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  1. psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician
    December 02, 2020 - Study Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Citation Text: Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Ob…
  2. psnet.ahrq.gov/issue/medical-errors-and-patient-safety-palliative-care-review-current-literature
    December 04, 2016 - Review Medical errors and patient safety in palliative care: a review of current literature. Citation Text: Dietz I, Borasio GD, Schneider G, et al. Medical errors and patient safety in palliative care: a review of current literature. J Palliat Med. 2010;13(12):1469-74. doi:10.1089/jpm.2…
  3. psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
    July 13, 2010 - Study Liability associated with obstetric anesthesia: a closed claims analysis. Citation Text: Davies JM, Posner KL, Lee LA, et al. Liability associated with obstetric anesthesia: a closed claims analysis. Anesthesiology. 2009;110(1):131-139. doi:10.1097/ALN.0b013e318190e16a. Copy Cita…
  4. psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following
    October 24, 2018 - Study Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. Citation Text: West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team…
  5. psnet.ahrq.gov/issue/diagnostic-error-pediatric-hospital-narrative-review
    November 16, 2022 - Review Diagnostic error in the pediatric hospital: a narrative review. Citation Text: Sawicki JG, Nystrom DT, Purtell R, et al. Diagnostic error in the pediatric hospital: a narrative review. Hosp Pract (1995). 2021;49((supp1):437-444. doi:10.1080/21548331.2021.2004040. Copy Citation …
  6. psnet.ahrq.gov/issue/measuring-patient-safety-medicare-patient-safety-monitoring-system-past-present-and-future
    December 18, 2014 - Review Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future). Citation Text: Classen D, Munier W, Verzier N, et al. Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future). J Patient Saf. 2021;17(3)…
  7. psnet.ahrq.gov/issue/conversations-diagnostic-uncertainty-and-its-management-among-pediatric-acute-care-physicians
    March 17, 2021 - Study Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. Citation Text: Patel SJ, Ipsaro A, Brady PW. Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. Hosp Pediatr. 2022;12(3):317-324. doi:10.…
  8. psnet.ahrq.gov/issue/danger-discharge-summaries-abbreviations-create-confusion-both-author-and-recipient
    March 15, 2017 - Study Danger in discharge summaries: abbreviations create confusion for both author and recipient. Citation Text: Coghlan A, Turner S, Coverdale S. Danger in discharge summaries: abbreviations create confusion for both author and recipient. Intern Med J. 2023;53(4):550-558. doi:10.1111/i…
  9. psnet.ahrq.gov/issue/assessing-patient-safety-culture-hospital-settings
    August 18, 2021 - Review Assessing patient safety culture in hospital settings. Citation Text: Azyabi A. Assessing patient safety culture in hospital settings. Int J Environ Res Public Health. 2021;18(5):2466. doi:10.3390/ijerph18052466. Copy Citation Format: DOI Google Scholar BibTeX EndNot…
  10. psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies
    May 01, 2024 - Study Negative behaviours in health care: prevalence and strategies. Citation Text: Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660. Copy Citation Format: DOI Goog…
  11. psnet.ahrq.gov/issue/meta-review-methods-measuring-and-monitoring-safety-primary-care
    November 03, 2021 - Review A meta-review of methods of measuring and monitoring safety in primary care. Citation Text: O’Connor P, Madden C, O’Dowd E, et al. A meta-review of methods of measuring and monitoring safety in primary care. Int J Qual Health Care. 2021;33(3):mzab117. doi:10.1093/intqhc/mzab117. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33893/psn-pdf
    February 19, 2010 - The revolutionary. February 19, 2010 Swidey N. https://psnet.ahrq.gov/issue/revolutionary An introduction to Donald Berwick, CEO of Boston's Institute for Healthcare Improvement, and his vision for reshaping health care to improve patient safety and quality. https://psnet.ahrq.gov/issue/revolutionary
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867656/psn-pdf
    February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learnin…
  14. psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
    September 01, 2006 - Errors and Near Misses: What Health Care Could Learn From Aviation Carl Macrae, PhD | December 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836876/psn-pdf
    May 16, 2022 - Identifying Safety Events in the Prehospital Setting May 16, 2022 Crowe RP, Mossburg SE, Dowell P. Identifying Safety Events in the Prehospital Setting. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting Introduction Measuring and monitoring patient safety in …
  16. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
    January 01, 2020 - Spotlight Spotlight “This is the wrong patient’s blood!”: Evaluating a Near-Miss Wrong Transfusion Event Source and Credits • This presentation is based on the January 2020 AHRQ WebM&M Spotlight Case • Commentary by: Sarah Barnhard MD o Medical Director of Transfusion Services at UC-Davis Health o Editors in …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33671/psn-pdf
    July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis July 1, 2008 Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis Perspective Throughout most of his life, …
  18. psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
    September 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery Citation Text: Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar Bib…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49817/psn-pdf
    January 01, 2018 - Slow Down: Right Drug, Wrong Formulation January 1, 2018 Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation The Case A 65-year-old man presented to his primary care clinic for follow-up after a recent hospitaliz…
  20. psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
    December 01, 2007 - In Conversation with...Eric Coleman, MD, MPH December 1, 2007  Also Read an Essay Citation Text: In Conversation with..Eric Coleman, MD, MPH. PSNet [internet]. 2007.In Conversation with...Eric Coleman, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthca…

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