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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40274/psn-pdf
    December 29, 2014 - Predictors of the perceived impact of a patient safety collaborative: an exploratory study. December 29, 2014 Pinto A, Benn J, Burnett S, et al. Predictors of the perceived impact of a patient safety collaborative: an exploratory study. Int J Qual Health Care. 2011;23(2):173-81. doi:10.1093/intqhc/mzq089. https://…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35193/psn-pdf
    July 10, 2008 - Diagnostic error in internal medicine. July 10, 2008 Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499. https://psnet.ahrq.gov/issue/diagnostic-error-internal-medicine This study identified 100 cases of diagnostic error in internal medicine and conducte…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37332/psn-pdf
    November 14, 2007 - Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. November 14, 2007 Jacobson KL, Gazmararian JA, Kripalani S, et al. Rockville, MD: Agency for Healthcare Research and Quality. October 2007. AHRQ Publication No. 07-0051. https://psnet.ahrq.gov/issue/our-pharmacy-meeti…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35304/psn-pdf
    July 14, 2009 - Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events. July 14, 2009 DeLorenze GN, Follansbee SF, Nguyen DP, et al. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events. Med Care. 2005;43(9 Suppl):III63-II…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36536/psn-pdf
    January 10, 2011 - What do family physicians consider an error? A comparison of definitions and physician perception. January 10, 2011 Elder NC, Pallerla H, Regan S. What do family physicians consider an error? A comparison of definitions and physician perception. BMC Fam Pract. 2006;7:73. https://psnet.ahrq.gov/issue/what-do-family…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34884/psn-pdf
    August 03, 2009 - Communication failures: an insidious contributor to medical mishaps. August 3, 2009 Sutcliffe K, Lewton E, Rosenthal M. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79(2):186-194. https://psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps In or…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37312/psn-pdf
    January 05, 2012 - Delineation of risk through the exploration of a culture of safety in community home health. January 5, 2012 Stevenson L, McRae C, Mughal WA. Delineation of Risk Through the Exploration of a Culture of Safety in Community Home Health. Home Health Care Manag Pract. 2007;19(6). doi:10.1177/1084822307304256. https://…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34790/psn-pdf
    December 23, 2008 - Cognitive errors in diagnosis: instantiation, classification, and consequences. December 23, 2008 Kassirer JP, Kopelman RI. Cognitive errors in diagnosis: instantiation, classification, and consequences. Am J Med. 1989;86(4):433-41. https://psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classificati…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39371/psn-pdf
    April 05, 2017 - Patient safety research: an overview of the global evidence. April 5, 2017 Jha AK, Prasopa-Plaizier N, Larizgoitia I, et al. Patient safety research: an overview of the global evidence. Qual Saf Health Care. 2010;19(1):42-7. doi:10.1136/qshc.2008.029165. https://psnet.ahrq.gov/issue/patient-safety-research-overvie…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36676/psn-pdf
    March 04, 2011 - Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surgical patients. March 4, 2011 Weinberg DB, Gittell JH, Lusenhop W, et al. Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surgical patients. Health Serv Res. 2007…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36525/psn-pdf
    January 07, 2011 - Hallmarks of quality and patient safety recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient care. January 7, 2011 Hallmarks of quality and patient safety: recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient ca…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50716/psn-pdf
    December 04, 2019 - Organisation for Economic Co-operation and Development: Health at a Glance 2019. December 4, 2019 Paris, France: OECD Publishing: 2019. https://psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019 This report documents the overall state of health care, based on an internationa…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41901/psn-pdf
    December 05, 2012 - Patient safety culture in home care: experiences of home- care nurses. December 5, 2012 Berland A, Holm AL, Gundersen D, et al. Patient safety culture in home care: experiences of home-care nurses. J Nurs Manag. 2012;20(6):794-801. doi:10.1111/j.1365-2834.2012.01461.x. https://psnet.ahrq.gov/issue/patient-safety-c…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838139/psn-pdf
    September 21, 2022 - Error traps in acute pain management in children. September 21, 2022 Vecchione TM, Agarwal R, Monitto CL. Error traps in acute pain management in children. Paediatr Anaesth. 2022;32(9):982-992. doi:10.1111/pan.14514. https://psnet.ahrq.gov/issue/error-traps-acute-pain-management-children Appropriate pediatric pain…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35911/psn-pdf
    July 23, 2010 - Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. July 23, 2010 Weiner JS, Roth J. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. J Palliat Med. 2006;9(2):451-63. https://psnet.ahrq.gov/issue/avoiding-iatrogenic-…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40425/psn-pdf
    August 02, 2012 - Incidence and impact of physician and nurse disruptive behaviors in the emergency department. August 2, 2012 Rosenstein AH, Naylor B. Incidence and impact of physician and nurse disruptive behaviors in the emergency department. J Emerg Med. 2012;43(1):139-48. doi:10.1016/j.jemermed.2011.01.019. https://psnet.ahrq.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73989/psn-pdf
    October 20, 2021 - How is safety climate measured? A review and evaluation. October 20, 2021 Shea T, De Cieri H, Vu T, et al. How is safety climate measured? A review and evaluation. Safety Sci. 2021;143:105413. doi:10.1016/j.ssci.2021.105413. https://psnet.ahrq.gov/issue/how-safety-climate-measured-review-and-evaluation Assessing s…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45757/psn-pdf
    December 14, 2016 - Five simple steps to avoid becoming a medical mystery. December 14, 2016 Boodman SG. Washington Post. December 4, 2016. https://psnet.ahrq.gov/issue/five-simple-steps-avoid-becoming-medical-mystery Delays in diagnosis can both diminish the patient–physician relationship and result in harm. This newspaper article d…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42995/psn-pdf
    September 12, 2016 - Failure events in transition of care for surgical patients. September 12, 2016 Helling TS, Martin LC, Martin M, et al. Failure events in transition of care for surgical patients. J Am Coll Surg. 2014;218(4):723-31. doi:10.1016/j.jamcollsurg.2013.12.026. https://psnet.ahrq.gov/issue/failure-events-transition-care-su…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38824/psn-pdf
    March 04, 2011 - Evaluation of a physician informatics tool to improve patient handoffs. March 4, 2011 Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892. https://psnet.ahrq.gov/issue/evaluation-phys…
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