eagle CJ, Davies JM, Reason J. Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Can J Anaesth. 1992;39(2):118-22. https://psnet.ahrq.gov/issue/accident-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44822/psn-pdf
    September 04, 2016 - A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the Healthy Work Place (HWP) study. September 4, 2016 Linzer M, Poplau S, Grossman E, et al. A Cluster Randomized Trial of Interventions to Improve Work Conditions and Clinician Burnout in Pri…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72525/psn-pdf
    December 02, 2020 - Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. December 2, 2020 Emerson MA, Golightly YM, Aiello AE, et al. Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. Cancer. 2020;126(22):4957-4966…
  10. psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
    January 01, 2024 - Spotlight Spotlight Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations 1 Source and Credits This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: David…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866839/psn-pdf
    September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September 25, 2024 Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49445/psn-pdf
    May 01, 2004 - No Blood, Please May 1, 2004 Liang BA. No Blood, Please. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/no-blood-please The Case A young woman, about 30 years of age, was injured in an automobile collision. She was brought to the emergency department (ED) via ambulance, where she was found to be suffering …
  13. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
    January 01, 2020 - PowerPoint Presentation Spotlight A ʺReflexiveʺ Diagnosis in Primary Care 1 This presentation is based on the April 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: John Betjemann, MD, and S. Andrew Josephson, MD, University of California, San…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73434/psn-pdf
    June 30, 2021 - The Consequences of Miscommunication Regarding a Possible Artifact June 30, 2021 Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact Disclosure of Relevant Financial Relationships…
  15. psnet.ahrq.gov/periodic-issue/periodic-issue-469
    December 31, 2024 - January 8, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports…
  16. psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
    April 10, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Patient and Family Engagement in Long Term Care  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, C…
  17. psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
    May 11, 2019 - SPOTLIGHT CASE The Consequences of Miscommunication Regarding a Possible Artifact Citation Text: Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
  18. psnet.ahrq.gov/print/pdf/node/867461
    January 31, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Patient and Family Engagement in Long Term Care Curated Library Foundations Long-term Care and Patient Safety Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024 A large and growing number of Americans require care in skilled nursin…
  19. psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
    August 21, 2005 - Mechanical Prosthetic Valve Thrombosis with Thromboembolism. Citation Text: Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42692/psn-pdf
    April 21, 2015 - Surgical skill and complication rates after bariatric surgery. April 21, 2015 Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625. https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates…

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