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4601. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36927/psn-pdf
      April 14, 2011 - The frequency of missed test results and associated treatment delays in a highly computerized health system. April 14, 2011 Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32. https://psnet.ahrq.gov/issue/frequenc…

4602. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40072/psn-pdf
      April 04, 2011 - Perceptions of hospital safety climate and incidence of readmission. April 4, 2011 Hansen LO, Williams M, Singer SJ. Perceptions of hospital safety climate and incidence of readmission. Health Serv Res. 2011;46(2):596-616. doi:10.1111/j.1475-6773.2010.01204.x. https://psnet.ahrq.gov/issue/perceptions-hospital-safe…

4603. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60204/psn-pdf
      April 08, 2020 - Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of Coronavirus Disease 2019 (COVID ?19) in Hubei, China. April 8, 2020 Cai H, Tu B, Ma J, et al. Psychological impact and coping strategies of frontline medical staff in Hunan between …

4604. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40453/psn-pdf
      May 18, 2011 - A 60-year-old man with delayed care for a renal mass. May 18, 2011 Schiff G. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011;305(18):1890- 8. doi:10.1001/jama.2011.496. https://psnet.ahrq.gov/issue/60-year-old-man-delayed-care-renal-mass Clinical Crossroads is a popular series in th…

4605. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60212/psn-pdf
      January 29, 2021 - Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 January 29, 2021 La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland: International Society for Quality in Health Care; 2021. https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epide…

4606. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38760/psn-pdf
      July 08, 2009 - Nurses' perceptions of safety culture in long-term care settings. July 8, 2009 Wagner LM, Capezuti E, Rice JC. Nurses' perceptions of safety culture in long-term care settings. J Nurs Scholarsh. 2009;41(2):184-192. doi:10.1111/j.1547-5069.2009.01270.x. https://psnet.ahrq.gov/issue/nurses-perceptions-safety-culture…

4607. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48083/psn-pdf
      August 07, 2019 - Missed diagnosis of cancer in primary care: insights from malpractice claims data. August 7, 2019 Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385. https://psnet.ahrq.gov/issue/mis…

4608. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45471/psn-pdf
      September 21, 2016 - Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. September 21, 2016 Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morb Mortal Wkly Rep. 2016;65(33):864-869…

4609. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39336/psn-pdf
      March 21, 2017 - Does teamwork improve performance in the operating room? A multilevel evaluation. March 21, 2017 Weaver SJ, Rosen MA, DiazGranados D, et al. Does teamwork improve performance in the operating room? A multilevel evaluation. Jt Comm J Qual Patient Saf. 2010;36(3):133-42. https://psnet.ahrq.gov/issue/does-teamwork-im…

4610. In Conversation With... Barbara Drew, RN, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
      May 01, 2016 - Managing clinical alarms: using data to drive change. Nurs Manage. 2013;44:8-12.

4611. In Conversation With... José A, Morfín, MD, FASN | PSNet
      psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
      April 28, 2021 - Hall, MD, MS Managing Director, IMPAQ Health IMPAQ International  Columbia, MD   Kate R.

4612. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49832/psn-pdf
      June 01, 2018 - Febrile Neutropenia and an Almost Fatal Medication Error June 1, 2018 Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error The Case A 33-year-old woman with recently diagnosed acute …

4613. Failure to Rescue the Mother | PSNet
      psnet.ahrq.gov/web-mm/failure-rescue-mother
      September 23, 2020 - Failure to Rescue the Mother Citation Text: Vivero A, Klapper EB, Gregory KD, et al. Failure to Rescue the Mother. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote…

4614. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-469
      December 31, 2024 - January 8, 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, reports…

4615. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39797/psn-pdf
      September 20, 2011 - Liability claims and costs before and after implementation of a medical error disclosure program. September 20, 2011 Kachalia A, Kaufman SR, Boothman RC, et al. Liability claims and costs before and after implementation of a medical error disclosure program. Ann Intern Med. 2010;153(4):213-21. doi:10.7326/0003-4819…

4616. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39139/psn-pdf
      June 02, 2010 - Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. June 2, 2010 Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc. https://psnet.ahrq.gov/issue/assessing-res…

4617. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39372/psn-pdf
      September 20, 2011 - Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? September 20, 2011 Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Am J Med. 2010;123(3):238-44. doi:10.1016/j.am…

4618. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38120/psn-pdf
      June 16, 2011 - Organizational culture, team climate and diabetes care in small office-based practices. June 16, 2011 Bosch M, Dijkstra R, Wensing M, et al. Organizational culture, team climate and diabetes care in small office-based practices. BMC Health Serv Res. 2008;8:180. doi:10.1186/1472-6963-8-180. https://psnet.ahrq.gov/i…

4619. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41555/psn-pdf
      January 03, 2017 - Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities. January 3, 2017 Castle NG, Wagner LM, Sonon K, et al. Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities. Jt Comm J Qual Patient Saf. 2…

4620. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39986/psn-pdf
      November 10, 2010 - Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review. November 10, 2010 Fischer SH, Tjia J, Field T. Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a…