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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45060/psn-pdf
    January 01, 2017 - Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy: an analysis of 1.38 million procedures. December 30, 2016 Vargo JJ, Niklewski PJ, Williams L, et al. Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy: …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35210/psn-pdf
    June 24, 2009 - Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. June 24, 2009 Mycyk MB, McDaniel MR, Fotis MA, et al. Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Am J Health Syst Pharm. 2005;62(15):1592-5. https:/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47565/psn-pdf
    April 27, 2019 - Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. April 27, 2019 Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentinel Events and Contributing Factors. Jt Comm J Qual Patient Saf. 2019;45(4):249…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60235/psn-pdf
    April 15, 2020 - Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. April 15, 2020 NHS Improvement. Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. NHS England. March 2020. https://psnet.ahrq.gov/issue/independent-morta…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44450/psn-pdf
    November 23, 2016 - The wisdom of patients and families: ignore it at our peril. November 23, 2016 Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603- 604. doi:10.1136/bmjqs-2015-004573. https://psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril Narrative elemen…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60019/psn-pdf
    March 04, 2020 - Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. March 4, 2020 Owen-Smith A, Stewart C, Sesay MM, et al. Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. BMC Psych. 2020;20(1):40. doi:10.1186/s12888-020-2456-1. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73439/psn-pdf
    June 30, 2021 - Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method study. June 30, 2021 Amit Aharon A, Fariba M, Shoshana F, et al. Nurses as ‘second victims’ to their patients’ suicidal attempts: a mixed?method study. J Clin Nurs. 2021;30(21-22):3290-3300. doi:10.1111/jocn.15839. https://psnet.ahrq.g…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48105/psn-pdf
    July 10, 2019 - Teaching medical students to recognise and report errors. July 10, 2019 Mohsin SU, Ibrahim Y, Levine D. Teaching medical students to recognise and report errors. BMJ Open Qual. 2019;8(2):e000558. doi:10.1136/bmjoq-2018-000558. https://psnet.ahrq.gov/issue/teaching-medical-students-recognise-and-report-errors This…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43780/psn-pdf
    September 09, 2015 - Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors. September 9, 2015 Kitto S, Marshall SD, McMillan SE, et al. Rapid response systems and collective (in)competence: An exploratory analysis of intraprofessional and interprofes…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35542/psn-pdf
    March 29, 2010 - The costs associated with adverse drug events among older adults in the ambulatory setting. March 29, 2010 Field T, Gilman BH, Subramanian S, et al. The costs associated with adverse drug events among older adults in the ambulatory setting. Med Care. 2005;43(12):1171-1176. https://psnet.ahrq.gov/issue/costs-associ…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46683/psn-pdf
    February 14, 2018 - Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. February 14, 2018 Gray AM, Fenn P, Rickman N, et al. Changing experience of adverse medical events in the National Health Service: Comparison of two population surveys in 2001 and 20…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42833/psn-pdf
    January 08, 2014 - Effects of a team-based assessment and intervention on patient safety culture in general practice: an open randomised controlled trial. January 8, 2014 Hoffmann B, Müller V, Rochon J, et al. Effects of a team-based assessment and intervention on patient safety culture in general practice: an open randomised contro…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44120/psn-pdf
    November 06, 2015 - Designing highly reliable adverse-event detection systems to predict subsequent claims. November 6, 2015 Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm.21167. https://psnet.ahrq.gov/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41954/psn-pdf
    November 26, 2014 - Decoding laboratory test names: a major challenge to appropriate patient care. November 26, 2014 Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8. https://psnet.ahrq.gov/issue…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74182/psn-pdf
    December 15, 2021 - Honesty and transparency, indispensable to the clinical mission--Parts I-III. December 15, 2021 Brenner MJ, Boothman RC, Rushton CH, et al. Honesty and Transparency, Indispensable to the Clinical Mission—Parts I - III. Otolaryngol Clin North Am. 2021;55(1):43-103. doi:10.1016/j.otc.2021.07.016. https://psnet.ahrq.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844794/psn-pdf
    January 01, 2020 - Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. September 18, 2019 Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of the CoxHealth Brain Over-Radiation Case. Health Comm. 202…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74091/psn-pdf
    November 17, 2021 - Patients went into the hospital for care. After testing positive there for Covid, some never came out. November 17, 2021 Jewett C. Kaiser Health News. November 4, 2021. https://psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never- came-out Nosocomial infection is a primar…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72477/psn-pdf
    January 01, 2021 - Inpatient patient safety events in vulnerable populations: a retrospective cohort study. November 18, 2020 Schulson LB, Novack V, Folcarelli PH, et al. Inpatient patient safety events in vulnerable populations: a retrospective cohort study. BMJ Qual Saf. 2021;30(5):372-379. doi:10.1136/bmjqs-2020-011920. https://p…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837598/psn-pdf
    June 29, 2022 - Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. June 29, 2022 Sanchez C, Taylor M, Jones RM. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. Patient Safety. 2022;4(2):70-79. doi:10.3…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43387/psn-pdf
    August 20, 2014 - The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. August 20, 2014 D'Amour D, Dubois C-A, Tchouaket E, et al. The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. Int J Nurs…