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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48157/psn-pdf
    August 21, 2019 - Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. August 21, 2019 Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis (Berl). 2019;6(4):315-323. doi:10.151…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43342/psn-pdf
    July 16, 2014 - Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. July 16, 2014 Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK- hospitalised children detected by the Paediatric Trigger Tool. BMJ Open. 2014;4…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836852/psn-pdf
    April 06, 2022 - Frequency and nature of communication and handoff failures in medical malpractice claims. April 6, 2022 Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.1097/pts.0000000000000937. https:…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837139/psn-pdf
    May 18, 2022 - Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support. May 18, 2022 Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841770/psn-pdf
    December 21, 2022 - A recent two-fold increase in medical adverse event deaths among US inpatients. December 21, 2022 Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935. https://psnet.ahrq.gov/issue/recent-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853974/psn-pdf
    January 01, 2024 - Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. September 27, 2023 Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. J Adv Nu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72570/psn-pdf
    January 01, 2021 - Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. December 16, 2020 Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. Int J Qual …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837666/psn-pdf
    July 13, 2022 - Developing and aligning a safety event taxonomy for inpatient psychiatry. July 13, 2022 Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935. https://psnet.ahrq.gov/issue/developing-a…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35104/psn-pdf
    April 06, 2011 - Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. April 6, 2011 Runciman WB, Kluger MT, Morris RW, et al. Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. Qual Saf Health Care. 2005;14(3):e1. https://psnet.ahrq.gov/iss…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60559/psn-pdf
    June 03, 2020 - Omissions of care in nursing home settings: a narrative review. June 3, 2020 Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. https://psnet.ahrq.gov/issue/omissions-care-nursing-home-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865480/psn-pdf
    April 03, 2024 - A narrative review of the well-being and burnout of U.S. community pharmacists. April 3, 2024 Wash A, Moczygemba LR, Brown CM, et al. A narrative review of the well-being and burnout of U.S. community pharmacists. J Am Pharm Assoc (2003). 2023;64(2):337-349. doi:10.1016/j.japh.2023.11.017. https://psnet.ahrq.gov/i…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34784/psn-pdf
    June 24, 2015 - The potential for improved teamwork to reduce medical errors in the emergency department. June 24, 2015 Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4. https://ps…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39858/psn-pdf
    September 22, 2010 - Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study. September 22, 2010 Arora V, Prochaska ML, Farnan JM, et al. Problems after discharge and understanding of communication with their primary care physicians among h…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47652/psn-pdf
    February 20, 2019 - Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. February 20, 2019 Washington, DC: Office of the National Coordinator for Health Information Technology; November 28, 2018. https://psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relatin…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46702/psn-pdf
    April 16, 2018 - Characteristics of medical liability claims against dermatologists from 1991 through 2015. April 16, 2018 Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001/jamadermatol.2017.3713. https://…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46740/psn-pdf
    January 01, 2021 - High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool. March 28, 2018 Washburn NC, Dossett HA, Fritschle AC, et al. High-Alert Medication Stratification Tool-Revised: An Exploratory Study of an Objective, Standardized Medication Safety Tool. J …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47013/psn-pdf
    April 07, 2019 - An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. April 7, 2019 Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co- prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448. doi:…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47869/psn-pdf
    April 17, 2019 - Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. April 17, 2019 Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;239:309-319. doi:10.1016/j.jss.20…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73968/psn-pdf
    October 13, 2021 - Institution of just culture physician peer review in an academic medical center. October 13, 2021 Volkar JK, Phrampus P, English D, et al. Institution of just culture physician peer review in an academic medical center. J Patient Saf. 2021;17(7):e689-e693. doi:10.1097/pts.0000000000000449. https://psnet.ahrq.gov/i…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45420/psn-pdf
    December 04, 2016 - Patients' perception of types of errors in palliative care—results from a qualitative interview study. December 4, 2016 Kiesewetter I, Schulz CM, Bausewein C, et al. Patients' perception of types of errors in palliative care - results from a qualitative interview study. BMC Palliat Care. 2016;15(1):75. doi:10.1186/…

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