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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836871/psn-pdf
    April 06, 2022 - The spectrum of harm associated with modern medicine. April 6, 2022 Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664- 667. doi:10.1007/s11606-021-06997-x. https://psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine Interest in harm resulting from medical…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34722/psn-pdf
    April 07, 2011 - A preliminary taxonomy of medical errors in family practice. April 7, 2011 Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8. https://psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice Efforts to improv…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73972/psn-pdf
    October 13, 2021 - The less-discussed consequence of healthcare's labor shortage. October 13, 2021 Bean M, Masson G. Becker's Hospital Review. October 4, 2021. https://psnet.ahrq.gov/issue/less-discussed-consequence-healthcares-labor-shortage Staffing shortages can impact the safety of care by enabling burnout, care omission, a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38225/psn-pdf
    February 16, 2011 - Changing conversations: teaching safety and quality in residency training. February 16, 2011 Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8. https://psnet.ahrq.gov/issue/changing-convers…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43529/psn-pdf
    October 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014 Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040. https://psnet.ahr…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837982/psn-pdf
    August 31, 2022 - Patient Safety Incident Response Framework. August 31, 2022 London, England: NHS England; August 2022. https://psnet.ahrq.gov/issue/patient-safety-incident-response-framework Effective response to medical error requires a comprehensive systemic and process-focused incident examination approach to ensure organizati…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836972/psn-pdf
    April 20, 2022 - Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). April 20, 2022 Rockville, MD: Agency for Healthcare Research and Quality; April 7, 2022. RFA-HS-22-008. https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and- quality-r18 …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45223/psn-pdf
    September 27, 2017 - Hospital safety climate and safety behavior: a social exchange perspective. September 27, 2017 Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118. https://psnet.ahrq.gov/issue…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60921/psn-pdf
    September 16, 2020 - How physicians think: a case-based diagnostic simulation exercise. September 16, 2020 Gupta A, Quinn M, Saint S, et al. The variability in how physicians think: a casebased diagnostic simulation exercise. Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010. https://psnet.ahrq.gov/issue/how-physicians-thi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47978/psn-pdf
    May 01, 2019 - Patient Safety. May 1, 2019 GMS J Med Educ. 2019;36:Doc11-Doc22. https://psnet.ahrq.gov/issue/patient-safety-16 Patient safety has been described as an unmet need in physician training. This special issue covers areas of focus for a patient safety curriculum drawn from experience in the German medical education sy…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842777/psn-pdf
    January 18, 2023 - Patient safety performance: reversing recent declines through shared profession-wide system-level solutions. January 18, 2023 doi:full/10.1056/CAT.22.0318. https://psnet.ahrq.gov/issue/patient-safety-performance-reversing-recent-declines-through-shared- profession-wide-system The COVID-19 pandemic revealed fractu…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44023/psn-pdf
    November 16, 2015 - Impact of organizations on healthcare-associated infections. November 16, 2015 Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect. 2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012. https://psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infectio…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46158/psn-pdf
    October 31, 2017 - Improving care teams' functioning: recommendations from team science. October 31, 2017 Fiscella K, Mauksch L, Bodenheimer T, et al. Improving Care Teams' Functioning: Recommendations from Team Science. Jt Comm J Qual Patient Saf. 2017;43(7):361-368. doi:10.1016/j.jcjq.2017.03.009. https://psnet.ahrq.gov/issue/impr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867393/psn-pdf
    December 18, 2024 - The predictors of patient safety culture in hospital setting: a systematic review. December 18, 2024 Vibe A, Rasmussen SH, Rasmussen NOP, et al. The predictors of patient safety culture in hospital setting: a systematic review. J Patient Saf. 2024;20(8):576-592. doi:10.1097/pts.0000000000001285. https://psnet.ahrq…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44243/psn-pdf
    November 09, 2015 - Concept analysis: wrong-site surgery. November 9, 2015 Watson DS. Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012. https://psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery Despite large-scale efforts to prevent wrong-site surgeries, they continue to occur. Th…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46059/psn-pdf
    July 11, 2017 - Pathologists' perspectives on disclosing harmful pathology error. July 11, 2017 Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. https://psnet.ahrq.gov/issue/pathologists-perspectives…
  17. www.ahrq.gov/pqmp/measures/adapt-survey.html
    August 01, 2021 - Adolescent Assessment of Preparation for Transition (ADAPT) Survey Measure Domain:  Patient-Reported Outcomes (Health Outcomes and Patient Experiences of Care) Measure Sub-Domain:  Transitions PQMP COE:  CEPQM Associated NQF # and Name:  2789, Adolescent Assessment of Preparation for Transition (ADAPT) to…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45951/psn-pdf
    October 31, 2017 - A systematic review of team training in health care: ten questions. October 31, 2017 Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004. https://psnet.ahrq.gov/issue/systematic-rev…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73861/psn-pdf
    September 22, 2021 - Bringing the clinical laboratory into the strategy to advance diagnostic excellence. September 22, 2021 Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119. https://psnet.ahrq.g…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72581/psn-pdf
    December 16, 2020 - Dispensing Errors. December 16, 2020 Phipps D, Ashour A, Riste L, et al. The Pharmaceutical Journal. 2020;305(7943, 7944). November 10, December 1, 2020. https://psnet.ahrq.gov/issue/dispensing-errors Dispensing mistakes are a common contributor to preventable adverse events in community pharmacies. Par…