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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45916/psn-pdf
    March 08, 2017 - Feeling unsafe in the healthcare setting: patients' perspectives. March 8, 2017 Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs. 2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143. https://psnet.ahrq.gov/issue/feeling-unsafe-healthcare-setting-patients-p…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34117/psn-pdf
    December 23, 2016 - Sentinel Event. December 23, 2016 The Joint Commission. https://psnet.ahrq.gov/issue/sentinel-event Since 1998, The Joint Commission has issued sentinel event alerts in response to unexpected incidents involving death or serious physical or psychological injury (or risk thereof). These events are identified as se…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43846/psn-pdf
    January 21, 2015 - Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. January 21, 2015 Carter JL, Coletti RJ, Harris RP. Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. BMJ. 2015;350:g7773. doi:10.1136/bmj.g7773. https://psnet.ahrq.gov/issue/qua…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42089/psn-pdf
    March 06, 2013 - Organizational culture: an important context for addressing and improving hospital to community patient discharge. March 6, 2013 Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community patient discharge. Med Care. 2013;51(…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44284/psn-pdf
    September 09, 2015 - Operating room to intensive care unit handoffs and the risks of patient harm. September 9, 2015 McElroy LM, Collins KM, Koller FL, et al. Operating room to intensive care unit handoffs and the risks of patient harm. Surgery. 2015;158(3):588-594. doi:10.1016/j.surg.2015.03.061. https://psnet.ahrq.gov/issue/operatin…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44281/psn-pdf
    July 22, 2015 - Surgeon Scorecard. July 22, 2015 Wei S; Allen M; Pierce O. https://psnet.ahrq.gov/issue/surgeon-scorecard Transparency has been advocated as a key element of safe, patient-centered care, but data on individual performance has not been made widely available. This database compiles the death and complication rates …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35704/psn-pdf
    March 28, 2011 - Relationship between patient complaints and surgical complications. March 28, 2011 Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical complications. Qual Saf Health Care. 2006;15(1):13-6. https://psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-co…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841154/psn-pdf
    December 07, 2022 - Concerns regarding tablet splitting: a systematic review. December 7, 2022 Saran AK, Holden NA, Garrison SR. Concerns regarding tablet splitting: a systematic review. BJGP Open. 2022;6(3):BJGPO.2022.0001. doi:10.3399/bjgpo.2022.0001. https://psnet.ahrq.gov/issue/concerns-regarding-tablet-splitting-systematic-review…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35282/psn-pdf
    May 27, 2011 - Comprehensive analysis of a medication dosing error related to CPOE. May 27, 2011 Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740. https://psnet.ahrq.gov/issue/comprehensive-analysis-medication-d…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47512/psn-pdf
    February 20, 2019 - Framing the challenges of artificial intelligence in medicine. February 20, 2019 Yu K-H, Kohane IS. Framing the challenges of artificial intelligence in medicine. BMJ Qual Saf. 2019;28(3):238-241. doi:10.1136/bmjqs-2018-008551. https://psnet.ahrq.gov/issue/framing-challenges-artificial-intelligence-medicine Use o…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34902/psn-pdf
    February 27, 2009 - Hospital rules-based system: the next generation of medical informatics for patient safety. February 27, 2009 Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. https://psnet.ahrq.gov/issue/hospit…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38641/psn-pdf
    September 02, 2009 - Assessing the value of electronic prescribing in ambulatory care: A focus group study. September 2, 2009 Weingart SN, Massagli M, Cyrulik A, et al. Assessing the value of electronic prescribing in ambulatory care: a focus group study. Int J Med Inform. 2009;78(9):571-8. doi:10.1016/j.ijmedinf.2009.03.007. https://…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45929/psn-pdf
    August 23, 2017 - Managing diagnostic uncertainty in primary care: a systematic critical review. August 23, 2017 Alam R, Cheraghi-Sohi S, Panagioti M, et al. Managing diagnostic uncertainty in primary care: a systematic critical review. BMC Fam Pract. 2017;18(1):79. doi:10.1186/s12875-017-0650-0. https://psnet.ahrq.gov/issue/managi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37822/psn-pdf
    June 18, 2008 - A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. June 18, 2008 Antonacci AC, Lam S, Lavarias V, et al. A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. J Surg Res. 2008;147(…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73868/psn-pdf
    September 22, 2021 - Phony diagnoses hide high rates of drugging at nursing homes. September 22, 2021 Thomas K, Gebeloff R, Silver-Greenberg J. New York Times. September 11, 2021. https://psnet.ahrq.gov/issue/phony-diagnoses-hide-high-rates-drugging-nursing-homes Nursing home medication misuse is a contributor to resident harm. T…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858173/psn-pdf
    December 13, 2023 - Measurement of ambulatory medication errors in children: a scoping review. December 13, 2023 Rickey L, Auger K, Britto MT, et al. Measurement of ambulatory medication errors in children: a scoping review. Pediatrics. 2023;152(6):e2023061281. doi:10.1542/peds.2023-061281. https://psnet.ahrq.gov/issue/measurement-am…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856640/psn-pdf
    November 29, 2023 - Research from webAIRS incident reporting system. November 29, 2023 Anaesth Intensive Care. 2023;51(6):372-421. https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system Centralized de-identified reports of patient safety events serve a core purpose for learning and improvement. This article collectio…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44095/psn-pdf
    May 13, 2015 - Retained foreign bodies: risk and outcomes at the national level. May 13, 2015 Al-Qurayshi ZH, Hauch AT, Slakey DP, et al. Retained foreign bodies: risk and outcomes at the national level. J Am Coll Surg. 2015;220(4):749-759. doi:10.1016/j.jamcollsurg.2014.12.015. https://psnet.ahrq.gov/issue/retained-foreign-bodi…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36132/psn-pdf
    May 27, 2011 - Motion study in surgery. May 27, 2011 Gilbreth FB. Can J Med Surg. 1916:22-31. https://psnet.ahrq.gov/issue/motion-study-surgery This study was one of the first "time-motion" studies of physicians, and pioneered the application of human factors engineering and industrial principles to medical practice. The authors…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46726/psn-pdf
    January 31, 2018 - Toolkit to Promote Safe Surgery. January 31, 2018 Rockville, MD: Agency for Healthcare Research and Quality; November 2017. https://psnet.ahrq.gov/issue/toolkit-promote-safe-surgery Preventing surgical complications including surgical site infections are a worldwide target for improvement. This toolkit builds on t…
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