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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39895/psn-pdf
    September 21, 2011 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. September 21, 2011 Oakbrook Terrace, IL: The Joint Commission; September 2010. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2010 In the fifth report on t…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861279/psn-pdf
    January 24, 2024 - Mistreatment in health care among women in Appalachia. January 24, 2024 Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547. https://psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appala…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46601/psn-pdf
    January 25, 2018 - Night-time communication at Stanford University Hospital: perceptions, reality and solutions. January 25, 2018 Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjqs-2017-006727. https://psnet.ah…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46048/psn-pdf
    July 05, 2017 - Association between elements of electronic health record systems and the weekend effect in urgent general surgery. July 5, 2017 Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General Surgery. JAMA Surg. 2017;152(6):602-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45924/psn-pdf
    March 15, 2017 - Patient safety incidents are common in primary care: a national prospective active incident reporting survey. March 15, 2017 Michel P, Brami J, Chanelière M, et al. Patient safety incidents are common in primary care: A national prospective active incident reporting survey. PLoS One. 2017;12(2):e0165455. doi:10.13…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60336/psn-pdf
    May 13, 2020 - Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists. May 13, 2020 Buckinghamshire, UK.  Clinical Human Factors Group. April 2020. https://psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors- specification-and Poor eq…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73186/psn-pdf
    April 28, 2021 - Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. April 28, 2021 Sugrue A, Sanborn D, Amin M, et al. Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. Am J Cardiol. 2020;144:52-59. doi:10.1016/j.amjcard.2020.12.062. https://psnet.ahrq.go…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45480/psn-pdf
    November 16, 2016 - Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. November 16, 2016 Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats: Common data representation for Patient Safety Organizations. J Biomed Info…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72643/psn-pdf
    January 13, 2021 - Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust. January 13, 2021 London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.   https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-a…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72802/psn-pdf
    March 03, 2021 - What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open- ended questionnaire study. March 3, 2021 Tyler N, Wright N, Panagioti M, et al. What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open?ended questi…
  11. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-6.html
    August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Conclusion Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Approaching Diagnostic Safety Unique to Children Pediatric Diagnostic …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867093/psn-pdf
    November 06, 2024 - Identifying resilience: a system safety review of trauma and orthopaedic theatres. November 6, 2024 Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930. https://psnet.ahrq.gov/issue/identifying-resilience-system…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37294/psn-pdf
    May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46045/psn-pdf
    December 22, 2018 - Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. December 22, 2018 Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual Factors Essential to Preventin…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44549/psn-pdf
    October 14, 2015 - Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey. October 14, 2015 Saleem AM, Paulus JK, Vassiliou MC, et al. Initial assessment of patient handoff in accredited general surgery residency programs in the United States a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853967/psn-pdf
    January 01, 2024 - How different countries respond to adverse events whilst patients' rights are protected. September 27, 2023 Gil-Hernández E, Carrillo I, Tumelty M-E, et al. How different countries respond to adverse events whilst patients’ rights are protected. Med Sci Law. 2024;64(2):96-112. doi:10.1177/00258024231182369. https:…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46706/psn-pdf
    March 20, 2018 - Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. March 20, 2018 Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps.201700269. https://psnet.ahrq.gov/iss…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72814/psn-pdf
    March 10, 2021 - Implementing a human factors approach to RCA(2) : tools, processes and strategies. March 10, 2021 Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.21454. https://psnet.ahrq.gov/issue/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35544/psn-pdf
    March 29, 2010 - How surgeons disclose medical errors to patients: a study using standardized patients.   March 29, 2010 Chan DK, Gallagher TH, Reznick R, et al. How surgeons disclose medical errors to patients: a study using standardized patients. Surgery. 2005;138(5):851-8. https://psnet.ahrq.gov/issue/how-surgeons-disclose-medi…
  20. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter7.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 7. References Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter 3. Descript…