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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72757/psn-pdf
    February 17, 2021 - Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. February 17, 2021 Zhou Y, Walter FM, Singh H, et al. Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and k…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47368/psn-pdf
    September 12, 2018 - Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. September 12, 2018 Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for Healthcare Teams to Improve Safety Culture. Int J Environ Res Public Health. 20…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73449/psn-pdf
    June 30, 2021 - Adverse events and emergency department opioid prescriptions in adolescents. June 30, 2021 Worsham CM, Woo J, Jena AB, et al. Adverse events and emergency department opioid prescriptions in adolescents. Health Aff (Millwood). 2021;40(6):970-978. doi:10.1377/hlthaff.2020.01762. https://psnet.ahrq.gov/issue/adverse-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851971/psn-pdf
    July 31, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up July 31, 2023 Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/failure-adhere-dietary-restricti…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73202/psn-pdf
    April 28, 2021 - A Postpartum Woman with an Erroneous SARS-CoV-2 Test April 28, 2021 Martin SA, Kanjilal S, Schiff G. A Postpartum Woman with an Erroneous SARS-CoV-2 Test. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test The Case A full-term pregnant patient was admitted in March 2…
  6. psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
    April 24, 2024 - Health Aff (Millwood). 2022;41(2):265-272. doi:10.1377/hlthaff.2021.01400 5 ANA Enterprise Leads National
  7. psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
    April 24, 2024 - Health Aff (Millwood). 2022;41(2):265-272. doi:10.1377/hlthaff.2021.01400 5 ANA Enterprise Leads National
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60611/psn-pdf
    June 24, 2020 - Thrombosis involving either the arterial or venous circulation is the principal pathologic event that leads
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49848/psn-pdf
    January 01, 2019 - Inadequate Preanesthetic Evaluation, Airway Trouble November 1, 2018 Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble The Case Case #1: A 34-year-old woman was scheduled for a hysteroscopy under g…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49806/psn-pdf
    September 01, 2017 - Failed Interpretation of Screening Tool: Delayed Treatment September 1, 2017 Cable CA, Murphy DJ, Martin GS. Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment The Case An 88-year-old man present…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49787/psn-pdf
    March 01, 2017 - Diagnosing a Missed Diagnosis March 1, 2017 Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis The Case A 57-year old woman was admitted to the hospital with cough, slurred speech, confusion, and disorientation. She was taking mod…
  12. psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
    June 01, 2016 - A Seasonal Care Transition Failure Citation Text: Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
  13. psnet.ahrq.gov/periodic-issue/periodic-issue-470
    December 31, 2024 - January 15, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…
  14. psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
    September 01, 2012 - Add-on Case and the Missing Checklist Citation Text: Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…
  15. psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
    June 07, 2023 - Breathe Easy: Safe Tracheostomy Management Citation Text: Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar Bib…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865660/psn-pdf
    April 24, 2024 - Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. April 24, 2024 Forbes J, Arrieta A. Comparing hospital leadership and front-line workers’ perceptions of patient safety culture: an unbalanced panel study. BMJ Lead. 2024;8(8):335-339. doi:10.113…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47007/psn-pdf
    May 02, 2018 - Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. May 2, 2018 Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of the Human Factors Engineering Literature. Hum Factors. 2018;60(3):281-292. doi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38865/psn-pdf
    April 04, 2011 - Afraid in the hospital: parental concern for errors during a child's hospitalization. April 4, 2011 Tarini BA, Lozano P, Christakis DA. Afraid in the hospital: parental concern for errors during a child's hospitalization. J Hosp Med. 2009;41(9):521-527. doi:10.1002/jhm.508. https://psnet.ahrq.gov/issue/afraid-hosp…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39358/psn-pdf
    October 13, 2010 - Hospital safety climate and safety outcomes: is there a relationship in the VA? October 13, 2010 Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703. https://psnet.ahrq.gov/issue/hospi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836926/psn-pdf
    April 13, 2022 - Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end- user survey. April 13, 2022 Van De Sijpe G, Quintens C, Walgraeve K, et al. Overall performance of a drug–drug interaction clinical decision support system: quantitative evaluation and end-user survey.…

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