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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35456/psn-pdf
    February 19, 2010 - The working hours of hospital staff nurses and patient safety. February 19, 2010 Rogers AE, Hwang W-T, Scott LD, et al. The working hours of hospital staff nurses and patient safety. Health Aff (Millwood). 2004;23(4):202-212. https://psnet.ahrq.gov/issue/working-hours-hospital-staff-nurses-and-patient-safety This…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44119/psn-pdf
    September 19, 2016 - Risk managers' descriptions of programs to support second victims after adverse events. September 19, 2016 White AA, Brock DM, McCotter PI, et al. Risk managers' descriptions of programs to support second victims after adverse events. J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002/jhrm.21169. https://psnet.ah…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45570/psn-pdf
    December 07, 2016 - Getting the Board on Board: What Your Board Needs to Know About Quality and Safety, Third Edition. December 7, 2016 Oak Brook, IL; Joint Commission; 2016. ISBN: 9781599409412. https://psnet.ahrq.gov/issue/getting-board-board-what-your-board-needs-know-about-quality-and-safety- third-edition Engaging hospital lead…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49432/psn-pdf
    February 09, 2004 - The error in this case reflects poor clinical judgment and a fund of knowledge deficit. … Errors related to fund of knowledge deficits, inadequate clinical skills, poor clinical judgment, and … The pattern may reflect basic fund of knowledge and clinical skills deficits that are easily remediable
  5. psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
    December 08, 2021 - In addition, health care organizations that receive federal funds—most do in the form of public insurance
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47489/psn-pdf
    November 21, 2018 - The King's Fund, Alliance Manchester Business School; September 2018. ISBN: 9781909029880.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47273/psn-pdf
    September 05, 2018 - Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges. September 5, 2018 Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implications for the Future of Medication Safety: A Narrative Review of Recent A…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47223/psn-pdf
    August 14, 2018 - Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. August 14, 2018 MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute, University of Washington. https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36378/psn-pdf
    October 28, 2010 - Teaching but not learning: how medical residency programs handle errors. October 28, 2010 Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J Organ Behav. 2006;27(7). doi:10.1002/job.395. https://psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-pr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36294/psn-pdf
    July 14, 2010 - Care management implementation and patient safety. July 14, 2010 Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96. https://psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety The Institute of Medicine's Crossing the Quality Chasm report endorsed care management, defined as…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35670/psn-pdf
    June 28, 2010 - Quality improvement implementation and hospital performance on patient safety indicators. June 28, 2010 Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance on patient safety indicators. Med Care Res Rev. 2006;63(1):29-57. https://psnet.ahrq.gov/issue/quality-improv…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38193/psn-pdf
    November 05, 2008 - Hospital financial condition and the quality of patient care. November 5, 2008 Bazzoli GJ, Chen H-F, Zhao M, et al. Hospital financial condition and the quality of patient care. Health Econ. 2008;17(8):977-995. https://psnet.ahrq.gov/issue/hospital-financial-condition-and-quality-patient-care This AHRQ-funded stu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36644/psn-pdf
    July 10, 2008 - Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. July 10, 2008 Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85. https://psnet.ahrq.gov/issue/reporting-and-disclos…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42115/psn-pdf
    March 20, 2013 - Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. March 20, 2013 Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):397-403. doi:10.7326/0003-4…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35405/psn-pdf
    December 14, 2007 - Use of administrative data to find substandard care: validation of the complications screening program. December 14, 2007 Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care. 2003;38(8):796-806. doi:10.1097/00005650-200008000-00004. https://psnet.ahrq.gov/issue/u…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35537/psn-pdf
    March 29, 2010 - FDA drug prescribing warnings: is the black box half empty or half full? March 29, 2010 Wagner AK, Chan A, Dashevsky I, et al. FDA drug prescribing warnings: is the black box half empty or half full? Pharmacoepidemiol Drug Saf. 2006;15(6):369-86. https://psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38566/psn-pdf
    April 15, 2009 - Contributions by the Agency for Healthcare Research and Quality and Grantees. April 15, 2009 Health Serv Res. 2009 Apr;44(2 Pt 2):623-776. https://psnet.ahrq.gov/issue/contributions-agency-healthcare-research-and-quality-and-grantees This special series of articles highlights the progress and current state of pati…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36743/psn-pdf
    June 16, 2011 - Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire—Ambulatory Version. June 16, 2011 Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire--ambulatory version. J Gen Intern Med. 2007;22(1):1-5. https://psnet.ahrq…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47554/psn-pdf
    November 07, 2018 - Diagnostic Excellence Initiative. November 7, 2018 Gordon and Betty Moore Foundation. https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite an increasing focus on di…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35476/psn-pdf
    February 22, 2010 - taking-pulse-health-care-systems-experiences-patients-health-problems-six- countries This Commonwealth Fund-sponsored

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