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7461. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43380/psn-pdf
      December 03, 2014 - Diagnostic error in children presenting with acute medical illness to a community hospital. December 3, 2014 Warrick C, Patel P, Hyer W, et al. Diagnostic error in children presenting with acute medical illness to a community hospital. Int J Qual Health Care. 2014;26(5):538-46. doi:10.1093/intqhc/mzu066. https://p…

7462. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46385/psn-pdf
      October 23, 2018 - The key to reducing doctors' misdiagnoses. October 23, 2018 Landro L. Wall Street Journal. September 12, 2017. https://psnet.ahrq.gov/issue/key-reducing-doctors-misdiagnoses Misdiagnosis has gained recognition as an important patient safety problem. This newspaper article reports on several areas of research and i…

7463. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40098/psn-pdf
      December 18, 2014 - Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. December 18, 2014 Ligi I, Millet V, Sartor C, et al. Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. Pediatrics. 2010;126(6):e1461-8. doi:10.1542/peds.2009-2872…

7464. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866359/psn-pdf
      June 01, 2022 - Diagnostic Safety Toolkit. June 1, 2022 Diagnostic Safety Toolkit. https://psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0 Effective communication is critical as patients shift from one level of care to another as their diagnosis evolves. This toolkit is designed to help academic medical centers initiate conversa…

7465. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44605/psn-pdf
      November 04, 2015 - Implementation of safety checklists in surgery: a realist synthesis of evidence. November 4, 2015 Gillespie BM, Marshall AP. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implement Sci. 2015;10:137. doi:10.1186/s13012-015-0319-9. https://psnet.ahrq.gov/issue/implementation-safety…

7466. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34753/psn-pdf
      March 28, 2005 - Report on the Medical Insurance Feasibility Study. March 28, 2005 Mills DH. San Francisco, CA: California Medical Association; 1977. https://psnet.ahrq.gov/issue/report-medical-insurance-feasibility-study Escalating professional liability costs prompted this study on the nature of adverse outcomes related to medic…

7467. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34071/psn-pdf
      February 18, 2011 - A middle ground on public accountability. February 18, 2011 Lee TH, Meyer GS, Brennan TA. A middle ground on public accountability. N Engl J Med. 2004;350(23):2409-2412. https://psnet.ahrq.gov/issue/middle-ground-public-accountability This commentary discusses the complex interplay between payers, purchasers, pati…

7468. Advancing Healthcare Debriefing Quality Patient Safety Organization | PSO
      pso.ahrq.gov/pso/advancing-healthcare-debriefing-quality-patient-safety-organization
      April 03, 2025 - SHARE: More topics in this section Return to Search Advancing Healthcare Debriefing Quality Patient Safety Organization PSO Number: P0275 Components of Parent Org(s): StatDebrief,…

7469. Advocate Health Patient Safety Organization | PSO
      pso.ahrq.gov/pso/advocate-health-patient-safety-organization
      August 25, 2010 - SHARE: More topics in this section Return to Search Advocate Health Patient Safety Organization PSO Number: P0097 Components of Parent Org(s): Charlotte-Mecklenburg Hospital Autho…

7470. American Data Network PSO | PSO
      pso.ahrq.gov/pso/american-data-network-pso
      February 25, 2009 - SHARE: More topics in this section Return to Search American Data Network PSO PSO Number: P0051 Components of Parent Org(s): American Data Network Effective Date and Tim…

7471. American Osteopathic Association PSO | PSO
      pso.ahrq.gov/pso/american-osteopathic-association-pso
      March 16, 2022 - SHARE: More topics in this section Return to Search American Osteopathic Association PSO PSO Number: P0236 Components of Parent Org(s): American Osteopathic Association …

7472. Anesthesia Patient Safety Organization (ANPSO) | PSO
      pso.ahrq.gov/pso/anesthesia-patient-safety-organization-anpso
      June 24, 2021 - SHARE: More topics in this section Return to Search Anesthesia Patient Safety Organization (ANPSO) PSO Number: P0232 Components of Parent Org(s): Main Street Anesthesia Consulting…

7473. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60885/psn-pdf
      September 02, 2020 - Becoming a High Reliability Organization. September 2, 2020 VHA Forum. Summer 2020;1-12. https://psnet.ahrq.gov/issue/becoming-high-reliability-organization High reliability attainment is a stated goal for health care organizations. This special issue covers established initiatives at the United States Veterans He…

7474. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60284/psn-pdf
      April 29, 2020 - Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. April 29, 2020 Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20- 248. https://psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them Maternal harm is a sentinel e…

7475. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44977/psn-pdf
      March 01, 2020 - Choosing a Patient Safety Organization March 1, 2020 Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0030. https://psnet.ahrq.gov/issue/choosing-patient-safety-organization Patient safety organizations (PSOs) collect and analyze protected incident data from across the …

7476. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44016/psn-pdf
      November 21, 2016 - Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors. November 21, 2016 Chicago, IL: Health Research & Educational Trust; 2015. https://psnet.ahrq.gov/issue/partnering-improve-quality-and-safety-framework-working-patient-and-family- advisors Patient and family advisor…

7477. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35181/psn-pdf
      June 23, 2009 - Communication during trauma resuscitation: do we know what is happening? June 23, 2009 Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…

7478. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39487/psn-pdf
      April 28, 2010 - Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). April 28, 2010 Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. 2010;81(4):446-52. doi:10.1016/j.…

7479. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37596/psn-pdf
      May 01, 2016 - Patient Safety Organization (PSO) Program. May 1, 2016 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program In order to encourage "voluntary, provider-driven initiatives to improve the safety and quality of patient care," the Agency for Healthcare Research…

7480. Carolinas Rehabilitation - Patient Safety Organization | PSO
      pso.ahrq.gov/pso/carolinas-rehabilitation-patient-safety-organization
      July 28, 2010 - SHARE: More topics in this section Return to Search Carolinas Rehabilitation - Patient Safety Organization PSO Number: P0094 Components of Parent Org(s): Charlotte-Mecklenburg Hos…