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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36334/psn-pdfOctober 26, 2010 - Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. October 26, 2010 Kachalia A, Gandhi TK, Puopolo AL, et al. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. Ann Emerg Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34763/psn-pdfMarch 07, 2005 - The Limits of Safety: Organizations, Accidents and Nuclear Weapons. March 7, 2005 Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214. https://psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons Two competing paradigms dominate the study of the hazards associate… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34758/psn-pdfJanuary 29, 2019 - Normal Accidents: Living with High-Risk Technologies. January 29, 2019 Perrow C. Princeton NJ: Princeton University Press; 1999. https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies Though less often cited than high-reliability theory in the health care literature, normal accidents theor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41777/psn-pdfApril 05, 2013 - Effect of nonpayment for preventable infections in U.S. hospitals. April 5, 2013 Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals. N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa1202419. https://psnet.ahrq.gov/issue/effect-nonpayment-preventable-infec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73414/psn-pdfJune 23, 2021 - Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a systematic review of second victim support resources. June 23, 2021 Busch IM, Moretti F, Campagna I, et al. Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865334/psn-pdfMarch 27, 2024 - Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. March 27, 2024 Cadet T, Cusimano J, McKearney S, et al. Describing the evidence linking interprofessional education interventions to improving the delivery of sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72546/psn-pdfDecember 09, 2020 - Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. December 9, 2020 Ahlberg E-L, Elfström J, Borgstedt MR, et al. Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47073/psn-pdfJuly 02, 2019 - Physician prescribing of opioids to patients at increased risk of overdose from benzodiazepine use in the United States. July 2, 2019 Ladapo JA, Larochelle MR, Chen A, et al. Physician Prescribing of Opioids to Patients at Increased Risk of Overdose From Benzodiazepine Use in the United States. JAMA Psychiatry. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74159/psn-pdfDecember 08, 2021 - Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. December 8, 2021 Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. . Jt Comm J Qu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838176/psn-pdfSeptember 28, 2022 - Challenges and strategies for patient safety in primary care: a qualitative study. September 28, 2022 Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.0000000000000054. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44178/psn-pdfJuly 03, 2016 - A trigger tool to detect harm in pediatric inpatient settings. July 3, 2016 Stockwell DC, Bisarya H, Classen D, et al. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics. 2015;135(6):1036-42. doi:10.1542/peds.2014-2152. https://psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38759/psn-pdfApril 05, 2010 - Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. April 5, 2010 Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. J Eval Cl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72566/psn-pdfJanuary 01, 2021 - Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. December 16, 2020 Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. BMJ Qual Saf. 2021;30(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72755/psn-pdfFebruary 17, 2021 - Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. February 17, 2021 Shah SN, Amato MG, Garlo KG, et al. Renal medication-related clinical decisio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836719/psn-pdfMarch 09, 2022 - Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey. March 9, 2022 Nguyen OT, Hong Y-R, Alishahi Tabriz A, et al. Prevalence and factors associated with patient-requested corrections to the medical record throug… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837807/psn-pdfAugust 10, 2022 - Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. August 10, 2022 Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral guidelines in patients presenting … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862991/psn-pdfFebruary 21, 2024 - Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. February 21, 2024 Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incide… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39699/psn-pdfNovember 02, 2010 - Medical engagement in organisation-wide safety and quality-improvement programmes: experience in the UK Safer Patients Initiative. November 2, 2010 Parand A, Burnett S, Benn J, et al. Medical engagement in organisation-wide safety and quality- improvement programmes: experience in the UK Safer Patients Initiative.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836774/psn-pdfMarch 23, 2022 - Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. March 23, 2022 Vollam S, Gustafson O, Morgan L, et al. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. Crit Care Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47934/psn-pdfApril 17, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. April 17, 2019 Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2019. AHRQ Publication No. 19-0033. https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-…
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