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41. Epidemiology of malpractice lawsuits in paediatrics. | PSNet
    psnet.ahrq.gov/issue/epidemiology-malpractice-lawsuits-paediatrics
    June 16, 2021 - This review identified potential high-risk sources of medical errors in pediatrics, including diagnostic … April 24, 2018 A retrospective audit of postoperative days alive and out of hospital, including

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35398/psn-pdf
    February 24, 2011 - Residency work-hours reform: a cost analysis including preventable adverse events. … A cost analysis including preventable adverse events. J Gen Intern Med. 2005;20(10):873-8. … https://psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis-including-preventable-adverse- … https://psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis-including-preventable-adverse-events … https://psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis-including-preventable-adverse-events

43. Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. | PSNet
    psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
    June 13, 2015 - The authors advocate for including photographs with portable radiographs to prevent patient mislabeling … Related Resources From the Same Author(s) A multiobserver study of the effects of including

44. Safe practice environment chapter proposed by USP. | PSNet
    psnet.ahrq.gov/issue/safe-practice-environment-chapter-proposed-usp
    May 02, 2018 - This article discusses work space factors that can affect safe medication delivery, including lighting … June 10, 2018 Benefits and risks of including patients on RCA teams.

45. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38811/psn-pdf
    July 22, 2009 - Council recommendation on patient safety, including the prevention and control of healthcare associated … https://psnet.ahrq.gov/issue/council-recommendation-patient-safety-including-prevention-and-control- … https://psnet.ahrq.gov/issue/council-recommendation-patient-safety-including-prevention-and-control-healthcare-associated … https://psnet.ahrq.gov/issue/council-recommendation-patient-safety-including-prevention-and-control-healthcare-associated

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46573/psn-pdf
    November 07, 2018 - Effects of a multimodal program including simulation on job strain among nurses working in intensive … Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Working in Intensive … https://psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses- … https://psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive … https://psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40268/psn-pdf
    November 14, 2011 - Medicaid program; payment adjustment for provider- preventable conditions including health care–acquired … https://psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-conditions- including-health-care … https://psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-conditions-including-health-care … https://psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-conditions-including-health-care

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40499/psn-pdf
    June 01, 2011 - Patient-assisted incident reporting: including the patient in patient safety. … Patient-assisted incident reporting: including the patient in patient safety. … https://psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety This … https://psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety https

49. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35734/psn-pdf
    May 04, 2015 - Benzocaine sprays marketed under different names, including Hurricaine, Topex, and Cetacaine. … https://psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine- … https://psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine-topex-and-cetacaine … https://psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine-topex-and-cetacaine

50. Operational failures in general practice: a consensus-building study on the priorities for improvement. | PSNet
    psnet.ahrq.gov/issue/operational-failures-general-practice-consensus-building-study-priorities-improvement
    February 07, 2024 - This study, including general practitioners and patients in the UK National Health Service (NHS), used … Participants identified several areas for improvement, including missing test results and inaccuracies

51. Medicare's policy not to pay for treating hospital-acquired conditions: the impact. | PSNet
    psnet.ahrq.gov/issue/medicares-policy-not-pay-treating-hospital-acquired-conditions-impact
    December 04, 2024 - Centers for Medicare and Medicaid Services (CMS) eliminated reimbursement for some preventable errors, including … The authors suggest several methods for strengthening the policy, including denying payments for readmissions

52. unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study. | PSNet
    psnet.ahrq.gov/issue/understanding-causes-medication-errors-and-adverse-drug-events-patients-mental-illness
    July 17, 2024 - Medication errors and adverse drug events (ADE) are common in community settings including primary care … patient populations (e.g., workforce shortages) but some were also unique to this patient group, including

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41254/psn-pdf
    April 11, 2012 - The Daily Plan: including patients for safety's sake. … The Daily Plan®: Including patients for safety's sake. … https://psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake This study reports on an intervention … https://psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake https://psnet.ahrq.gov/primer

54. Adaptation and implementation of the WHO Safe Childbirth Checklist around the world. | PSNet
    psnet.ahrq.gov/issue/adaptation-and-implementation-who-safe-childbirth-checklist-around-world
    March 17, 2021 - Checklists are widely used to improve patient safety, including reductions in catheter-related bloodstream … February 15, 2023 A retrospective audit of postoperative days alive and out of hospital, including

55. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. | PSNet
    psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit
    October 05, 2022 - This prospective cohort, including infants discharged from one level 4 NICU between February 2017 and … July 2019, identified a high risk for post-discharge adverse events, (including procedural complications

56. Exploring the impact of employee engagement and patient safety. | PSNet
    psnet.ahrq.gov/issue/exploring-impact-employee-engagement-and-patient-safety
    July 27, 2022 - This literature review including 15 studies found a positive correlation between engagement and perceptions … November 16, 2022 Bundle interventions including nontechnical skills for surgeons can

57. Healthcare professionals experience of psychological safety, voice, and silence. | PSNet
    psnet.ahrq.gov/issue/healthcare-professionals-experience-psychological-safety-voice-and-silence
    March 18, 2020 - influencing psychological safety and individual- and team-level inhibiting and motivating dynamics, including … Several intervention components to encourage psychological safety are reviewed, including inclusive behaviors

58. The effect of clinical experience on the error rate of emergency physicians. | PSNet
    psnet.ahrq.gov/issue/effect-clinical-experience-error-rate-emergency-physicians
    November 16, 2022 - Physician performance , including evaluation of diagnostic errors , is often examined by conducting … The authors argue for better methods for evaluating ongoing physician performance, including continuing

59. Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. | PSNet
    psnet.ahrq.gov/issue/effects-night-surgery-postoperative-mortality-and-morbidity-multicentre-cohort-study
    July 19, 2019 - This retrospective cohort study including over 350,000 adult patients undergoing non-cardiac surgery … The effect was mediated by potentially preventable factors, including higher blood transfusion rates

60. Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. | PSNet
    psnet.ahrq.gov/issue/clinicians-use-health-information-exchange-technologies-medication-reconciliation-us
    August 04, 2021 - The 63 participating clinicians shared facilitators encouraging HIE use, including familiarity with the … They also identified several barriers to HIE use, including information overload and lack of integration