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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46951/psn-pdf
    June 26, 2018 - Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. June 26, 2018 Lord K, Parwani V, Ulrich A, et al. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. Am J Emerg Med. 2018;36…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45917/psn-pdf
    March 29, 2017 - Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature. March 29, 2017 Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare: Drawing together the cognitive psychology and healthcare literature. Ap…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74056/psn-pdf
    January 01, 2022 - Critical care simulation education program during the COVID-19 pandemic. November 10, 2021 Leibner ES, Baron EL, Shah RS, et al. Critical care simulation education program during the COVID-19 pandemic. J Patient Saf. 2022;18(4):e810-e815. doi:10.1097/pts.0000000000000928. https://psnet.ahrq.gov/issue/critical-care…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50620/psn-pdf
    November 06, 2019 - Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals. November 6, 2019 Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on Inpatient Psychiatric Units at Veterans Health…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845073/psn-pdf
    February 22, 2023 - Nursing student errors and near misses: three years of data. February 22, 2023 Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ. 2023;62(1):12-19. doi:10.3928/01484834-20221109-05. https://psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47359/psn-pdf
    October 10, 2018 - Is there evidence of a July effect among patients undergoing hysterectomy surgery? October 10, 2018 Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.ajog.2018.05.033. https://psnet.a…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859341/psn-pdf
    January 01, 2024 - Disparities in patient safety voluntary event reporting: a scoping review. December 20, 2023 Hoops K, Pittman E, Stockwell DC. Disparities in patient safety voluntary event reporting: a scoping review. Jt Comm J Qual Patient Saf. 2024;50(1):41-48. doi:10.1016/j.jcjq.2023.10.009. https://psnet.ahrq.gov/issue/dispar…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46891/psn-pdf
    December 21, 2018 - Day of discharge does not impact hospital readmission after major cardiac surgery. December 21, 2018 Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.2018.07.031. https://psnet.ahrq.g…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45617/psn-pdf
    November 30, 2016 - Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. November 30, 2016 Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043. https://psnet.ahrq.gov/issue/walk…
  10. psnet.ahrq.gov/web-mm/medication-overdose
    September 01, 2011 - Medication Overdose Citation Text: Kaushal R. Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
  11. psnet.ahrq.gov/web-mm/which-end-which
    February 09, 2011 - Which End Is Which? Citation Text: Campbell AR. Which End Is Which?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841493/psn-pdf
    December 14, 2022 - Telehealth and Patient Safety. December 14, 2022 O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/telehealth-and-patient-safety Background In recent years, telehealth, or the delivery of healthcare over a distance using telecommunications techno…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49751/psn-pdf
    January 01, 2016 - New Patient Mistakenly Checked in as Another January 1, 2016 Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another The Case A 55-year-old man, presented to a primary care physician's office for an initial vis…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34735/psn-pdf
    June 16, 2014 - An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. June 16, 2014 Donaldson L. London, UK: The Stationery Office, 2000. https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs- chaired-ch…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867691/psn-pdf
    March 05, 2025 - Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. March 5, 2025 Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. J Am Coll Surg. 2025;240(2):…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837859/psn-pdf
    August 17, 2022 - The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. August 17, 2022 van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e1075. doi:10.1097/pts.00000000000010…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852799/psn-pdf
    June 11, 2019 - The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States. June 11, 2019 Vedam S, Stoll K, Taiwo TK, et al. The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States. Reprod Health. 2019;16(1):77. doi:10…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47883/psn-pdf
    May 29, 2019 - Patient Safety in Obstetrics and Gynecology. May 29, 2019 Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in this speci…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36434/psn-pdf
    February 18, 2011 - Protocol-based computer reminders, the quality of care and the non-perfectability of man. February 18, 2011 McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5. https://psnet.ahrq.gov/issue/protocol-based-computer-reminders-qualit…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43496/psn-pdf
    November 01, 2016 - Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. November 1, 2016 Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0047-EF. https://psnet.ahrq.gov/issue/designing-…

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