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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42719/psn-pdf
    December 18, 2014 - Talking with patients about other clinicians' errors. December 18, 2014 Gallagher TH, Mello MM, Levinson W, et al. Talking with patients about other clinicians' errors. N Engl J Med. 2013;369(18):1752-7. doi:10.1056/NEJMsb1303119. https://psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors Physicia…

  2. Lewis, Thomas | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/lewis-thomas
    January 01, 2023 - Lewis, Thomas Metro DC Health Information Exchange (MeDHIX) - Final Report Citation Lewis L. Metro DC Health Information Exchange (MeDHIX) - Final Report. (Prepared by Primary Care Coalition of Montgomery County under Grant No. UC1 HS016130). Rockville, MD: Agency for Healthc…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47935/psn-pdf
    April 17, 2019 - Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. April 17, 2019 Johnston BE, Lou-Meda R, Mendez S, et al. Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. BMJ Glob Health. 2019;4(1). doi:10.1136/bmjgh-201…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48044/psn-pdf
    June 12, 2019 - What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. June 12, 2019 Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS? Lessons from aviation to improve patient safety. Br J Oral Maxillofac Surg. 2019;57(5):407-411. doi:10.10…

  5. Participating in the 2024 CAHPS® Home- and Community-Based Services Survey Database: What You Need to Know | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/news-and-events/events/webinar-070925.html
    August 01, 2025 - Participating in the 2024 CAHPS® Home- and Community-Based Services Survey Database: What You Need to Know July 9, 2025 Contents Summary Speakers Slides and Recording Summary In this webcast speakers reviewed the information about participating in the 2024 CAHPS Home and Community-Based Services (HCBS CAHPS)…

  6. What is the Network of Patient Safety Databases? | Agency for Healthcare Research and Quality

    www.ahrq.gov/npsd/what-is-npsd/index.html
    May 01, 2023 - What is the Network of Patient Safety Databases? The U.S. Department of Health & Human Services was directed in the Patient Safety and Quality Improvement Act of 2005 (PDF, 191 KB) to create and maintain a Network of Patient Safety Databases (NPSD) to provide an interactive, evidence-based management resource…

  7. 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…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40390/psn-pdf
    February 03, 2015 - The $17.1 billion problem: the annual cost of measurable medical errors. February 3, 2015 Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hlthaff.2011.0084. https://psnet.ahrq.gov/issue/171-billion-problem…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866588/psn-pdf
    August 28, 2024 - The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. August 28, 2024 Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60051/psn-pdf
    March 18, 2020 - Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. March 18, 2020 Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily s…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44761/psn-pdf
    January 06, 2016 - Two fatal cases of accidental intrathecal vincristine administration: learning from death events. January 6, 2016 Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemotherapy (Los Angel). 2016;61(2):108-110. d…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36768/psn-pdf
    July 14, 2010 - Hospital leadership and quality improvement: rhetoric versus reality. July 14, 2010 Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e3180311256. https://psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-r…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47382/psn-pdf
    August 29, 2018 - Parenteral opioid shortage—treating pain during the opioid-overdose epidemic. August 29, 2018 Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med. 2018;379(7):601-603. doi:10.1056/NEJMp1807117. https://psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38243/psn-pdf
    November 26, 2008 - Impact of preoperative briefings on operating room delays. November 26, 2008 Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068. https://psnet.ahrq.gov/issue/impact-preoperative-br…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848363/psn-pdf
    May 03, 2023 - Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. May 3, 2023 Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. Ann Surg. 2023;…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74757/psn-pdf
    February 09, 2022 - Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. February 9, 2022 Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.1001/jamanetworkopen.2021.44531. …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41313/psn-pdf
    January 18, 2017 - Apology for errors: whose responsibility? January 18, 2017 Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12. https://psnet.ahrq.gov/issue/apology-errors-whose-responsibility Although victims of adverse events have clearly expressed their preferences for full error disclos…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47806/psn-pdf
    January 01, 2021 - Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. February 27, 2019 Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health Care Delivery Research: An Ongoing …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73628/psn-pdf
    August 25, 2021 - Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in 142 simulated prehospital pediatric patient encounters. August 25, 2021 Hoyle JD, Ekblad G, Woodwyk A, et al. Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in 1…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35620/psn-pdf
    February 03, 2011 - Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes. February 3, 2011 Alexander KP, Chen AY, Roe MT, et al. Excess dosing of antiplatelet and antithrombin agents in the treatment of non-ST-segment elevation acute coronary syndromes. JAMA. 2005…
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