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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74063/psn-pdf
    April 10, 2019 - Structural racism--a 60-year-old black woman with breast cancer. April 10, 2019 Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J Med. 2019;380(16):1489-1493. doi:10.1056/nejmp1811499. https://psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-bre…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35572/psn-pdf
    February 03, 2011 - The long road to patient safety: a status report on patient safety systems. February 3, 2011 Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42789/psn-pdf
    December 04, 2013 - Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. December 4, 2013 Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. J Patient Saf. 2013…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39670/psn-pdf
    July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. July 7, 2010 Washington DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care The landmark Institute of Medicine (IOM) report, To Err Is Human,…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39405/psn-pdf
    March 31, 2010 - ED overcrowding is associated with an increased frequency of medication errors. March 31, 2010 Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. https://psnet.ahrq.gov/issue/ed-ov…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850162/psn-pdf
    June 07, 2023 - Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. June 7, 2023 Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechn…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42474/psn-pdf
    September 19, 2015 - A new, evidence-based estimate of patient harms associated with hospital care. September 19, 2015 James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46547/psn-pdf
    April 16, 2018 - Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. April 16, 2018 Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42178/psn-pdf
    April 10, 2013 - Outside case review of surgical pathology for referred patients: the impact on patient care. April 10, 2013 Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. doi:10.5858/arpa.2012-0088-OA. htt…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44904/psn-pdf
    June 01, 2016 - Does time pressure have a negative effect on diagnostic accuracy? June 1, 2016 ALQahtani DA, Rotgans JI, Mamede S, et al. Does Time Pressure Have a Negative Effect on Diagnostic Accuracy? Acad Med. 2016;91(5):710-716. doi:10.1097/ACM.0000000000001098. https://psnet.ahrq.gov/issue/does-time-pressure-have-negative-e…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43007/psn-pdf
    December 12, 2014 - 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. December 12, 2014 Rotteau L, Shojania KG, Webster F. ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient Safety Walkrounds: Table 1. B…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47704/psn-pdf
    April 03, 2019 - Changes in practice among physicians with malpractice claims. April 3, 2019 Studdert DM, Spittal MJ, Zhang Y, et al. Changes in Practice among Physicians with Malpractice Claims. N Engl J Med. 2019;380(13):1247-1255. doi:10.1056/NEJMsa1809981. https://psnet.ahrq.gov/issue/changes-practice-among-physicians-malpract…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36384/psn-pdf
    January 05, 2017 - Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. January 5, 2017 Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual Patient Saf. 2006;32(11):621-7. https://psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-re…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43258/psn-pdf
    May 01, 2015 - Interventions employed to improve intrahospital handover: a systematic review. May 1, 2015 Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309. https://psnet.ahrq.gov/issue/interventions-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60539/psn-pdf
    July 10, 2017 - Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. July 10, 2017 Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447. doi:1…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837311/psn-pdf
    June 01, 2022 - Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study. June 1, 2022 Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support a…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40129/psn-pdf
    January 12, 2011 - Medical error disclosure training: evidence for values- based ethical environments. January 12, 2011 Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments. Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3. https://psnet.ahrq.gov/issue/medical-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42710/psn-pdf
    December 29, 2014 - Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. December 29, 2014 Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764402/psn-pdf
    March 02, 2022 - A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. March 2, 2022 Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. J Patient Saf. 2021;17(8):e1234-e12…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73110/psn-pdf
    April 07, 2021 - Does one size fit all? Assessing the need for organizational second victim support programs. April 7, 2021 Edrees HH, Wu AW. Does one size fit all? Assessing the need for organizational second victim support programs. J Patient Saf. 2021;17(3):e247-e254. doi:10.1097/pts.0000000000000321. https://psnet.ahrq.gov/iss…

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