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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853058/psn-pdf
    August 30, 2023 - Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. August 30, 2023 Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-068207. https://psnet.ahrq.gov/iss…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50839/psn-pdf
    January 29, 2020 - Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. January 29, 2020 Lintern S. The Independent. January 15, 2020. https://psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak The Francis report is a primary example of a large-scale …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849336/psn-pdf
    May 24, 2023 - AI may be on its way to your doctor’s office, but it’s not ready to see patients. May 24, 2023 Tahir D. KFF Health News. May 12, 2023. https://psnet.ahrq.gov/issue/ai-may-be-its-way-your-doctors-office-its-not-ready-see-patients Real-time use of artificial intelligence (AI) in health care settings continues to cau…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44449/psn-pdf
    January 22, 2016 - Do patient safety indicators explain increased weekend mortality? January 22, 2016 Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030. https://psnet.ahrq.gov/issue/do-patient-safety-indicators-ex…

  5. 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…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36511/psn-pdf
    January 07, 2011 - Facing ambiguous threats. January 7, 2011 Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157. https://psnet.ahrq.gov/issue/facing-ambiguous-threats This study describes how organizations respond to signs that may or may not portend future catastrophes. The authors…

  7. 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…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43777/psn-pdf
    January 01, 2015 - Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. December 17, 2014 Johnston MJ, King D, Arora S, et al. Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Am J Surg. 2015;209(1):45-51. doi:10.1016/j.amjsurg.2014.08.030.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38060/psn-pdf
    April 11, 2011 - Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. April 11, 2011 Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. Pediatrics. 2008;122(3):55…

  10. 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…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72607/psn-pdf
    December 23, 2020 - Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. December 23, 2020 Washington DC; Governmental Accountability Office; December 1, 2020. Publication GAO-21-160R. https://psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety- concerns Clin…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854387/psn-pdf
    October 11, 2023 - Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. October 11, 2023 Tan MZY, Prager G, McClelland A, et al. Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. BMJ Open. 2023;13(9):e072136. doi:10.1136/bmjopen-2023-072136. https://psnet.ahrq.gov/issu…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863002/psn-pdf
    February 21, 2024 - Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. February 21, 2024 Tscholl DW, Hunn CA, Gasciauskaite G. APSF Newsletter. 2024;39:29–30. https://psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness- b…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48075/psn-pdf
    June 19, 2019 - A mismatch made in America. June 19, 2019 Butcher L. Managed Care. June 2019;28:37-39. https://psnet.ahrq.gov/issue/mismatch-made-america Inconsistent patient name entry practices in electronic health records can contribute to wrong-patient errors. This magazine article reports on the complex nature of addressing …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74042/psn-pdf
    November 03, 2021 - An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust. November 3, 2021 Manchester, UK: Parliamentary and Health Service Ombudsman; October 2021. https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs- foundation-trust…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840163/psn-pdf
    November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37909/psn-pdf
    February 23, 2009 - Prevalence of adverse drug combinations in a large post- mortem toxicology database. February 23, 2009 Launiainen T, Vuori E, Ojanperä I. Prevalence of adverse drug combinations in a large post-mortem toxicology database. Int J Legal Med. 2009;123(2):109-15. doi:10.1007/s00414-008-0261-3. https://psnet.ahrq.gov/is…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47801/psn-pdf
    May 11, 2019 - Opioid prescribing trends and the physician’s role in responding to the public health crisis. May 11, 2019 Adams JM, Giroir BP. Opioid Prescribing Trends and the Physician's Role in Responding to the Public Health Crisis. JAMA Intern Med. 2019;179(4):476-478. doi:10.1001/jamainternmed.2018.7934. https://psnet.ahrq…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45264/psn-pdf
    September 01, 2016 - Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative. September 1, 2016 Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following Participation in a Multicenter Quality Improvement Collaborative. Jt Co…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837214/psn-pdf
    May 25, 2022 - Global Report on Infection Prevention and Control: Executive Summary. May 25, 2022 Geneva, Switzerland; World Health Organization; May 5, 2022. https://psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary Healthcare-acquired infection is a persistent systemic problem. This report r…
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