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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43887/psn-pdf
    April 08, 2018 - Types of diagnostic errors in neurological emergencies in the emergency department. April 8, 2018 Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. https://psnet.ahrq.gov/issue/types…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847731/psn-pdf
    April 19, 2023 - Lessons from health care leaders: rethinking and reinvesting in patient safety. April 19, 2023 doi:10.1056/CAT.23.0090. https://psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety Progress in patient safety has been disappointingly slow. This commentary shares thoughts from a…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47940/psn-pdf
    May 01, 2019 - Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. May 1, 2019 Giles SJ, Parveen S, Hernan AL. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. BMJ Qual Saf. 2019;28(5):389-396. doi:10.1136/bmjqs-2018-007988. https://psnet.ahrq.gov/issue/validation-pr…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43236/psn-pdf
    August 02, 2015 - Hospital safety scores: do grades really matter? August 2, 2015 Gonzalez AA, Ghaferi AA. Hospital Safety Scores: do grades really matter? JAMA Surg. 2014;149(5):413- 4. https://psnet.ahrq.gov/issue/hospital-safety-scores-do-grades-really-matter This editorial examines whether The Leapfrog Group's Hospital Safety S…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36251/psn-pdf
    September 13, 2006 - Frequency and type of errors and near errors reported by critical care nurses. September 13, 2006 Balas MC; Scott LD; Rogers AE. https://psnet.ahrq.gov/issue/frequency-and-type-errors-and-near-errors-reported-critical-care-nurses Prior research has demonstrated that intensive care unit patients are particularly vu…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35108/psn-pdf
    April 06, 2011 - Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. April 6, 2011 Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 2005;14(3):207-11. https://psnet.ahrq.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42582/psn-pdf
    September 18, 2013 - When diagnostic testing leads to harm: a new outcomes- based approach for laboratory medicine. September 18, 2013 Epner PL, Gans JE, Graber ML. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii6-ii10. doi:10.1136/bmjqs-2012-001621. https:…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836834/psn-pdf
    March 30, 2022 - Dying for Care. March 30, 2022 Stein L, Fraser J, Penzenstadler N et al. USA Today. March 10, 2022. https://psnet.ahrq.gov/issue/dying-care Nursing home residents, staff, and care processes were particularly vulnerable to COVID-19. This collection of resources examines data and documentation involving one nursing …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45551/psn-pdf
    November 30, 2016 - Parents' perspectives on "keeping their children safe" in the hospital. November 30, 2016 Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193. https://psnet.ahrq.gov/issue/parent…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46804/psn-pdf
    January 01, 2021 - Retained guidewires in the Veterans Health Administration: getting to the root of the problem. May 9, 2018 Cherara L, Sculli GL, Paull DE, et al. Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. J Patient Saf. 2021;17(8):e991-e928. doi:10.1097/PTS.0000000000000475. htt…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35583/psn-pdf
    June 17, 2010 - Using a bar-coded medication administration system to prevent medication errors in a community hospital network. June 17, 2010 Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. American Journal of Health-System …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47114/psn-pdf
    October 13, 2018 - Focused ethnography of diagnosis in academic medical centers. October 13, 2018 Chopra V, Harrod M, Winter S, et al. Focused Ethnography of Diagnosis in Academic Medical Centers. J Hosp Med. 2018;13(10):668-672. doi:10.12788/jhm.2966. https://psnet.ahrq.gov/issue/focused-ethnography-diagnosis-academic-medical-cente…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72537/psn-pdf
    December 02, 2020 - Automation failures and patient safety. December 2, 2020 Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol. 2020;33(6):788-792. doi:10.1097/aco.0000000000000935. https://psnet.ahrq.gov/issue/automation-failures-and-patient-safety Task automation in medicine is a core …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47779/psn-pdf
    June 12, 2019 - Medication accuracy in electronic health records for microbial keratitis. June 12, 2019 Ashfaq HA, Lester CA, Ballouz D, et al. Medication Accuracy in Electronic Health Records for Microbial Keratitis. JAMA Ophthalmal. 2019;137(8):929-931. doi:10.1001/jamaophthalmol.2019.1444. https://psnet.ahrq.gov/issue/medicati…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44358/psn-pdf
    September 24, 2016 - Interruptions and medication administration in critical care. September 24, 2016 Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185. https://psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35175/psn-pdf
    June 23, 2009 - Overnight and postcall errors in medication orders. June 23, 2009 Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. https://psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders This study examined the incidence of prescribing errors…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34722/psn-pdf
    April 07, 2011 - A preliminary taxonomy of medical errors in family practice. April 7, 2011 Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8. https://psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice Efforts to improv…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45039/psn-pdf
    September 27, 2016 - Deaths following prehospital safety incidents: an analysis of a national database. September 27, 2016 Yardley I, Donaldson LJ. Deaths following prehospital safety incidents: an analysis of a national database. Emerg Med J. 2016;33(10):716-721. doi:10.1136/emermed-2015-204724. https://psnet.ahrq.gov/issue/deaths-fo…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47244/psn-pdf
    August 01, 2018 - The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries. August 1, 2018 Simul Healthc. 2018;13(3S suppl 1):S1-S55. https://psnet.ahrq.gov/issue/second-society-simulation-healthcare-research-summit-beyond-our-boundaries Simulation strategies can help examine team interaction and care …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37575/psn-pdf
    September 08, 2010 - Systematic review: the evidence that publishing patient care performance data improves quality of care. September 8, 2010 Fung CH, Lim Y-W, Mattke S, et al. Systematic review: the evidence that publishing patient care performance data improves quality of care. Ann Intern Med. 2008;148(2):111-23. https://psnet.ahrq…
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