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101. Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. | PSNet
     psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
     October 31, 2014 - Study Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. Citation Text: Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national da…

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39780/psn-pdf
     January 04, 2017 - The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study. January 4, 2017 Reed K, May R. Golden, CO: Health Grades, Inc; 2010. https://psnet.ahrq.gov/issue/first-annual-healthgrades-pediatric-patient-safety-american-hospitals-study This report analyzed Agency for Healthcare Research and Q…

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836971/psn-pdf
     April 20, 2022 - Patients should know who's operating, surgeons say. April 20, 2022 Laber-Warren E. MedPage Today. April 5, 2022. https://psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say Resident autonomy is an essential component to medical training, but it is not without patient safety risks. This news artic…

104. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48164/psn-pdf
     August 14, 2019 - Patient safety issues continue to plague American hospitals. August 14, 2019 Wilensky GR. Patient Safety Issues Continue to Plague American Hospitals. The Milbank Q. 2019;97(3):641-644. doi:10.1111/1468-0009.12406. https://psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals High-quality,…

105. Health literacy in primary care practice. | PSNet
     psnet.ahrq.gov/issue/health-literacy-primary-care-practice
     September 06, 2017 - use of medical jargon, employing visual aids, and providing written information at a fifth- to sixth-grade

106. Misunderstanding of prescription drug warning labels among patients with low literacy. | PSNet
     psnet.ahrq.gov/issue/misunderstanding-prescription-drug-warning-labels-among-patients-low-literacy
     February 28, 2011 - Investigators conducted structured interviews with more than 70 patients reading at or below the 6th-grade

107. Low literacy impairs comprehension of prescription drug warning labels. | PSNet
     psnet.ahrq.gov/issue/low-literacy-impairs-comprehension-prescription-drug-warning-labels
     January 21, 2009 - majority of the study population had low or marginal health literacy, defined as reading at an 8th grade

108. Drug labeling and packaging — looking beyond what meets the eye. | PSNet
     psnet.ahrq.gov/issue/drug-labeling-and-packaging-looking-beyond-what-meets-eye
     April 16, 2018 - October 12, 2022 Nurse burnout syndrome and work environment impact patient safety grade

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47534/psn-pdf
     November 21, 2018 - Resident hesitation in the operating room: does uncertainty equal incompetence? November 21, 2018 Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530. https://psnet.ahrq.gov/issue/resident-hesit…

110. Is culture associated with patient safety in the emergency department? A study of staff perspectives. | PSNet
     psnet.ahrq.gov/issue/culture-associated-patient-safety-emergency-department-study-staff-perspectives
     July 10, 2013 - generally agreed about safety culture and practices, but physicians reported a higher patient safety grade

111. Obstetric Issues. | PSNet
     psnet.ahrq.gov/issue/obstetric-issues
     April 16, 2018 - October 12, 2022 Nurse burnout syndrome and work environment impact patient safety grade

112. Safe intrahospital transport of the non-ICU patient using standardized handoff communication. | PSNet
     psnet.ahrq.gov/issue/safe-intrahospital-transport-non-icu-patient-using-standardized-handoff-communication
     March 18, 2010 - October 12, 2022 Nurse burnout syndrome and work environment impact patient safety grade

113. Implementation of patient safety rounds in a children's hospital. | PSNet
     psnet.ahrq.gov/issue/implementation-patient-safety-rounds-childrens-hospital
     October 19, 2022 - July 12, 2017 Nearing zero...reducing grade C medication errors.

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837204/psn-pdf
     May 25, 2022 - Resident physicians' advice seeking and error making: a social networks approach. May 25, 2022 Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333. https://psnet.ahrq.gov/issue/resident…

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46681/psn-pdf
     April 16, 2018 - Trainee autonomy and patient safety. April 16, 2018 George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599. https://psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety Reduced resident work hours and insufficient senior surgeon…

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42678/psn-pdf
     February 21, 2015 - The reliability of AHRQ Common Format Harm Scales in rating patient safety events. February 21, 2015 Williams TL, Szekendi MK, Pavkovic S, et al. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. J Patient Saf. 2015;11(1):52-59. doi:10.1097/PTS.0b013e3182948ef9. https://psnet.ahrq.…

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35006/psn-pdf
     October 25, 2013 - HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. October 25, 2013 Health Grades, Inc; 2005. https://psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals- study The first version of this now annual report on the safety of hospitalized …

118. The end of the beginning: patient safety five years after 'To Err Is Human.' | PSNet
     psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human
     March 02, 2011 - The author, who also wrote Internal Bleeding , provides a grade for the broad categories impacting safety

119. Hospital staff nurses' shift length associated with safety and quality of care. | PSNet
     psnet.ahrq.gov/issue/hospital-staff-nurses-shift-length-associated-safety-and-quality-care
     April 23, 2012 - Nurses that worked shifts of 10 hours or longer were more likely to report a poor safety grade compared

120. Drug shortage-associated increase in catheter-related blood stream infection in children. | PSNet
     psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection-children
     April 24, 2018 - Recently, a shortage of medicinal-grade ethanol occurred due to a temporary shutdown of the sole supplier