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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841143/psn-pdf
    January 01, 2023 - Conceptual and practical challenges associated with understanding patient safety within community-based mental health services. December 7, 2022 Averill P, Vincent CA, Reen G, et al. Conceptual and practical challenges associated with understanding patient safety within community?based mental health services. Heal…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44844/psn-pdf
    March 02, 2016 - From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. March 2, 2016 Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1002/jhrm.21205. https://psnet.ahrq.gov/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48089/psn-pdf
    June 19, 2019 - Physician impairment and rehabilitation: reintegration into medical practice while ensuring patient safety: a position paper from the American College of Physicians. June 19, 2019 Candilis PJ, Kim DT, Sulmasy LS, et al. Physician Impairment and Rehabilitation: Reintegration Into Medical Practice While Ensuring Pat…
  4. www.ahrq.gov/talkingquality/translate/compare/choose/compare-providers.html
    January 01, 2023 - Comparing Health Plan and Provider Quality Scores to Each Other The simplest and most common strategy is to compare each entity’s performance to the average performance of all the entities you are rating. Advantages of Comparing to the Community Average You have all the information you need to make the co…
  5. www.ahrq.gov/research/findings/final-reports/stpra/stpraexh3.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Exhibit 3. Inclusion and exclusion criteria for literature review Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chap…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838075/psn-pdf
    September 14, 2022 - Crisis recovery in surgery: error management and problem solving in safety-critical situations. September 14, 2022 Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem solving in safety-critical situations. Surgery. 2022;172(2):537-545. doi:10.1016/j.surg.2022.03.007…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35328/psn-pdf
    May 19, 2015 - Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. May 19, 2015 Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis to Healthcare Epidemiology: Evaluation of …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36424/psn-pdf
    January 07, 2008 - Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. January 7, 2008 Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thomas EJ; Holzmueller CG; Knight AP; Wu Y; Pronovost PJ. https://psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-ho…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47654/psn-pdf
    February 27, 2019 - The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. February 27, 2019 Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. A…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36227/psn-pdf
    August 30, 2006 - Does crew resource management training work? An update, an extension, and some critical needs. August 30, 2006 Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412. doi:10.1518/001872006777724444. https:…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60301/psn-pdf
    January 01, 2021 - Association of surgical resident wellness with medical errors and patient outcomes. May 6, 2020 Hewitt DB, Ellis RJ, Chung JW, et al. Association of surgical resident wellness with medical errors and patient outcomes. Ann Surg. 2021;274(2):396-402. doi:10.1097/sla.0000000000003909. https://psnet.ahrq.gov/issue/ass…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40702/psn-pdf
    October 16, 2012 - Accountability for medical error: moving beyond blame to advocacy. October 16, 2012 Bell SK, Delbanco T, Anderson-Shaw L, et al. Accountability for medical error: moving beyond blame to advocacy. Chest. 2011;140(2):519-526. doi:10.1378/chest.10-2533. https://psnet.ahrq.gov/issue/accountability-medical-error-moving…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865873/psn-pdf
    May 15, 2024 - A review of medication errors and the second victim in pediatric pharmacy. May 15, 2024 Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. https://psnet.ahrq.gov/issue/review-me…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36853/psn-pdf
    June 07, 2016 - Potential drug interactions and duplicate prescriptions among cancer patients. June 7, 2016 Riechelmann RP, Tannock IF, Wang L, et al. Potential drug interactions and duplicate prescriptions among cancer patients. J Natl Cancer Inst. 2007;99(8):592-600. https://psnet.ahrq.gov/issue/potential-drug-interactions-and-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47612/psn-pdf
    February 27, 2019 - The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. February 27, 2019 Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clinical decision support on pharm…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46087/psn-pdf
    September 24, 2017 - Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. September 24, 2017 Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Important Legal Precedent From the da…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50650/psn-pdf
    November 13, 2019 - Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. November 13, 2019 Carson-Stevens A, Campbell S, Bell BG, et al. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. BMC Fam Pract. 2019;20(1):134. doi:10.1186/s12875…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35934/psn-pdf
    February 24, 2011 - Learning from mistakes: factors that influence how students and residents learn from medical errors. February 24, 2011 Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical errors. J Gen Intern Med. 2006;21(5):419-23. https://psnet.ahrq.g…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853619/psn-pdf
    September 20, 2023 - Defining speaking up in the healthcare system: a systematic review. September 20, 2023 Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0. https://psnet.ahrq.gov/issue/defining-speaking-healthca…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73954/psn-pdf
    October 13, 2021 - It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. October 13, 2021 Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hosp…