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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74169/psn-pdf
    December 08, 2021 - Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. December 8, 2021 Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021. https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution- bl…

  2. 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://…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46496/psn-pdf
    October 11, 2017 - Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. October 11, 2017 Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organization…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45740/psn-pdf
    January 23, 2017 - Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. January 23, 2017 Parsonage RK, Hiscock J, Law R-J, et al. Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. Br J Gen Pract. 2017;67(654):e49-e56…

  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/34803/psn-pdf
    January 05, 2017 - Systematic root cause analysis of adverse drug events in a tertiary referral hospital. January 5, 2017 Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv. 2016;26(10). doi:10.1016/s1070-3241(00)26048-3. https://psnet.ah…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855106/psn-pdf
    November 08, 2023 - Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. November 8, 2023 Maxwell A. Washington DC: Office of Inspector General; September 2023. Report no. OEI-05-22-00290. https://psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853074/psn-pdf
    February 06, 2024 - Patient Experience, Patient Safety, and Provider Well- Being: Associations and Paths for Quality Improvement. February 6, 2024 Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no. 24-0030. https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well…

  9. 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…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838930/psn-pdf
    October 26, 2022 - Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. October 26, 2022 Washington DC: United States Government Accountability Office and National Academy of Medicine;  September 2022. Report no. GAO-22-104629. https://psnet.ahrq.gov/issue/ar…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48010/psn-pdf
    May 22, 2019 - In-situ interprofessional perinatal drills: the impact of a structured debrief on maximizing training while sensing patient safety threats. May 22, 2019 Greer JA, Haischer-Rollo G, Delorey D, et al. In-situ Interprofessional Perinatal Drills: The Impact of a Structured Debrief on Maximizing Training While Sensing …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837060/psn-pdf
    May 11, 2022 - Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. May 11, 2022 Brady KJS, Barlam TF, Trockel MT, et al. Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. J…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74085/psn-pdf
    November 17, 2021 - Race, ethnicity, and 60-day outcomes after hospitalization with COVID-19. November 17, 2021 Robinson-Lane SG, Sutton NR, Chubb H, et al. Race, ethnicity, and 60-day outcomes after hospitalization with COVID-19. J Am Med Dir Assoc. 2021;22(11):2245-2250. doi:10.1016/j.jamda.2021.08.023. https://psnet.ahrq.gov/issue…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44406/psn-pdf
    December 04, 2016 - Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug Administration. December 4, 2016 Ma P, Marinovic I, Karaca-Mandic P. Drug Manufacturers' Delayed Disclosure of Serious and Unexpected Adverse Events to the US Food and Drug Administration. JAMA Intern Med. 2015;…

  15. 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…

  16. 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…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838146/psn-pdf
    September 21, 2022 - HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. September 21, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; 2022. https://psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary- highlights-themes-and Thi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47470/psn-pdf
    April 07, 2019 - Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty. April 7, 2019 Tseng YW, Vedula S, Malpani A, et al. Association Between Surgical Trainee Daytime Sleepiness and Intraoperative Technical Skill When Performing Septoplasty. JAMA Facial Plast Surg.…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853975/psn-pdf
    September 27, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. September 27, 2023 Amin D, Cosby K. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. Publication No. 23-0040-6-EF. https://psnet.ahrq.gov/issue/strategies-improving-clinician-psychologica…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837342/psn-pdf
    June 08, 2022 - Assessment of perioperative outcomes among surgeons who operated the night before. June 8, 2022 Sun EC, Mello MM, Vaughn MT, et al. Assessment of perioperative outcomes among surgeons who operated the night before. JAMA Intern Med. 2022;182(7):720-728. doi:10.1001/jamainternmed.2022.1563. https://psnet.ahrq.gov/is…
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