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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73563/psn-pdf
    August 04, 2021 - Understanding complaints made about surgical departments in a UK district general hospital. August 4, 2021 Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intqhc/mzab095. https://psnet.ahrq.go…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74270/psn-pdf
    January 19, 2022 - Adverse events associated with patient isolation: a systematic literature review and meta-analysis. January 19, 2022 Saliba R, Karam-Sarkis D, Zahar J-R, et al. Adverse events associated with patient isolation: a systematic literature review and meta-analysis. J Hosp Infect. 2022;119:54-63. doi:10.1016/j.jhin.2021.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838321/psn-pdf
    October 12, 2022 - Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. October 12, 2022 Adler-Milstein J, Aggarwal N, Ahmed M, et al. NAM Perspectives. Washington DC: National Academy of Medicine; 2022. https://psnet.ahrq.gov/issue/meeting-moment-addressing-bar…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45919/psn-pdf
    July 05, 2017 - Managing the patient identification crisis in healthcare and laboratory medicine. July 5, 2017 Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004. https://psnet.ahrq.gov/i…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34795/psn-pdf
    December 23, 2008 - Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. December 23, 2008 Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Med. 1997;25(8):1289-1297. doi:10.1097/00003246-199708000-00014. ht…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866077/psn-pdf
    June 05, 2024 - Associations between patient safety culture and workplace safety culture in hospital settings. June 5, 2024 Hesgrove B, Zebrak K, Yount N, et al. Associations between patient safety culture and workplace safety culture in hospital settings. BMC Health Serv Res. 2024;24(1):568. doi:10.1186/s12913-024-10984-3. https…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867349/psn-pdf
    December 11, 2024 - Prevalence and Burden of Healthcare-Associated Infections (HAIs), 2016–2021. HCUP Statistical Brief #313. December 11, 2024 Miller MA, Umscheid CA, Dowell J, et al. Prevalence And Burden Of Healthcare-Associated Infections (Hais), 2016–2021. Hcup Statistical Brief #313. Rockville, MD: Agency for Healthcare Research…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845353/psn-pdf
    March 01, 2023 - Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. March 1, 2023 Washington, DC: VA Office of the Inspector General; February 2, 2023. Report no. 22-01363-52. https://psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34067/psn-pdf
    January 04, 2017 - Does full disclosure of medical errors affect malpractice liability? The jury is still out. January 4, 2017 Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11. https://psnet.ahrq.gov/issue/does…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847541/psn-pdf
    April 12, 2023 - Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. April 12, 2023 Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622. https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39913/psn-pdf
    October 13, 2010 - The frequency of diagnostic errors in radiologic reports depends on the patient's age. October 13, 2010 Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age. Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192. https://psnet.ahrq.gov/issue/frequency-di…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839820/psn-pdf
    November 09, 2022 - Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway. November 9, 2022 Krvavac S, Jansson B, Bukholm IRK, et al. Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway. Int J Environ Res Public Health. 2022;19(17):10686. doi:10…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45510/psn-pdf
    October 19, 2016 - How to perform a root cause analysis for workup and future prevention of medical errors: a review. October 19, 2016 Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20. doi:10.1186/s13037-016-0107-8. …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45490/psn-pdf
    September 01, 2018 - Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. September 1, 2018 Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability Following Medical Errors: The …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47952/psn-pdf
    January 01, 2020 - Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. May 15, 2019 Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47184/psn-pdf
    August 08, 2018 - Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. August 8, 2018 Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. Acad Med. 2018;93(6):898-903. doi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837066/psn-pdf
    May 11, 2022 - Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. May 11, 2022 Morsø L, Birkeland S, Walløe S, et al. Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. Jt Comm J Qual Patient Saf. 2022;48(5):271-279.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60662/psn-pdf
    January 01, 2022 - Medication order errors at hospital admission among children with medical complexity July 8, 2020 Blaine K, Wright J, Pinkham A, et al. Medication Order Errors at Hospital Admission Among Children With Medical Complexity. J Patient Saf. 2022;18(1):e156-e162. doi:10.1097/pts.0000000000000719. https://psnet.ahrq.gov…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865723/psn-pdf
    June 18, 2024 - Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association. June 18, 2024 Agency for Healthcare Research and Quality. May 23, 2024. https://psnet.ahrq.gov/issue/using-ahrqs-sops-hospital-survey-and-workplace-safety-item-set-experiences- state-hospital An unders…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47254/psn-pdf
    September 19, 2018 - Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. September 19, 2018 Mannion R, Blenkinsopp J, Powell M, et al. Southampton (UK): NIHR Journals Library; August 2018.…
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