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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74130/psn-pdf
    December 01, 2021 - Malpractice cases in breast surgery: an assessment of litigation involving surgeons. December 1, 2021 Fan B, Pardo J, Yu-Moe CW, et al. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. Ann Surg Oncol. 2021;28(13):8109-8115. doi:10.1245/s10434-021-10236-2. https://psnet.ahrq.gov/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47912/psn-pdf
    April 24, 2019 - A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. April 24, 2019 Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. BMC Health Serv Res. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866958/psn-pdf
    October 16, 2024 - Beyond error: a qualitative study of human factors in serious adverse events. October 16, 2024 Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583. https://psnet.ahrq.gov/issue/beyond-error-qualitative-study…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47438/psn-pdf
    June 02, 2019 - Developing an intervention to reduce harm in hospitalized patients: patients and families in research. June 2, 2019 Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research. J Nurs Care Qual. 2019;34(3):273-278. doi:10.1097/NCQ.0…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47879/psn-pdf
    June 05, 2019 - The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. June 5, 2019 Halperin O, Bronshtein O. The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. Nurse Educ Pract. 2019;36:34-39. doi:…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73888/psn-pdf
    September 29, 2021 - Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: a systematic review. September 29, 2021 Koeck JA, Young NJ, Kontny U, et al. Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37000/psn-pdf
    September 15, 2011 - Unanticipated death after discharge home from the emergency department. September 15, 2011 Sklar DP, Crandall CS, Loeliger E, et al. Unanticipated Death After Discharge Home From the Emergency Department. Ann Emerg Med. 2007;49(6). doi:10.1016/j.annemergmed.2006.11.018. https://psnet.ahrq.gov/issue/unanticipated-d…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36005/psn-pdf
    March 28, 2011 - Active surveillance using electronic triggers to detect adverse events in hospitalized patients. March 28, 2011 Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3):184-90. https://psnet.ahrq.gov/is…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847049/psn-pdf
    April 05, 2023 - Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. April 5, 2023 Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA Pediatr. 2023;177(5):459-460. doi:10.10…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74169/psn-pdf
    December 08, 2021 - Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. December 8, 2021 Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021. https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution- bl…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45347/psn-pdf
    September 07, 2016 - Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. September 7, 2016 Washington, DC: United States Government Accountability Office; July 7, 2016. Publication GAO-16-595. https://psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865661/psn-pdf
    April 24, 2024 - Pay-for-performance and patient safety in acute care: a systematic review. April 24, 2024 Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. https://psnet.ahrq.gov/issue/pay-pe…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47257/psn-pdf
    September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. September 26, 2018 Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in Reporting Adverse Events. J Pa…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47636/psn-pdf
    December 12, 2018 - Learning from tragedy: the Julia Berg story. December 12, 2018 Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067. https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story This commentary provides a clinical review of …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837806/psn-pdf
    August 10, 2022 - Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. August 10, 2022 Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. J Public Health Manag Pract. 2022;28(5):505-512. doi:…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37646/psn-pdf
    April 11, 2011 - Incidence, preventability and consequences of adverse events in older people: results of a retrospective case- note review. April 11, 2011 Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. Age Ageing. 2008;37…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45464/psn-pdf
    September 07, 2016 - Measuring adverse events in hospitalized patients: an administrative method for measuring harm. September 7, 2016 Martin J, Benjamin EM, Craver C, et al. Measuring Adverse Events in Hospitalized Patients: An Administrative Method for Measuring Harm. J Patient Saf. 2016;12(3):125-31. doi:10.1097/PTS.000000000000007…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60621/psn-pdf
    June 24, 2020 - Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. June 24, 2020 Sweet W, Snyder D, Raymond M. Design and implementation of the infection prevention program into risk management: Managing high level disin…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60686/psn-pdf
    July 15, 2020 - The scientific literature on Coronaviruses, COVID-19 and its associated safety-related research dimensions: a scientometric analysis and scoping review. July 15, 2020 Haghani M, Bliemer MCJ, Goerlandt F, et al. The scientific literature on Coronaviruses, COVID-19 and its associated safety-related research dimensio…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49666/psn-pdf
    October 01, 2012 - CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure October 1, 2012 Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure Case Objectives Identify risk f…

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