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  1. psnet.ahrq.gov/issue/do-we-know-what-foundation-year-doctors-think-about-patient-safety-incident-reporting
    April 12, 2017 - Study Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge. Citation Text: Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety incident …
  2. psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment
    March 02, 2016 - Study Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. Citation Text: Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® …
  3. psnet.ahrq.gov/issue/defining-near-misses-towards-sharpened-definition-based-empirical-data-about-error-handling
    June 28, 2011 - Study Defining near misses: towards a sharpened definition based on empirical data about error handling processes. Citation Text: Kessels-Habraken M, Van der Schaaf T, De Jonge J, et al. Defining near misses: towards a sharpened definition based on empirical data about error handling pr…
  4. psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
    January 11, 2017 - Study A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. Citation Text: Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause ana…
  5. psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks
    December 21, 2017 - Study Use of temporary names for newborns and associated risks. Citation Text: Adelman JS, Aschner JL, Schechter CB, et al. Use of Temporary Names for Newborns and Associated Risks. Pediatrics. 2015;136(2):327-333. doi:10.1542/peds.2015-0007. Copy Citation Format: DOI Googl…
  6. psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
    December 21, 2014 - Study Burnout and medical errors among American surgeons. Citation Text: Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995-1000. doi:10.1097/SLA.0b013e3181bfdab3. Copy Citation Format: DOI Google Schol…
  7. psnet.ahrq.gov/issue/evaluating-effect-safety-culture-error-reporting-comparison-managerial-and-staff-perspectives
    January 20, 2016 - Study Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Citation Text: Richter J, McAlearney AS, Pennell ML. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Am J Me…
  8. psnet.ahrq.gov/issue/large-scale-observational-study-ai-based-patient-and-surgical-material-verification-system
    August 27, 2012 - Study Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases. Citation Text: Tabuchi H, Ishitobi N, Deguchi H, et al. Large-scale observational study of AI-based patient and surgical material v…
  9. psnet.ahrq.gov/issue/assessment-global-trigger-tool-measure-monitor-and-evaluate-patient-safety-cancer-patients
    April 22, 2015 - Study Assessment of the global trigger tool to measure, monitor and evaluate patient safety in cancer patients: reliability concerns are raised. Citation Text: Mattsson TO, Knudsen JL, Lauritsen J, et al. Assessment of the global trigger tool to measure, monitor and evaluate patient sa…
  10. psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room
    November 21, 2011 - Study Incorrect surgical procedures within and outside of the operating room. Citation Text: Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126. Copy Citation F…
  11. psnet.ahrq.gov/issue/system-hazards-managing-laboratory-test-requests-and-results-primary-care-medical-protection
    November 08, 2017 - Study System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. Citation Text: Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical p…
  12. psnet.ahrq.gov/periodic-issue/periodic-issue-444
    May 29, 2024 - This paper presents the recommendation improvement matrix (RIM), a method to grade the quality and strength
  13. psnet.ahrq.gov/issue/adverse-drug-events-caused-three-high-risk-drug-drug-interactions-patients-admitted-intensive
    February 14, 2024 - Study Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study. Citation Text: Klopotowska JE, Leopold J‐H, Bakker T, et al. Adverse drug events caused by three high‐risk drug–drug i…
  14. psnet.ahrq.gov/periodic-issue/periodic-issue-306
    August 25, 2021 - Study Nurse burnout syndrome and work environment impact patient safety grade. … Study Nurse burnout syndrome and work environment impact patient safety grade.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33853/psn-pdf
    March 01, 2018 - than 22,000 nurses in 577 hospitals, we found that 38% of nurses gave their hospitals an unfavorable grade … currently under review), about one third of nurses still gave their hospital an unfavorable patient safety grade
  16. psnet.ahrq.gov/basic-page/ucsf-cmeceu-trainee-certification
    June 30, 2021 - University of California San Francisco CME/CEU Information WebM&M on AHRQ PSNet offers continuing medical education (CME) and maintenance of certification (MOC) credit for physicians and continuing education units (CEU) for nurses for completion of Spotlight modules. Credit is available only for physicians and nurses…
  17. psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
    August 05, 2009 - precautions" by ensuring that all health information and discharge materials are written at or below a 6th grade … Communication with patients should be at or below a 6th grade reading level and the complexity and quantity
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49402/psn-pdf
    June 01, 2003 - later, antibiotics were changed to vancomycin and levofloxacin for persistent leukocytosis and low-grade … or endogenous emergence of resistance.(3) In this case, antibiotic initiation was prompted by low-grade
  19. psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
    September 22, 2010 - later, antibiotics were changed to vancomycin and levofloxacin for persistent leukocytosis and low-grade … endogenous emergence of resistance.( 3 ) In this case, antibiotic initiation was prompted by low-grade
  20. psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
    December 07, 2011 - Study Emerging Classic Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. Citation Text: Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…

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