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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38146/psn-pdf
    March 04, 2011 - Advancing measurement of patient safety culture. March 4, 2011 Ginsburg LR, Gilin D, Tregunno D, et al. Advancing measurement of patient safety culture. Health Serv Res. 2009;44(1):205-24. doi:10.1111/j.1475-6773.2008.00908.x. https://psnet.ahrq.gov/issue/advancing-measurement-patient-safety-culture Analysis of re…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41977/psn-pdf
    October 11, 2016 - Patient safety tool helps ID hospital errors. October 11, 2016 Clark C. HealthLeaders Media. December 2012. https://psnet.ahrq.gov/issue/patient-safety-tool-helps-id-hospital-errors This magazine article discusses how the AHRQ common formats tool has been used to identify, track, and report near misses in hospital…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40452/psn-pdf
    May 11, 2011 - The novice nurse and clinical decision-making: how to avoid errors. May 11, 2011 Saintsing D, Gibson LM, Pennington AW. The novice nurse and clinical decision-making: how to avoid errors. J Nurs Manag. 2011;19(3):354-9. doi:10.1111/j.1365-2834.2011.01248.x. https://psnet.ahrq.gov/issue/novice-nurse-and-clinical-de…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34925/psn-pdf
    February 27, 2009 - Medication errors and professional practice of registered nurses. February 27, 2009 Deans C. Medication errors and professional practice of registered nurses. Collegian. 2005;12(1):29-33. https://psnet.ahrq.gov/issue/medication-errors-and-professional-practice-registered-nurses This Australian study identified and…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36798/psn-pdf
    March 09, 2009 - Organizational culture, critical success factors, and the reduction of hospital errors. March 9, 2009 Stock GN, McFadden KL, Gowen CR. Organizational culture, critical success factors, and the reduction of hospital errors. Int J Prod Econ. 2006;106(2). doi:10.1016/j.ijpe.2006.07.005. https://psnet.ahrq.gov/issue/o…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73617/psn-pdf
    August 26, 2021 - Recognizing Unsafe Care: What It Is and How to Report It. August 18, 2021 Patient Safety Foundation. August 26, 2021. https://psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it This webinar introduced medical error and harm as related concepts to identify unsafe care and enhance response, engag…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41950/psn-pdf
    September 24, 2016 - Distraction and interruption in anaesthetic practice. September 24, 2016 Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. Br J Anaesth. 2012;109(5):707-715. doi:10.1093/bja/aes219. https://psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice Finding that inte…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36831/psn-pdf
    February 15, 2010 - The medicolegal aspect of error in pathology: a search of jury verdicts and settlements. February 15, 2010 Kornstein MJ, Byrne SP. The medicolegal aspect of error in pathology: a search of jury verdicts and settlements. Arch Pathol Lab Med. 2007;131(4):615-618. https://psnet.ahrq.gov/issue/medicolegal-aspect-error…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35944/psn-pdf
    August 02, 2010 - Analysis of laboratory critical value reporting at a large academic medical center. August 2, 2010 Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125(5):758-64. https://psnet.ahrq.gov/issue/analysis-laboratory-critical-…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41179/psn-pdf
    February 29, 2012 - High fidelity simulation as a research tool. February 29, 2012 Littlewood KE. High fidelity simulation as a research tool. Best Pract Res Clin Anaesthesiol. 2011;25(4):473-87. doi:10.1016/j.bpa.2011.08.001. https://psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool This review explores simulation as a met…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40536/psn-pdf
    September 19, 2012 - Putting the 'patient' in patient safety: a qualitative study of consumer experiences. September 19, 2012 Rathert C, Brandt J, Williams E. Putting the 'patient' in patient safety: a qualitative study of consumer experiences. Health Expect. 2012;15(3):327-36. doi:10.1111/j.1369-7625.2011.00685.x. https://psnet.ahrq.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40317/psn-pdf
    November 21, 2016 - Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. November 21, 2016 Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care This whit…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38375/psn-pdf
    December 01, 2019 - ISMP QuarterWatch Reports. April 17, 2019 Horsham, PA: Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-quarterwatch-reports This website provides quarterly reports that identify and analyze new risks related to medications and adverse drug events submitted to the Food and Drug Administra…

  14. AI for radiographic COVID-19 detection selects shortcuts over signal. | PSNet

    psnet.ahrq.gov/issue/ai-radiographic-covid-19-detection-selects-shortcuts-over-signal
    May 13, 2020 - Study AI for radiographic COVID-19 detection selects shortcuts over signal. Citation Text: DeGrave AJ, Janizek JD, Lee S-I. AI for radiographic COVID-19 detection selects shortcuts over signal. Nat Mach Intell. 2021;3:610–619. doi:10.1038/s42256-021-00338-7. Copy Citation Format: …

  15. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. | PSNet

    psnet.ahrq.gov/issue/transitions-one-electronic-health-record-another-challenges-pitfalls-and-recommendations
    March 17, 2021 - Review Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Citation Text: Huang C, Koppel R, McGreevey JD, et al. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Appl Clin Inform. 2020;1…

  16. Diagnostic accuracy of a large language model in pediatric case studies. | PSNet

    psnet.ahrq.gov/issue/diagnostic-accuracy-large-language-model-pediatric-case-studies
    May 25, 2016 - Study Diagnostic accuracy of a large language model in pediatric case studies. Citation Text: Barile J, Margolis A, Cason G, et al. Diagnostic accuracy of a large language model in pediatric case studies. JAMA Pediatr. 2024;178(3):313-315. doi:10.1001/jamapediatrics.2023.5750. Copy Cit…

  17. Obstetrician-gynecologist views of pregnancy-related medication safety. | PSNet

    psnet.ahrq.gov/issue/obstetrician-gynecologist-views-pregnancy-related-medication-safety
    July 29, 2020 - Study Obstetrician-gynecologist views of pregnancy-related medication safety. Citation Text: SteelFisher GK, Hero JO, Caporello HL, et al. Obstetrician-gynecologist views of pregnancy-related medication safety. J Womens Health (Larchmt). 2020;29(8):1113-1121. doi:10.1089/jwh.2019.8007. …

  18. Can we rely on patients' reports of adverse events? | PSNet

    psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events
    December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…

  19. Overestimation of clinical diagnostic performance caused by low necropsy rates. | PSNet

    psnet.ahrq.gov/issue/overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates
    February 09, 2011 - Study Overestimation of clinical diagnostic performance caused by low necropsy rates. Citation Text: Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13. Copy Citation …

  20. Physician prescribing of opioids to patients at increased risk of overdose from benzodiazepine use in the United States. | PSNet

    psnet.ahrq.gov/issue/physician-prescribing-opioids-patients-increased-risk-overdose-benzodiazepine-use-united
    September 27, 2016 - Study Emerging Classic Physician prescribing of opioids to patients at increased risk of overdose from benzodiazepine use in the United States. Citation Text: Ladapo JA, Larochelle MR, Chen A, et al. Physician Prescribing of Opioids to Patients at Increased Risk…
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