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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836761/psn-pdf
    March 16, 2022 - Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. … Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. … https://psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit … https://psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance … https://psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73657/psn-pdf
    September 01, 2021 - Communication failures contributing to patient injury in anaesthesia malpractice claims. … Communication failures contributing to patient injury in anaesthesia malpractice claims. … https://psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice … https://psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims … https://psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38203/psn-pdf
    November 05, 2008 - Addressing prehospital patient safety using the science of injury prevention and control. … Addressing prehospital patient safety using the science of injury prevention and control. … https://psnet.ahrq.gov/issue/addressing-prehospital-patient-safety-using-science-injury-prevention-and … control This commentary discusses patient safety in emergency medical services (EMS) and illustrates how injury … https://psnet.ahrq.gov/issue/addressing-prehospital-patient-safety-using-science-injury-prevention-and-control
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35652/psn-pdf
    June 25, 2010 - No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and … No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and … https://psnet.ahrq.gov/issue/no-fault-compensation-new-zealand-harmonizing-injury-compensation- provider-accountability-and … The authors provide context for the genesis of New Zealand's no-fault process for patient injury compensation … https://psnet.ahrq.gov/issue/no-fault-compensation-new-zealand-harmonizing-injury-compensation-provider-accountability-and
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38589/psn-pdf
    May 04, 2010 - Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. … Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. … https://psnet.ahrq.gov/issue/framing-family-conversation-after-early-diagnosis-iatrogenic-injury-and- … cholecystectomies, surgical residents felt ill-trained to disclose both complications (common bile duct injury … https://psnet.ahrq.gov/issue/framing-family-conversation-after-early-diagnosis-iatrogenic-injury-and-incidental-findings
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39823/psn-pdf
    April 04, 2011 - Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's … Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's … https://psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study … including errors in judgment and failure of vigilance, were important and frequent causes of medical injury … https://psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36808/psn-pdf
    August 26, 2011 - Role of intraoperative cholangiography in avoiding bile duct injury. … Role of intraoperative cholangiography in avoiding bile duct injury. … https://psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury The authors … analyze existing evidence on using intraoperative cholangiography (IOC) to minimize patient injury … https://psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38398/psn-pdf
    February 11, 2009 - Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. … Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. … https://psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error … This review of the literature on bile duct injury during cholecystectomy focuses on cognitive errors … https://psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38532/psn-pdf
    January 13, 2017 - Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report … https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-panel-meeting … from an AHRQ conference about the development and implementation of clinical triggers and targeted injury … https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-panel-meeting-conference-summary … https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-panel-meeting-conference-summary
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36261/psn-pdf
    August 04, 2009 - Malpractice liability, patient safety, and the personification of medical injury: opportunities for … Malpractice liability, patient safety, and the personification of medical injury: opportunities for … https://psnet.ahrq.gov/issue/malpractice-liability-patient-safety-and-personification-medical-injury- … https://psnet.ahrq.gov/issue/malpractice-liability-patient-safety-and-personification-medical-injury-opportunities … https://psnet.ahrq.gov/issue/malpractice-liability-patient-safety-and-personification-medical-injury-opportunities
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44529/psn-pdf
    September 30, 2015 - Learning from no-fault treatment injury claims to improve the safety of older patients. … Learning from no-fault treatment injury claims to improve the safety of older patients. … https://psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients … This analysis found that adverse drug events were the most common cause of no-fault injury claims among … https://psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37086/psn-pdf
    October 03, 2011 - Failure mode and effects analysis: a useful tool for risk identification and injury prevention. … Failure mode and effects analysis: a useful tool for risk identification and injury prevention. … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46435/psn-pdf
    August 20, 2018 - Patients' experiences with communication-and-resolution programs after medical injury. … Patients' Experiences With Communication-and-Resolution Programs After Medical Injury. … https://psnet.ahrq.gov/issue/patients-experiences-communication-and-resolution-programs-after-medical- injury … https://psnet.ahrq.gov/issue/patients-experiences-communication-and-resolution-programs-after-medical-injury … https://psnet.ahrq.gov/issue/patients-experiences-communication-and-resolution-programs-after-medical-injury
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37015/psn-pdf
    September 15, 2011 - System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy … System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy … https://psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance- … https://psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic … https://psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40507/psn-pdf
    June 08, 2011 - From research to practice: factors affecting implementation of prospective targeted injury-detection … From research to practice: factors affecting implementation of prospective targeted injury-detection … https://psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury … https://psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection … https://psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41112/psn-pdf
    February 01, 2012 - Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety … Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety … https://psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing … https://psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident … https://psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40918/psn-pdf
    November 09, 2011 - VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action … https://psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care … - should-take This report reviews injury claim data to assess quality of care in the Veterans Affairs … https://psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take … https://psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37327/psn-pdf
    March 03, 2011 - Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury … Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury … psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis- strategies-prevent-injury … psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury … psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34721/psn-pdf
    November 19, 2015 - Preventing medical injury. November 19, 2015 Leape LL, Lawthers AG, Brennan TA, et al. … Preventing medical injury. … https://psnet.ahrq.gov/issue/preventing-medical-injury Reviewing cases of medical error in the Harvard … The authors conclude by proposing areas to target to reduce iatrogenic injury. … https://psnet.ahrq.gov/issue/preventing-medical-injury https://psnet.ahrq.gov//#adverseevent
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38099/psn-pdf
    October 01, 2008 - Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident … Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident … https://psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era- … https://psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era- … 80-hour-resident https://psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era

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