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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864854/psn-pdf
    March 20, 2024 - Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population- based study. March 20, 2024 Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. Emerg Me…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61044/psn-pdf
    January 01, 2021 - Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. October 21, 2020 Liberati EG, Tarrant C, Willars J, et al. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. BMJ Qual Saf. 2021;3…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73584/psn-pdf
    August 11, 2021 - What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff. August 11, 2021 Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of care among trainee medical staff. Postgrad Med J. 2021;97(1153):69…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837512/psn-pdf
    January 01, 2024 - Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. June 22, 2022 Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Hum Factors. 2024;6…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867641/psn-pdf
    February 26, 2025 - Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium). February 26, 2025 Neyens L, Stouten E, Vanhaecht K, et al. Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866167/psn-pdf
    June 19, 2024 - Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. June 19, 2024 Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective direct observational study of pae…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861773/psn-pdf
    January 31, 2024 - Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom? January 31, 2024 Urwin R, Pavithra A, Mcmullan RD, et al. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom? BMJ…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866902/psn-pdf
    October 09, 2024 - Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review. October 9, 2024 Aunger JA, Abrams R, Westbrook JI, et al. Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist r…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48181/psn-pdf
    August 07, 2019 - Managing the risks of direct oral anticoagulants. August 7, 2019 Sentinel Event Alert. July 30, 2019;(61):1-5. https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants Anticoagulant medications are known to be high-risk for adverse drug events. Although direct oral anticoagulants (DOACs) require less…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42001/psn-pdf
    August 02, 2015 - Diagnostic inaccuracy of smartphone applications for melanoma detection. August 2, 2015 Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma detection. JAMA Dermatol. 2013;149(4):422-426. doi:10.1001/jamadermatol.2013.2382. https://psnet.ahrq.gov/issue/diagnostic-inacc…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72509/psn-pdf
    November 25, 2020 - Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. November 25, 2020 Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862126/psn-pdf
    February 07, 2024 - Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. February 7, 2024 Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857454/psn-pdf
    January 01, 2024 - Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. December 6, 2023 Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. BMJ Qual Saf. 2024;33(…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72795/psn-pdf
    March 03, 2021 - Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. March 3, 2021 Giardina TD, Korukonda S, Shahid U, et al. Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. BMJ Qual Saf. 2021;30(12):996-1001. doi:10.1136/bmjqs-2020-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851928/psn-pdf
    August 02, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. August 2, 2023 Schlesinger M, Grob R, Gleason K, et al. Rockville, MD: Agency for Healthcare Research and Quality; July 2023. https://psnet.ahrq.gov/issue/patient-experience-source-understanding-origins-impa…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37292/psn-pdf
    May 24, 2015 - Guilty, afraid, and alone — struggling with medical error. May 24, 2015 Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error Disclosure of medical errors remains an important a…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37062/psn-pdf
    January 02, 2017 - The emotional impact of medical errors on practicing physicians in the United States and Canada. January 2, 2017 Waterman AD, Garbutt J, Hazel E, et al. The emotional impact of medical errors on practicing physicians in the United States and Canada. Jt Comm J Qual Saf. 2007;33(8):467-476. https://psnet.ahrq.gov/is…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47573/psn-pdf
    December 19, 2018 - Can communication-and-resolution programs achieve their potential? Five key questions. December 19, 2018 Gallagher TH, Mello MM, Sage WM, et al. Can Communication-And-Resolution Programs Achieve Their Potential? Five Key Questions. Health Aff (Millwood). 2018;37(11):1845-1852. doi:10.1377/hlthaff.2018.0727. https…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47935/psn-pdf
    April 17, 2019 - Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. April 17, 2019 Johnston BE, Lou-Meda R, Mendez S, et al. Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. BMJ Glob Health. 2019;4(1). doi:10.1136/bmjgh-201…

  20. New practices reduce childbirth risks. | PSNet

    psnet.ahrq.gov/issue/new-practices-reduce-childbirth-risks
    July 16, 2019 - Newspaper/Magazine Article New practices reduce childbirth risks. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 26, 2006 This article reports on efforts to reduce use of…
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