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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837800/psn-pdfAugust 10, 2022 - Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. August 10, 2022 Olazo K, Wang K, Sierra M, et al. Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. Jt Comm J Qual Patient Saf. 2022;48(10):539-548. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74004/psn-pdfOctober 27, 2021 - Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study. October 27, 2021 Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37960/psn-pdfSeptember 24, 2010 - A survey of the impact of disruptive behaviors and communication defects on patient safety. September 24, 2010 Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patient Saf. 2008;34(8):464-471. https://psnet.ahrq.gov/issue/survey-i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34888/psn-pdfMarch 11, 2019 - "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. March 11, 2019 Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary care. Arch Intern Med. 2004;164(20):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847531/psn-pdfApril 12, 2023 - Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. April 12, 2023 Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. BMC Health Serv Res.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60792/psn-pdfAugust 12, 2020 - Nurse workarounds in the electronic health record: an integrative review. August 12, 2020 Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050. https://psnet.ahrq.gov/issue/nurse-workaroun… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841485/psn-pdfDecember 14, 2022 - Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. December 14, 2022 Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. J Patient Saf. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73516/psn-pdfJuly 21, 2021 - Missed nursing care during the COVID-19 pandemic: a comparative observational study. July 21, 2021 von Vogelsang A?C, Göransson KE, Falk A?C, et al. Missed nursing care during the COVID?19 pandemic: a comparative observational study. J Nurs Manag. 2021;29(8):2343-2352. doi:10.1111/jonm.13392. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46505/psn-pdfAugust 20, 2018 - Americans' Experiences With Medical Errors and Views on Patient Safety. August 20, 2018 Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute; 2017. https://psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety Patient perspectives have been shown to identi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60681/psn-pdfJanuary 01, 2022 - Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. July 16, 2020 Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. J Patient Saf. 2022;18(1):e140-e155. doi:10.1097/pts.000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47248/psn-pdfSeptember 26, 2018 - Frequency and nature of potentially harmful preventable problems in primary care from the patient's perspective with clinician review: a population-level survey in Great Britain. September 26, 2018 Stocks SJ, Donnelly A, Esmail A, et al. Frequency and nature of potentially harmful preventable problems in primary … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74217/psn-pdfDecember 22, 2021 - NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. December 22, 2021 Rockville, MD: Agency for Healthcare Research and Quality; November 2021. AHRQ Pub. No. 22-0005. https://psnet.ahrq.gov/issue/npsd-data-spotlight-patient-safety-and-covid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61120/psn-pdfNovember 11, 2020 - Application of human factors methods to understand missed follow-up of abnormal test results. November 11, 2020 Rogith D, Satterly T, Singh H, et al. Application of human factors methods to understand missed follow-up of abnormal test results. Appl Clin Inform. 2020;11(05):692-698. doi:10.1055/s-0040-1716537. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35551/psn-pdfJune 08, 2010 - Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. June 8, 2010 Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthesiology. 2005;103(6):1121-1129. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836987/psn-pdfApril 27, 2022 - Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. April 27, 2022 Acorda DE, Bracken J, Abela K, et al. Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. Jt Comm J Qual Patient Saf. 2022;48(4):196-204. doi:10.1016/j.jcjq.202… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837062/psn-pdfMay 11, 2022 - Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims May 11, 2022 Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims. J Adv Nurs. 2022;78… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43581/psn-pdfDecember 26, 2014 - Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic. December 26, 2014 Beauchamp GA, Winstanley EL, Ryan SA, et al. Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60159/psn-pdfMarch 25, 2020 - Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. March 25, 2020 Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement pro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46739/psn-pdfJanuary 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. January 24, 2019 Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodologica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851663/psn-pdfJuly 26, 2023 - Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023 Washington, DC: VA Office of the Inspector General; June 28, 2023. Report no. 22-02725-132. https://psnet.ahrq.gov/issue/quality-care-concerns-and-facility-…
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