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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47761/psn-pdf
    May 22, 2019 - Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. May 22, 2019 Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualitative study. Palliat Med. 2019;33(4…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837668/psn-pdf
    July 13, 2022 - Factors associated with malpractice claim payout: an analysis of closed emergency department claims. July 13, 2022 Gupta K, Szymonifka J, Rivadeneira NA, et al. Factors associated with malpractice claim payout: an analysis of closed emergency department claims. Jt Comm J Qual Patient Saf. 2022;48(9):492-496. doi:1…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60225/psn-pdf
    April 15, 2020 - Beyond 'find and fix': improving quality and safety through resilient healthcare systems. April 15, 2020 Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10.1093/intqhc/mzaa007. https://psn…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860389/psn-pdf
    January 10, 2024 - Error codes at autopsy to study potential biases in diagnostic error. January 10, 2024 Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010. https://psnet.ahrq.gov/issue/error-codes-autopsy-stu…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47782/psn-pdf
    June 14, 2019 - Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic accuracy in primary care clinics. June 14, 2019 Fontil V, Radcliffe K, Lyson HC, et al. Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60738/psn-pdf
    July 29, 2020 - Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID- 19 disease. July 29, 2020 Struyf T, Deeks JJ, Dinnes J, et al. Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. Cochrane Da…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43767/psn-pdf
    February 04, 2015 - Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross- sectional survey. February 4, 2015 Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. BMJ Q…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74155/psn-pdf
    December 08, 2021 - "Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing. December 8, 2021 Ellis LA, Tran Y, Pomare C, et al. “Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing. BMC Health Serv Res. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44589/psn-pdf
    January 01, 2016 - Observation for assessment of clinician performance: a narrative review. December 16, 2015 Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171. https://psnet.ahrq.gov/issue/observation-asse…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859354/psn-pdf
    December 20, 2023 - Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. December 20, 2023 Cenziper D, Sallah MD, Korsh M. ProPublica. December 7, 2023. https://psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power- protect-them Systemic regulato…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72647/psn-pdf
    January 20, 2021 - Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. January 20, 2021 Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589. doi:10.1001/jamanetworkopen.20…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41042/psn-pdf
    September 29, 2017 - Research in Ambulatory Patient Safety 2000-2010: A 10- Year Review. September 29, 2017 Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011. https://psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review Although traditionally the majority of patient safe…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865877/psn-pdf
    May 15, 2024 - Refining a framework to enhance communication in the emergency department during the diagnostic process: an eDelphi approach. May 15, 2024 Manojlovich M, Bettencourt AP, Mangus CW, et al. Refining a framework to enhance communication in the emergency department during the diagnostic process: an eDelphi approach. J…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844770/psn-pdf
    September 11, 2019 - Use of "Doctor" badges for physician role identification during clinical training. September 11, 2019 Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416. https://psnet.ahrq.gov/issue/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866354/psn-pdf
    July 24, 2024 - Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. July 24, 2024 Sloane J, Singh H, Upadhyay DK, et al. Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. Jt Comm J Qual P…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43867/psn-pdf
    March 11, 2015 - Applying fault tree analysis to the prevention of wrong- site surgery. March 11, 2015 Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062. https://psnet.ahrq.gov/issue/applying-fault-tree-analy…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73570/psn-pdf
    January 01, 2022 - Long-term care nurses' experiences with patient safety incident management: a qualitative study. August 4, 2021 Serre N, Espin S, Indar A, et al. Long-term care nurses' experiences with patient safety incident management: a qualitative study. J Nurs Care Qual. 2022;37(2):188-194. doi:10.1097/ncq.0000000000000583. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50448/psn-pdf
    October 09, 2019 - Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. October 9, 2019 Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healthcare and emergency departments…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837664/psn-pdf
    July 13, 2022 - Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. July 13, 2022 Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision- making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284. https://psn…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842767/psn-pdf
    January 18, 2023 - Medication safety incidents associated with the remote delivery of primary care: a rapid review. January 18, 2023 Gleeson LL, Clyne B, Barlow JW, et al. Medication safety incidents associated with the remote delivery of primary care: a rapid review. Int J Pharm Pract. 2023;30(6):495-506. doi:10.1093/ijpp/riac087. …

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