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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60571/psn-pdfJune 10, 2020 - Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. June 10, 2020 Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in a time of crisis. CJEM. 2020;22(6):738… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72629/psn-pdfJanuary 13, 2021 - Advancing health equity in patient safety: a reckoning, challenge and opportunity. January 13, 2021 Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599. https://psnet.ahrq.gov/issue/advancing-health-equity-patie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837797/psn-pdfAugust 10, 2022 - Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. August 10, 2022 Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error: recovery from situations of error theory as a psychos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841769/psn-pdfDecember 21, 2022 - Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. December 21, 2022 Mahat S, Rafferty AM, Vehviläinen-Julkunen K, et al. Negative emotions experienced by healthcare staff following medication a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37292/psn-pdfMay 24, 2015 - Guilty, afraid, and alone — struggling with medical error. May 24, 2015 Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error Disclosure of medical errors remains an important a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45205/psn-pdfJuly 11, 2017 - Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool. July 11, 2017 Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076. https://psnet.ahrq.gov/issue/performance-glo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74718/psn-pdfFebruary 02, 2022 - Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta- analysis. February 2, 2022 Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medication safety and patient outcom… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47097/psn-pdfJune 26, 2018 - Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. June 26, 2018 Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7326/M17-3065. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45969/psn-pdfJanuary 07, 2019 - The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. January 7, 2019 Han K, Bohnen JD, Peponis T, et al. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. J Am Coll Surg. 2017;224(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854262/psn-pdfOctober 04, 2023 - Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. October 4, 2023 Wu AW, Papieva I, Sheridan S, et al. Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. J Patient Saf Risk Manag. 2023;28(4):147-152. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851453/psn-pdfJuly 19, 2023 - Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. July 19, 2023 Mohamed MR, Mohile SG, Juba KM, et al. Association of polypharmacy and potential drug?drug interactions with adverse treatment outcomes in older adults with advanced … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842762/psn-pdfJanuary 18, 2023 - Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety. January 18, 2023 Aubin DL, Soprovich A, Diaz Carvallo F, et al. Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety. B… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50427/psn-pdfSeptember 04, 2019 - Correlation between hospital finances and quality and safety of patient care. September 4, 2019 Akinleye DD, McNutt L-A, Lazariu V, et al. Correlation between hospital finances and quality and safety of patient care. PLoS One. 2019;14(8):e0219124. doi:10.1371/journal.pone.0219124. https://psnet.ahrq.gov/issue/corr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73340/psn-pdfJune 02, 2021 - Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop. June 2, 2021 Thomas J, Dahm MR, Li J, et al. Can patients contribute to enhancing the safety and effectiveness of test? result follow?up? Qualitative outcomes from a hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851886/psn-pdfAugust 02, 2023 - Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. August 2, 2023 Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101540. doi:10.1016/j.jgo.2023.101540… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61064/psn-pdfOctober 28, 2020 - Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. October 28, 2020 Gleason KT, Peterson SM, Dennison Himmelfarb CR, et al. Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. Diagnosis (Berl). 2021;8(2):1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47481/psn-pdfJanuary 23, 2019 - Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of employee satisfaction. January 23, 2019 Merandi J, Winning AM, Liao NN, et al. Implementation of a second victim program in the neonatal intensive care unit: An interim analysis of employee satisfaction. J Patient… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73512/psn-pdfJuly 21, 2021 - Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. July 21, 2021 Kruper A, Domeyer-Klenske A, Treat R, et al. Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. J Surg Educ. 2021;78(3):1024-1034. doi:10.1016/j.jsurg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842761/psn-pdfJanuary 18, 2023 - Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA. January 18, 2023 Armstrong-Mensah E, Rasheed N, Williams D, et al. Implicit racial bias, health care provider attitudes, and perceptions of health care quality among… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45350/psn-pdfOctober 21, 2016 - A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. October 21, 2016 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2016. https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
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