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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41486/psn-pdf
    November 21, 2016 - Guide to Patient and Family Engagement: Environmental Scan Report. November 21, 2016 Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHRQ Publication No. 12-0042-EF. https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environm…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42543/psn-pdf
    September 29, 2017 - Advancing the research agenda for diagnostic error reduction. September 29, 2017 Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624. https://psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47594/psn-pdf
    March 17, 2023 - Prevention of perioperative medication errors. March 17, 2023 Nanji K. UpToDate. March 7, 2023. https://psnet.ahrq.gov/issue/prevention-perioperative-medication-errors Perioperative adverse drug events are common and understudied. This review examines factors that contribute to adverse drug events in the surgical …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41576/psn-pdf
    October 11, 2012 - The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. October 11, 2012 May NB, Plews-Ogan M. The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Patient Educ Couns. 2012;88(3):449-54. doi:10.1016/j.pec.2012.06.024. ht…

  5. Data | Agency for Healthcare Research and Quality

    www.ahrq.gov/topics/data.html
    Topic: Data AHRQ offers offers robust data sets, including the Healthcare Cost and Utilization Project and the Medical Expenditure Panel Survey, to help healthcare organizations, providers, and others to examine the quality and safety of care as well as access to care. Comp…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34718/psn-pdf
    August 05, 2008 - How can we save the next victim? August 5, 2008 Belkin L https://psnet.ahrq.gov/issue/how-can-we-save-next-victim In this article, Belkin examines how the medical field has recently shifted away from blaming individuals for medical error toward a model that searches for systems problems and solutions for preventio…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36014/psn-pdf
    September 24, 2010 - Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. September 24, 2010 Maio V, Hartmann CW, Poston S, et al. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Am J Med Qual. 2006;21(3):162-8. https://psnet.ahrq.gov/issue/potentially-inappropriate-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38085/psn-pdf
    September 08, 2010 - Diagnostic errors and temporal stability in bipolar disorder. September 8, 2010 López J, Baca E, Botillo C, et al. [Diagnostic errors and temporal stability in bipolar disorder]. Actas Esp Psiquiatr. 2008;36(4):205-9. https://psnet.ahrq.gov/issue/diagnostic-errors-and-temporal-stability-bipolar-disorder This stud…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42876/psn-pdf
    January 22, 2014 - Surgical complications and their implications for surgeons' well-being. January 22, 2014 Pinto A, Faiz O, Bicknell C, et al. Surgical complications and their implications for surgeons' well-being. Br J Surg. 2013;100(13):1748-55. doi:10.1002/bjs.9308. https://psnet.ahrq.gov/issue/surgical-complications-and-their-i…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43214/psn-pdf
    May 28, 2014 - What a doctor may miss by reaching for the MRI first. May 28, 2014 Boodman SG, Kaiser Health News. Washington Post. May 19, 2014. https://psnet.ahrq.gov/issue/what-doctor-may-miss-reaching-mri-first This newspaper article reports how lack of competency with performing physical examinations and over- reliance on te…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42952/psn-pdf
    February 19, 2014 - Practices to prevent venous thromboembolism: a brief review. February 19, 2014 Lau BD, Haut ER. Practices to prevent venous thromboembolism: a brief review. BMJ Qual Saf. 2014;23(3):187-95. doi:10.1136/bmjqs-2012-001782. https://psnet.ahrq.gov/issue/practices-prevent-venous-thromboembolism-brief-review This revie…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36762/psn-pdf
    August 10, 2011 - Weekend versus weekday admission and mortality from myocardial infarction. August 10, 2011 Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355. https://psnet.ahrq.gov/issue/week…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38408/psn-pdf
    February 11, 2009 - Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. February 11, 2009 Desai MS. Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. Curr Opin Anaesthesiol. 2008;21(6):699-703. doi:10.1097/ACO.0b013e328313e879. https://psnet.ahrq.gov/issue/office-based-anest…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42496/psn-pdf
    September 18, 2013 - Use of health information technology to reduce diagnostic errors. September 18, 2013 El-Kareh R, Hasan O, Schiff G. Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013;22 Suppl 2:ii40-ii51. doi:10.1136/bmjqs-2013-001884. https://psnet.ahrq.gov/issue/use-health-information-technolog…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37137/psn-pdf
    October 04, 2011 - Rural hospital patient safety systems implementation in two states. October 4, 2011 Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x. https://psnet.ahrq.gov/issue/rural-hospital-patien…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40123/psn-pdf
    January 12, 2011 - Partners in our care: patient safety from a patient perspective. January 12, 2011 Hovey RB, Morck A, Nettleton S, et al. Partners in our care: patient safety from a patient perspective. Qual Saf Health Care. 2010;19(6):e59. doi:10.1136/qshc.2008.030908. https://psnet.ahrq.gov/issue/partners-our-care-patient-safety…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36402/psn-pdf
    June 13, 2011 - Medication reconciliation for reducing drug-discrepancy adverse events. June 13, 2011 Boockvar K, LaCorte HC, Giambanco V, et al. Medication reconciliation for reducing drug-discrepancy adverse events. Am J Geriatr Pharmacother. 2006;4(3):236-43. https://psnet.ahrq.gov/issue/medication-reconciliation-reducing-drug…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73711/psn-pdf
    September 15, 2021 - A crisis within a crisis. September 15, 2021 Ellis NT, Broaddus A. CNN. August 25, 2021.  https://psnet.ahrq.gov/issue/crisis-within-crisis Maternal safety is an ongoing challenge worldwide. This news feature examines how the COVID pandemic has revealed disparities and implicit biases that impact the mat…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43113/psn-pdf
    April 09, 2014 - Transforming the health care environment collaborative. April 9, 2014 Burgess C, Curry MP. Transforming the health care environment collaborative. AORN J. 2014;99(4):529- 39. doi:10.1016/j.aorn.2014.01.012. https://psnet.ahrq.gov/issue/transforming-health-care-environment-collaborative This commentary examines the…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41431/psn-pdf
    June 06, 2012 - First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. June 6, 2012 Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778. https://psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety This publication examines patient safe…
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