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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46702/psn-pdf
    April 16, 2018 - Characteristics of medical liability claims against dermatologists from 1991 through 2015. April 16, 2018 Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001/jamadermatol.2017.3713. https://…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43805/psn-pdf
    February 11, 2015 - Understanding the nature of medication errors in an ICU with a computerized physician order entry system. February 11, 2015 Cho IS, Park H, Choi YJ, et al. Understanding the nature of medication errors in an ICU with a computerized physician order entry system. PLoS One. 2014;9(12):e114243. doi:10.1371/journal.pon…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44484/psn-pdf
    May 04, 2016 - Failure mode and effects analysis: a comparison of two common risk prioritisation methods. May 4, 2016 McElroy LM, Khorzad R, Nannicelli AP, et al. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. BMJ Qual Saf. 2016;25(5):329-336. doi:10.1136/bmjqs-2015-004130. https://psn…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60255/psn-pdf
    April 22, 2020 - Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. April 22, 2020 Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/16199. https://psnet.ahrq.gov/issu…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50658/psn-pdf
    November 13, 2019 - Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. November 13, 2019 Donner-Banzhoff N, Müller B, Beyer M, et al. Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. Diagnosis (Berl). 2019;7(2…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866114/psn-pdf
    June 12, 2024 - Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives. June 12, 2024 Øyri SF, Wiig S, Tjomsland O. Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons’ perspectives. BMJ Open Qual. 2024;13(2):e002672. doi:10.11…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47628/psn-pdf
    March 13, 2019 - Prescribing in 2019: what are the safety concerns? March 13, 2019 Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038. https://psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns Medication errors present challenges to …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865530/psn-pdf
    April 10, 2024 - Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. April 10, 2024 Washington, DC: The Veterans Affairs Inspector General; March 21, 2024. Report No. 23-01450- 114. https://psnet.ahrq.gov/issue/electronic-he…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851917/psn-pdf
    January 01, 2024 - Incivility in healthcare: the impact of poor communication. August 2, 2023 Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication Incivi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47862/psn-pdf
    April 08, 2019 - Assessing the use of Google Translate for Spanish and Chinese translations of emergency department discharge instructions. April 8, 2019 Khoong EC, Steinbrook E, Brown C, et al. Assessing the Use of Google Translate for Spanish and Chinese Translations of Emergency Department Discharge Instructions. JAMA Intern Me…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34796/psn-pdf
    November 18, 2015 - The business case for quality: case studies and an analysis. November 18, 2015 Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30. https://psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis This comprehens…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74699/psn-pdf
    January 26, 2022 - Indication alerts to improve problem list documentation. January 26, 2022 Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285. https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-d…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41947/psn-pdf
    January 30, 2013 - Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. January 30, 2013 Ginsburg LR, Tregunno D, Norton PG. Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. BMJ Qual Saf. 2013;22(2):147-54. doi:10.1136/bmjqs-2012-001308. https://…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47520/psn-pdf
    February 06, 2019 - Improving patient safety in developing countries—moving towards an integrated approach. February 6, 2019 Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2054270418786112. https://psnet.a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44419/psn-pdf
    September 02, 2015 - Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK. September 2, 2015 Greig PR, Higham H, Vaux E. Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curric…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43845/psn-pdf
    September 26, 2016 - Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? September 26, 2016 Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instructions, and experience affe…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61032/psn-pdf
    October 14, 2020 - System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. October 14, 2020 Auraaen A, Saar K, Klazinga N for the Organisation for Economic Co-operation and Development. OECD Publishing, Paris, France; 2020. OECD Health Working Papers, No. 120. https://psnet.ahrq.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863765/psn-pdf
    March 06, 2024 - Patient safety and artificial intelligence in clinical care. March 6, 2024 Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514. https://psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligen…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842433/psn-pdf
    February 15, 2023 - New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes. February 15, 2023 Agency for Healthcare Research and Quality. January 24, 2023. https://psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes Workplace safety became more apparent during the COVID pandemic as …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847051/psn-pdf
    April 05, 2023 - Distractions in the operating room: a survey of the healthcare team. April 5, 2023 Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8. https://psnet.ahrq.gov/issue/distractions-operating-ro…