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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50657/psn-pdf
    November 13, 2019 - Disclosure after adverse medical outcomes: a multidimensional challenge. November 13, 2019 O’Connell D. J Clin Outcomes Manag. 2019;26(5):213-218. https://psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge Disclosure of errors and adverse events is increasingly encouraged in …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39020/psn-pdf
    October 14, 2009 - A critical review of the systems approach within patient safety research. October 14, 2009 Waterson P. A critical review of the systems approach within patient safety research. Ergonomics. 2009;52(10):1185-1195. doi:10.1080/00140130903042782. https://psnet.ahrq.gov/issue/critical-review-systems-approach-within-pat…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35757/psn-pdf
    July 19, 2010 - Effects of working conditions on intravenous medication errors in a Japanese hospital. July 19, 2010 Seki Y, Yamazaki Y. Effects of working conditions on intravenous medication errors in a Japanese hospital. J Nurs Manag. 2006;14(2):128-39. https://psnet.ahrq.gov/issue/effects-working-conditions-intravenous-medica…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43437/psn-pdf
    August 13, 2014 - Diagnostic error: untapped potential for improving patient safety? August 13, 2014 Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag. 2014;34(1):38-43. doi:10.1002/jhrm.21149. https://psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-saf…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39183/psn-pdf
    January 06, 2010 - Patient safety on the otolaryngology service: the role of an established rapid response system. January 6, 2010 Oliver CL, Devita MA, Dunwoody CJ, et al. Patient safety on the otolaryngology service: the role of an established rapid response system. Quality and Safety in Health Care. 2009;18(6). doi:10.1136/qshc.2…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41834/psn-pdf
    November 14, 2012 - Implementing AORN recommended practices for transfer of patient care information. November 14, 2012 Seifert PC. Implementing AORN recommended practices for transfer of patient care information. AORN J. 2012;96(5):475-93. doi:10.1016/j.aorn.2012.08.011. https://psnet.ahrq.gov/issue/implementing-aorn-recommended-pra…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36810/psn-pdf
    November 19, 2014 - A Systems Approach to Quality Improvement in Long- Term Care: Safe Medication Practices Workbook. November 19, 2014 Massachusetts Coalition for the Prevention of Medical Errors, MassPRO, Massachusetts Extended Care Foundation. Boston, MA: Commonwealth of Massachusetts; 2008. https://psnet.ahrq.gov/issue/systems-ap…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44720/psn-pdf
    December 16, 2015 - The persistent problem of diagnostic error. December 16, 2015 Lundberg GD. Medscape. December 1, 2015. https://psnet.ahrq.gov/issue/persistent-problem-diagnostic-error Spotlighting the author's experience with autopsies to provide context regarding diagnostic errors as a patient safety problem, this commentary out…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45624/psn-pdf
    November 02, 2016 - Addressing the Opioid Crisis in the United States. November 2, 2016 Martin L, Laderman M, Hyatt J, Krueger J. Cambridge, MA: Institute for Healthcare Improvement; April 2016. https://psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states Misuse of opioid medications is currently a serious patient safety conce…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846769/psn-pdf
    March 29, 2023 - Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. March 29, 2023 Jimenez S, Crossen S. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue The C…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49482/psn-pdf
    May 01, 2005 - Pregnant With Danger May 1, 2005 Pearlman MD, Desmond JS. Pregnant With Danger. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/pregnant-danger The Case A 35-year-old woman, 38 weeks pregnant, presented to the emergency department (ED) in the middle of the night complaining of left leg pain. She also had so…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73302/psn-pdf
    May 26, 2021 - In Conversation With... Chris Cebollero, BS, CCEMT-P May 26, 2021 In Conversation With.. Chris Cebollero, BS, CCEMT-P. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p Editor’s Note: Chris Cebollero, BS, CCEMT-P, is the President and CEO of Cebollero & Associates C…
  13. psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
    December 14, 2022 - Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax Citation Text: Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867475/psn-pdf
    February 26, 2025 - From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient February 26, 2025 Markham K, Usui M, Smith C. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient. PSNet [internet]. 2025. https://psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overd…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49402/psn-pdf
    June 01, 2003 - Inappropriate Antibiotic Use June 1, 2003 Babcock HM, Fraser VJ. Inappropriate Antibiotic Use. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use The Case A 41-year-old woman presented to the hospital with acute renal failure, which came to be diagnosed as a first presentation of s…
  16. psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
    February 26, 2025 - In Conversation With... James P. Bagian, MD, PE December 1, 2016  Citation Text: In Conversation With.. James P. Bagian, MD, PE. PSNet [internet]. 2016.In Conversation With... James P. Bagian, MD, PE. PSNet [internet]. Rockville (MD): Agency for Healthcare Research a…
  17. psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
    December 15, 2024 - Deprescribing as a Patient Safety Strategy Citation Text: Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855057/psn-pdf
    October 31, 2023 - Addressing Workplace Violence and Creating a Safer Workplace October 31, 2023 Jones CB, Sousane Z, Mossburg S. Addressing Workplace Violence and Creating a Safer Workplace. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace While violence in the w…
  19. psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
    November 25, 2020 - Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation Citation Text: Flynn S, Barnes DK. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39965/psn-pdf
    May 25, 2011 - Attitudes toward safety and teamwork in a maternity unit with embedded team training. May 25, 2011 Siassakos D, Fox R, Hunt L, et al. Attitudes toward safety and teamwork in a maternity unit with embedded team training. Am J Med Qual. 2011;26(2):132-7. doi:10.1177/1062860610373379. https://psnet.ahrq.gov/issue/att…

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