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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61003/psn-pdf
    October 07, 2020 - Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. October 7, 2020 Manchester, UK: The Parliamentary and Health Service Ombudsman; July 15, 2020. ISBN 9781528620666. https://psnet.ahrq.gov/issue/making-complaints-count-supporting-complaints-handling-nhs-and-uk- gover…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35176/psn-pdf
    June 23, 2009 - Mapping changes in surgical mortality over 9 years by peer review audit. June 23, 2009 Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. https://psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-re…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74765/psn-pdf
    February 09, 2022 - Whose responsibility is it to address bullying in health care? February 9, 2022 Whose responsibility is it to address bullying in health care? AMA J Ethics. 2022;23(12):E931-936. doi:10.1001/amajethics.2021.931. https://psnet.ahrq.gov/issue/whose-responsibility-it-address-bullying-health-care Disrespectful behavi…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837038/psn-pdf
    May 04, 2022 - Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. May 4, 2022 London UK: Patient Safety Learning: 2022. https://psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs Unsafe care affects a wide range of individuals and organizations physically, emotionally, and financi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47855/psn-pdf
    June 19, 2019 - Medication Overload: America's Other Drug Problem. June 19, 2019 Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019. https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem Overprescribing is a common problem that contributes to patient harm. This report examines financial, clinical, an…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60607/psn-pdf
    June 17, 2020 - When health care moves online, many patients are left behind. June 17, 2020 Renault M. When health care moves online, many patients are left behind. Wired Online. 2020;(June 8, 2020). https://psnet.ahrq.gov/issue/when-health-care-moves-online-many-patients-are-left-behind The emergence of telemedicine as a primar…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38783/psn-pdf
    September 02, 2009 - Medical negligence in drug associated deaths. September 2, 2009 Madea B, Musshoff F, Preuss J. Medical negligence in drug associated deaths. Forensic Sci Int. 2009;190(1-3):67-73. doi:10.1016/j.forsciint.2009.05.014. https://psnet.ahrq.gov/issue/medical-negligence-drug-associated-deaths This study reports that acc…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43095/psn-pdf
    April 09, 2014 - Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. April 9, 2014 White R, Cassano-Piché A, Fields A, et al. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. J Oncol Pharm Pract. 2014;20(1…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72762/psn-pdf
    February 17, 2021 - Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. February 17, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care Effective integration of hea…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44630/psn-pdf
    February 15, 2017 - Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. February 15, 2017 Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Health Informati…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44385/psn-pdf
    October 13, 2015 - Same-hospital readmission rates as a measure of pediatric quality of care. October 13, 2015 Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric Quality of Care. JAMA Pediatr. 2015;169(10):905-12. doi:10.1001/jamapediatrics.2015.1129. https://psnet.ahrq.gov/issue/same…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47018/psn-pdf
    June 13, 2018 - Opportunities to improve informed consent with AHRQ training modules. June 13, 2018 Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010. https://psnet.ahrq.gov/issue/opportuniti…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45881/psn-pdf
    March 15, 2017 - CE: nursing's evolving role in patient safety. March 15, 2017 Kowalski SL, Anthony M. CE: Nursing's Evolving Role in Patient Safety. Am J Nurs. 2017;117(2):34-48. doi:10.1097/01.NAJ.0000512274.79629.3c. https://psnet.ahrq.gov/issue/ce-nursings-evolving-role-patient-safety Nursing is a key component of patient care…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47414/psn-pdf
    May 01, 2019 - Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. May 1, 2019 Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 2019;3…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45150/psn-pdf
    October 13, 2018 - Pain as the neglected patient safety concern: five years on. October 13, 2018 Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. https://psnet.ahrq.gov/issue/pain-neglected-patient-safety-conce…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73536/psn-pdf
    July 28, 2021 - Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study. July 28, 2021 doi:http://doi.org/10.1136/bmjopen-2020-048316. https://psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective- records-review-study In this retrospective stud…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47918/psn-pdf
    April 03, 2019 - AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). April 3, 2019 Agency for Healthcare Research and Quality, US Department of Health and Human Services. Program Announcement No. RFA-HS-19-003. https://psnet.ahrq.gov/issue/ahrq-health-services-research-project-partners-enabling-di…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47358/psn-pdf
    August 29, 2018 - Double reading in breast cancer screening: cohort evaluation in the CO-OPS trial. August 29, 2018 Taylor-Phillips S, Jenkinson D, Stinton C, et al. Double Reading in Breast Cancer Screening: Cohort Evaluation in the CO-OPS Trial. Radiology. 2018;287(3):749-757. doi:10.1148/radiol.2018171010. https://psnet.ahrq.gov…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50644/psn-pdf
    November 06, 2019 - Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. November 6, 2019 US House of Representatives Committee on Veterans Affairs Subcommittee on Oversight and Investigations. 116th Cong, 1st Sess (2019). https://psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-syste…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42353/psn-pdf
    September 19, 2016 - Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. September 19, 2016 Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Gen Hosp Psych. 2013;35(5):528-536. doi:10.…
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