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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43619/psn-pdf
    October 22, 2014 - The SAGES FUSE program: bridging a patient safety gap. October 22, 2014 Fuchshuber PR, Robinson TN, Feldman LS, et al. The SAGES FUSE program: bridging a patient safety gap. Bull Am Coll Surg. 2014;99(9):18-27. https://psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap Surgical fires, though rare,…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38453/psn-pdf
    January 02, 2017 - A multidisciplinary team approach to retained foreign objects. January 2, 2017 Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects Th…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851071/psn-pdf
    June 28, 2023 - Inside the preventable deaths that happened within a prominent transplant center. June 28, 2023 Blau M. ProPublica. June 14, 2023. https://psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center Medical errors during organ transplants can have catastrophic consequences. This repo…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841789/psn-pdf
    July 01, 2022 - The REPAIR Project. July 1, 2022 University of California San Francisco, San Francisco, CA. https://psnet.ahrq.gov/issue/repair-project Systemic racism reduces the effectiveness and safety of the care people of color receive. The REPAIR ( REParations and Anti-Institutional Racism) Project is examining the impact o…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47475/psn-pdf
    January 23, 2019 - Patient Safety and Quality Improvement. January 23, 2019 Shah RK, ed. Otolaryngol Clin North Am. 2019;52:1-194. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-0 Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology. The reviews highlight sy…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45558/psn-pdf
    May 10, 2017 - Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. May 10, 2017 Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763. https://psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare Patients continue to experience preventable health care–associated harm.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47511/psn-pdf
    October 24, 2018 - Wiser Healthcare. October 24, 2018 Australian National Health and Medical Research Council. https://psnet.ahrq.gov/issue/wiser-healthcare Overdiagnosis and the subsequent overuse of medical care contributes to unnecessary financial, psychological, and physical risk to patients. This research collaborative draws fr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42202/psn-pdf
    May 01, 2013 - Economic measurement of medical errors using a hospital claims database. May 1, 2013 David G, Gunnarsson CL, Waters HC, et al. Economic measurement of medical errors using a hospital claims database. Value Health. 2013;16(2):305-10. doi:10.1016/j.jval.2012.11.010. https://psnet.ahrq.gov/issue/economic-measurement-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39708/psn-pdf
    September 09, 2010 - Adverse drug events in the outpatient setting: an 11-year national analysis. September 9, 2010 Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984. https://psnet.ahrq.gov/issue/adv…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36882/psn-pdf
    February 24, 2011 - Resident perceptions of the impact of work hour limitations. February 24, 2011 Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75. https://psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations The investigators surv…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837347/psn-pdf
    June 08, 2022 - Addressing Health Worker Burnout. June 8, 2022 The U.S. Surgeon General’s Advisory on Building a Thriving Health Workforce. Washington DC: Office of the Surgeon General; May 2022. https://psnet.ahrq.gov/issue/addressing-health-worker-burnout Health care staff and clinician wellbeing is known to affect safety …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40104/psn-pdf
    December 22, 2010 - Noise in the operating room—what do we know? A review of the literature. December 22, 2010 Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001. https://psnet.ahrq.gov/issue/noise-operatin…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42026/psn-pdf
    February 20, 2013 - Speaking up—when doctors navigate medical hierarchy. February 20, 2013 Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302- 305. doi:10.1056/NEJMp1212410. https://psnet.ahrq.gov/issue/speaking-when-doctors-navigate-medical-hierarchy This commentary relates a compelli…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37485/psn-pdf
    June 29, 2011 - Perceptions of preventable medical errors in Alberta, Canada. June 29, 2011 Northcott H, Vanderheyden L, Northcott J, et al. Perceptions of preventable medical errors in Alberta, Canada. Int J Qual Health Care. 2007;20(2):115-122. doi:10.1093/intqhc/mzm067. https://psnet.ahrq.gov/issue/perceptions-preventable-medi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849611/psn-pdf
    May 31, 2023 - Voices from the Frontlines of Health Care Safety. May 31, 2023 Boston, MA; Betsy Lehman Center for Patient Safety; April 2023. https://psnet.ahrq.gov/issue/voices-frontlines-health-care-safety Well-told stories can motivate change. This video translates the experience of Massachusetts patients and family members w…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44978/psn-pdf
    June 01, 2016 - Josie's Story: A Patient Safety Curriculum. June 1, 2016 Kaprielian VS, Sullivan DT, eds. Chapel Hill, NC: Josie King Foundation; Duke University School of Medicine; 2013. https://psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum The experience of Sorrel King and the death of her daughter has motivated h…
  17. psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
    March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy March 10, 2021  Also Read the Essay Citation Text: In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.In Conversation With... Libby Hoy and Stephen Hoy. PSNet [internet]. Rockville (MD): Agenc…
  18. psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
    July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD July 1, 2017  Also Read an Essay Citation Text: In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Hum…
  19. psnet.ahrq.gov/issue/perception-safety-surgical-practice-among-operating-room-personnel-survey-data-associated-all
    February 07, 2018 - Study Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina. Citation Text: Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating R…
  20. psnet.ahrq.gov/issue/results-and-lessons-hospital-wide-initiative-incentivised-delivery-system-reform-improve
    March 02, 2022 - Study Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. Citation Text: Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised by delivery system…

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