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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43383/psn-pdf
    August 13, 2014 - Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. August 13, 2014 Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(2):429-36. doi:10.1016/j.jss.2014…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73122/psn-pdf
    April 07, 2021 - My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. April 7, 2021 Henigson J. Washington Post. March 26, 2021. https://psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was- misdiagnosed Misdiagnoses can persist due to heuri…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60160/psn-pdf
    March 25, 2020 - Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. March 25, 2020 Todd SE, Thompson AJ, Russell WS. Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863756/psn-pdf
    March 06, 2024 - Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. March 6, 2024 Ron D, Gunn CM, Havidich JE, et al. Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Jt Comm J Qual Patient Saf. 2024;50(5):32…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73501/psn-pdf
    July 14, 2021 - Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. July 14, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. June 24, 2021. Report No. 19-09808-171. https://psnet.ahrq.gov/issue/deficiencie…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60336/psn-pdf
    May 13, 2020 - Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists. May 13, 2020 Buckinghamshire, UK.  Clinical Human Factors Group. April 2020. https://psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors- specification-and Poor eq…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73565/psn-pdf
    August 04, 2021 - Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. August 4, 2021 Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. Pediatr Qual Saf. 2021;6(4):e43…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861279/psn-pdf
    January 24, 2024 - Mistreatment in health care among women in Appalachia. January 24, 2024 Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547. https://psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appala…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866074/psn-pdf
    June 05, 2024 - The impact of sensory stimuli on healthcare workers and outcomes in trauma rooms: a focus group study. June 5, 2024 Bayramzadeh S, Ahmadpour S. The impact of sensory stimuli on healthcare workers and outcomes in trauma rooms: a focus group study. HERD. 2024;17(2):115-128. doi:10.1177/19375867231215080. https://psn…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46215/psn-pdf
    June 14, 2017 - The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. June 14, 2017 Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of tes…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36178/psn-pdf
    September 30, 2010 - Analysis of surgical errors in closed malpractice claims at 4 liability insurers. September 30, 2010 Rogers SO, Gawande AA, Kwaan M, et al. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140(1):25-33. https://psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malp…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845299/psn-pdf
    March 01, 2023 - Health care professionals' perceptions of unprofessional behaviour in the clinical workplace. March 1, 2023 Dabekaussen KFAA, Scheepers RA, Heineman E, et al. Health care professionals’ perceptions of unprofessional behaviour in the clinical workplace. PLoS ONE. 2023;18(1):e0280444. doi:10.1371/journal.pone.028044…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846150/psn-pdf
    March 15, 2023 - Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. March 15, 2023 Phelan SM, Salinas M, Pankey T, et al. Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. Ann Fam Med. 20…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47426/psn-pdf
    October 13, 2018 - Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. October 13, 2018 Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind Spots in Quality and Safety. Milbank Q. 2018;96(3):530-567. doi:10.1111/14…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73471/psn-pdf
    July 07, 2021 - Rapid response teams as a patient safety practice for failure to rescue. July 7, 2021 Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510. https://psnet.ahrq.gov/issue/rapid-response-teams-patient-safet…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60198/psn-pdf
    April 08, 2020 - Hierarchy and medical error: speaking up when witnessing an error. April 8, 2020 Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648. https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-wh…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844994/psn-pdf
    February 22, 2023 - Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. February 22, 2023 Engel FD, da Fonseca GGP, Cechinel-Peiter C, et al. Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. J Patient Saf. 2023;19(1):e46-e52. doi:10.1097/pts.0000…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43122/psn-pdf
    April 08, 2018 - Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. April 8, 2018 Newman-Toker DE, Moy E, Valente E, et al. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. Diagnosis (Berl). 201…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850345/psn-pdf
    June 14, 2023 - Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. June 14, 2023 Cifra CL, Custer JW, Smith CM, et al. Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Crit Care Med. 2023;51(11):1492-1501. doi:10.1097/ccm.0000000000…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853438/psn-pdf
    September 13, 2023 - In search of an international multidimensional action plan for second victim support: a narrative review. September 13, 2023 Seys D, Panella M, Russotto S, et al. In search of an international multidimensional action plan for second victim support: a narrative review. BMC Health Serv Res. 2023;23(1):816. doi:10.118…
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