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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45015/psn-pdfJuly 18, 2016 - Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. July 18, 2016 Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:10.1002/jhm.2577. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47473/psn-pdfDecember 05, 2018 - Holding out for an apology. December 5, 2018 Holding out for an apology. BMJ. 2018;363:k3033. doi:10.1136/bmj.k3033. https://psnet.ahrq.gov/issue/holding-out-apology Patients who experience care complications are vulnerable to psychological consequences that can affect their relationship with their clinical teams.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47641/psn-pdfMarch 20, 2019 - Guided reflection interventions show no effect on diagnostic accuracy in medical students. March 20, 2019 Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297. https://psnet.ahrq.gov/issue/gu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44712/psn-pdfDecember 09, 2015 - The effect of contact precautions on frequency of hospital adverse events. December 9, 2015 Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192. https://psnet.ahrq.gov/issue/effec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41545/psn-pdfDecember 29, 2014 - Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications. December 29, 2014 Smith EG, Zhao S, Rosen AK. Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clini… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851646/psn-pdfJanuary 01, 2024 - Burden of serious harms from diagnostic error in the USA. July 28, 2023 Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130. https://psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47958/psn-pdfJune 26, 2019 - Patient safety professionals as the third victims of adverse events. June 26, 2019 Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914. https://psnet.ahrq.gov/issue/patient-safety-professionals-third-vict… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47060/psn-pdfApril 25, 2018 - Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. April 25, 2018 Mimmo L, Harrison R, Hinchcliff R. Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. BMJ… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46019/psn-pdfApril 26, 2017 - Certified registered nurse anesthetist perceptions of factors impacting patient safety. April 26, 2017 McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69. https://psnet.ahrq.gov/issue/certified-registered-nu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846153/psn-pdfMarch 15, 2023 - Surgical fire in the United States: 2000-2020. March 15, 2023 Grauer JS, Kana LA, Alzouhayli SJ, et al. Surgical fire in the United States: 2000–2020. Surgery. 2022;173(2):357-364. doi:10.1016/j.surg.2022.10.015. https://psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020 Surgical fires, while rare, can res… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39348/psn-pdfMarch 10, 2010 - How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. March 10, 2010 Dixon-Woods M, Tarrant C, Willars J, et al. How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. Qual Saf Health Care. 2010;19(1):74-8. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74204/psn-pdfJanuary 01, 2022 - Perceptions of nurses who are second victims in a hospital setting. December 22, 2021 Draus C, Mianecki TB, Musgrove H, et al. Perceptions of nurses who are second victims in a hospital setting. J Nurs Care Qual. 2022;37(2):110-116. doi:10.1097/ncq.0000000000000603. https://psnet.ahrq.gov/issue/perceptions-nurses-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47213/psn-pdfJune 20, 2018 - Are second victims getting the help they need? June 20, 2018 Headley M. Patient Saf Qual Healthc. May/June 2018. https://psnet.ahrq.gov/issue/are-second-victims-getting-help-they-need Clinicians can experience emotional stress, guilt, and insecurity after making a mistake. Organizations are increasingly building p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39064/psn-pdfOctober 28, 2009 - Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. October 28, 2009 Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of communication and handoff failur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44802/psn-pdfApril 01, 2021 - Overall Hospital Quality Star Ratings. April 1, 2021 Centers for Medicare & Medicaid Services. https://psnet.ahrq.gov/issue/overall-hospital-quality-star-ratings-overview Hospital rating programs have received significant public attention, but concerns have been raised regarding their usefulness. This website prov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60626/psn-pdfJune 24, 2020 - A nursing home’s 64-day Covid siege: ‘They’re all going to die’. June 24, 2020 Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. https://psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die This feature story describes the COVID-19 experi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38996/psn-pdfMarch 04, 2011 - Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study. March 4, 2011 Nanji KC, Cina J, Patel N, et al. Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study. J Am Med Inform Assoc. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72850/psn-pdfMarch 17, 2021 - Nurse sensemaking for responding to patient and family safety concerns. March 17, 2021 Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487. https://psnet.ahrq.gov/issue/nurse-sensemaking-respo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837517/psn-pdfJune 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post- pandemic NHS. June 22, 2022 Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224. https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48006/psn-pdfMay 15, 2019 - Limits on opioid prescribing leave patients with chronic pain vulnerable. May 15, 2019 Rubin R. Limits on Opioid Prescribing Leave Patients With Chronic Pain Vulnerable. JAMA. 2019;321(21):2059-2062. doi:10.1001/jama.2019.5188. https://psnet.ahrq.gov/issue/limits-opioid-prescribing-leave-patients-chronic-pain-vuln…
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