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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837743/psn-pdfJuly 27, 2022 - The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. July 27, 2022 Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-01137-204. https://psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient- harm Problems w… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851925/psn-pdfAugust 02, 2023 - Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. August 2, 2023 Washington DC: Department of Veterans Affairs, Office of Inspector General; June 29, 2023. Report no. 22-01540-146. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838188/psn-pdfSeptember 28, 2022 - Changes in unprofessional behaviour, teamwork, and co- operation among hospital staff during the COVID-19 pandemic. September 28, 2022 Westbrook JI, McMullan R, Urwin R, et al. Changes in unprofessional behaviour, teamwork and co? operation among hospital staff during the COVID?19 pandemic. Intern Med J. 2022;52(1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47476/psn-pdfFebruary 13, 2019 - Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. February 13, 2019 Bowdle TA, Jelacic S, Nair B, et al. Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45021/psn-pdfApril 06, 2016 - Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. April 6, 2016 Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629. https://psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45699/psn-pdfDecember 21, 2016 - Towards a new paradigm in laboratory medicine: the five rights. December 21, 2016 Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848. https://psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights Error… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60694/psn-pdfJanuary 01, 2021 - Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross- sectional survey and an analysis of registration data. July 15, 2020 ten Haken I, Ben Allouch S, van Harten WH. Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850165/psn-pdfJune 07, 2023 - Adolescents identifying errors and omissions in their electronic health records: a national survey. June 7, 2023 Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic health records: a national survey. Stud Health Technol Inform. 2023;302:242-246. doi:10.3233/shti2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73560/psn-pdfAugust 04, 2021 - Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. August 4, 2021 Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. BMJ … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841471/psn-pdfDecember 14, 2022 - Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting. December 14, 2022 Ahmajärvi K, Isoherranen K, Venermo M. Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting. BMJ Open. 2022;12(11):e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851061/psn-pdfJune 28, 2023 - Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events. June 28, 2023 Øyri SF, Søreide K, Søreide E, et al. Learning from experience: a qualitative study of surgeons’ perspectives on reporting and dealing with serious adverse events. BMJ Open Qu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73666/psn-pdfSeptember 01, 2021 - Implementation of participatory organizational change in long term care to improve safety. September 1, 2021 Van Eerd D, D'Elia T, Ferron EM, et al. Implementation of participatory organizational change in long term care to improve safety. J Safety Res. 2021;78:9-18. doi:10.1016/j.jsr.2021.05.002. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865592/psn-pdfApril 17, 2024 - Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors. April 17, 2024 Sokol-Hessner L, Dechen T, Folcarelli P, et al. Associations between organizational communication and patients' experience of prolonged emotional impact following medica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836929/psn-pdfApril 13, 2022 - The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. April 13, 2022 Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensus Development Project. Nurs Open. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46631/psn-pdfMarch 20, 2018 - Simulation-based education to ensure provider competency within the healthcare system. March 20, 2018 Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10.1111/acem.13322. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74062/psn-pdfJanuary 01, 2022 - Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff. November 10, 2021 Silverglow A, Johansson L, Lidén E, et al. Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group inter… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865520/psn-pdfApril 10, 2024 - The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. April 10, 2024 Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837588/psn-pdfJune 29, 2022 - Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients. June 29, 2022 Findling MG, Zephyrin L, Bleich SN, et al. Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients. Healthc (Amst). 2022;10(2):100630. doi:10.1016/j.hjdsi.2022.100630. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854829/psn-pdfJanuary 01, 2024 - Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. October 25, 2023 Vellonen M, Härkänen M, Välimäki T. Flow of information contributing to medication incidents in home care— an analysis considering incident reporters' perspectives. J Cl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46905/psn-pdfOctober 13, 2018 - Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. October 13, 2018 Hemmila MR, Cain-Nielsen AH, Jakubus JL, et al. Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patient Outcomes. JAMA Surg. 2018;153…
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