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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854992/psn-pdf
    November 01, 2023 - Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? November 1, 2023 Roy JM, Rumalla K, Skandalakis GP, et al. Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? A systematic review. Neurosurg Rev. 2023;46(1):227. doi:10.1007/s1014…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60797/psn-pdf
    August 12, 2020 - Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. August 12, 2020 Borshoff DC, Sadleir P. Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. Curr Opin Anaesthesiol. 2020;33(4):55…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48028/psn-pdf
    August 28, 2019 - Error Reduction and Prevention in Surgical Pathology, Second Edition. August 28, 2019 Nakhleh RE, Volmar KE, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030184636. https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition Surgical specimen and laboratory process proble…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44989/psn-pdf
    July 01, 2016 - Can medical record reviewers reliably identify errors and adverse events in the ED? July 1, 2016 Klasco RS, Wolfe RE, Lee T, et al. Can medical record reviewers reliably identify errors and adverse events in the ED? Am J Emerg Med. 2016;34(6):1043-8. doi:10.1016/j.ajem.2016.03.001. https://psnet.ahrq.gov/issue/can…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37769/psn-pdf
    March 10, 2011 - Turning off frequently overridden drug alerts: limited opportunities for doing it safely. March 10, 2011 van der Sijs H, Aarts J, van Gelder T, et al. Turning off frequently overridden drug alerts: limited opportunities for doing it safely. J Am Med Inform Assoc. 2008;15(4):439-48. doi:10.1197/jamia.M2311. https:/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46287/psn-pdf
    April 12, 2019 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. April 12, 2019 Neily J, Silla ES, Sum-Ping S (J) T, et al. Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned. Anesth Analg. 2017;126(2):471-477. doi:10.12…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47623/psn-pdf
    February 06, 2019 - Diagnostic heuristics in dermatology—part 1 and part 2. February 6, 2019 Lowenstein EJ, Sidlow R. Cognitive and visual diagnostic errors in dermatology: part 1 and part 2. J Dermatol. 2018;179(6):1263-1276. doi:10.1111/bjd.16932. https://psnet.ahrq.gov/issue/diagnostic-heuristics-dermatology-part-1-and-part-2 Cogn…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867144/psn-pdf
    November 13, 2024 - Life of the Mother. How Abortion Bans Lead to Preventable Deaths. November 13, 2024 Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024. https://psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deat…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44285/psn-pdf
    November 06, 2015 - Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. November 6, 2015 Millar R, Freeman T, Mannion R. Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. BMC Health Serv Res. 2015;15:196…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44674/psn-pdf
    December 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. December 18, 2017 Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390. https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health Since the publication of the Inst…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35237/psn-pdf
    November 29, 2009 - Improving nurse-to-patient staffing ratios as a cost- effective safety intervention. November 29, 2009 Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Med Care. 2005;43(8):785-91. https://psnet.ahrq.gov/issue/improving-nurse-patient-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47852/psn-pdf
    May 08, 2019 - Impact of time pressure on dentists' diagnostic performance. May 8, 2019 Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent. 2019;82:38-44. doi:10.1016/j.jdent.2019.01.011. https://psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance This…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74006/psn-pdf
    October 27, 2021 - Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. October 27, 2021 Greene J, Samuel-Jakubos H. Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. Jt Comm J Qual Patient Saf. 2021;47(12…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46973/psn-pdf
    June 25, 2018 - Balancing innovation and safety when integrating digital tools into health care. June 25, 2018 Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. https://psnet.ahrq.gov/issue/balancing-inno…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44890/psn-pdf
    July 11, 2017 - The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. July 11, 2017 Her QL, Amato MG, Seger DL, et al. The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. J Am Med Inform Assoc. 2016;23(5):924-33. doi:10.1093/jamia/ocv181. http…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50925/psn-pdf
    February 19, 2020 - Report of the Independent Inquiry into the Issues Raised by Paterson. February 19, 2020 James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020. ISBN 9781528617284. https://psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson Shari…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47517/psn-pdf
    January 27, 2019 - Defining and classifying terminology for medication harm: a call for consensus. January 27, 2019 Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-2567-5. https://psnet.ahrq.gov/iss…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46206/psn-pdf
    August 02, 2017 - Patient safety in dentistry: development of a candidate 'never event' list for primary care. August 2, 2017 Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456. https://psnet.ahrq.gov/issue/patie…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36856/psn-pdf
    August 31, 2011 - Hospital workload and adverse events. August 31, 2011 Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55. https://psnet.ahrq.gov/issue/hospital-workload-and-adverse-events Past research suggests a relationship between nursing workload and quality of car…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36032/psn-pdf
    April 11, 2011 - Pediatric medication safety and the media: what does the public see? April 11, 2011 Stebbing C, Kaushal R, Bates DW. Pediatric medication safety and the media: what does the public see? Pediatrics. 2006;117(6):1907-1914. doi:10.1542/peds.2005-2017. https://psnet.ahrq.gov/issue/pediatric-medication-safety-and-media…