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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46871/psn-pdf
    July 14, 2018 - Understanding diagnostic safety in emergency medicine: a case?by?case review of closed ED malpractice claims. July 14, 2018 Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case- by-case review of closed ED malpractice claims. J Healthc Risk Manag. 2018;38(1):48-53. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866735/psn-pdf
    September 18, 2024 - Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. September 18, 2024 McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Int J Health Policy Manag. 2024;13:804…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60580/psn-pdf
    January 01, 2022 - Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. June 10, 2020 Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement projec…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46201/psn-pdf
    September 27, 2017 - Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. September 27, 2017 Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow- up: Results from a national survey in Denmark. Cancer Epidemiol. 2017;49:38-45…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843415/psn-pdf
    February 01, 2023 - Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands. February 1, 2023 Van der Voorden M, Ahaus K, Franx A. Explaining the negative effects of patient participation in patient safety: an exploratory…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72731/psn-pdf
    February 10, 2021 - Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. February 10, 2021 Vollam S, Gustafson O, Young JD, et al. Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record r…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854384/psn-pdf
    January 01, 2024 - Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. October 11, 2023 Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. Int J Clin Ph…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840147/psn-pdf
    November 16, 2022 - Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. November 16, 2022 Sibbald M, Abdulla B, Keuhl A, et al. Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. JMIR Hum Factors. 2022;9(…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47198/psn-pdf
    August 22, 2018 - Health IT Safe Practices for Closing the Loop. August 22, 2018 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44768/psn-pdf
    February 03, 2016 - Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. February 3, 2016 Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient Saf. 2016;42(2):86-91. https://psne…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47040/psn-pdf
    October 18, 2018 - Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. October 18, 2018 Donaghy E, Salisbury L, Lone NI, et al. Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. BMJ Qual Saf. 2018;27(11):915-9…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73981/psn-pdf
    October 20, 2021 - Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. October 20, 2021 Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to imp…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862994/psn-pdf
    February 21, 2024 - Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety. February 21, 2024 Miller MJ, Johansen ML, de Cordova PB, et al. Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety. Nurs Manage. 2024;55(1):32-42. doi:10.1…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38097/psn-pdf
    January 02, 2017 - Adverse events during hospitalization: results of a patient survey. January 2, 2017 Fowler FJ, Epstein AM, Weingart SN, et al. Adverse events during hospitalization: results of a patient survey. Jt Comm J Qual Patient Saf. 2008;34(10):583-90. https://psnet.ahrq.gov/issue/adverse-events-during-hospitalization-resul…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73132/psn-pdf
    April 14, 2021 - Association of clinician diagnostic performance with machine learning–based decision support systems: a systematic review. April 14, 2021 Vasey B, Ursprung S, Beddoe B, et al. Association of clinician diagnostic performance with machine learning–based decision support systems: a systematic review. JAMA Netw Open. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867752/psn-pdf
    March 12, 2025 - Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. March 12, 2025 Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858168/psn-pdf
    December 13, 2023 - A resilience view on health system resilience: a scoping review of empirical studies and reviews. December 13, 2023 Copeland S, Hinrichs-Krapels S, Fecondo F, et al. A resilience view on health system resilience: a scoping review of empirical studies and reviews. BMC Health Serv Res. 2023;23(1):1297. doi:10.1186/s1…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851919/psn-pdf
    August 02, 2023 - A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. August 2, 2023 Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. Jt Comm J Qual Pati…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836984/psn-pdf
    April 27, 2022 - A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. April 27, 2022 Beed M, Hussain S, Woodier N, et al. A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. J Pat…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60643/psn-pdf
    July 01, 2020 - Human factors considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey study. July 1, 2020 Parush A, Wacht O, Gomes R, et al. Human Factors Considerations in Using Personal Protective Equipment in the COVID-19 Pandemic Context: A Bi-national Survey Study (Preprin…

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