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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45085/psn-pdf
    May 04, 2016 - A piece of my mind. The patient you least want to see. May 4, 2016 Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2. doi:10.1001/jama.2016.0221. https://psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see Providing insights from a physician regarding the complexit…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47952/psn-pdf
    January 01, 2020 - Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. May 15, 2019 Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60050/psn-pdf
    March 18, 2020 - Zero harm in health care. March 18, 2020 Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2). doi:10.1056/cat.19.1137. https://psnet.ahrq.gov/issue/zero-harm-health-care Health systems are encouraged to strive for zero preventable harm, but achieving this goal require…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72597/psn-pdf
    January 01, 2021 - Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey December 23, 2020 Finney RE, Torbenson VE, Riggan KA, et al. Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey. J Nurs Manag. 202…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837428/psn-pdf
    June 15, 2022 - A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. June 15, 2022 Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. J Patient Saf. 2022;18(4):358-364. doi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60816/psn-pdf
    August 19, 2020 - Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses. August 19, 2020 Cho H, Pavek K, Steege LM. Workplace verbal abuse, nurse?reported quality of care and patient safety outcomes among early?career hospital nurses. J Nurs Manag. 2020;28(6):1250-125…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74245/psn-pdf
    January 14, 2024 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: User Database Report. January 14, 2024 Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2023. AHRQ Publication no. 23(24)-0095. https://psnet.ahrq.gov/issue/surveys-patient-safety-culture…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36700/psn-pdf
    July 20, 2011 - Adverse drug events resulting from patient errors in older adults. July 20, 2011 Field TS, Mazor KM, Briesacher BA, et al. Adverse Drug Events Resulting from Patient Errors in Older Adults. J Am Geriatr Soc. 2007;55(2):271-276. doi:10.1111/j.1532-5415.2007.01047.x. https://psnet.ahrq.gov/issue/adverse-drug-events-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39856/psn-pdf
    December 21, 2014 - Patient perceptions of mistakes in ambulatory care. December 21, 2014 Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. https://psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care Pat…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865814/psn-pdf
    May 08, 2024 - Effects of fatigue on anaesthetist well-being and patient safety: a narrative review. May 8, 2024 Ippolito M, Einav S, Giarratano A, et al. Effects of fatigue on anaesthetist well-being and patient safety: a narrative review. Br J Anaesth. 2024;133(1):111-117. doi:10.1016/j.bja.2024.03.017. https://psnet.ahrq.gov/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46365/psn-pdf
    September 06, 2017 - Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students. September 6, 2017 Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve Safer Patient Care: An Interprofess…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34916/psn-pdf
    March 09, 2009 - Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. March 9, 2009 Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective st…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866960/psn-pdf
    October 16, 2024 - The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. October 16, 2024 Sanders AA, Roberts JD, McDowell MC, et al. The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. Soc Work Public Health. 2024;39(7):721-733. doi:10.1080/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860387/psn-pdf
    January 10, 2024 - An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practice. January 10, 2024 Doolin JW, Schaffer AC, Tishler RB, et al. An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practic…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44150/psn-pdf
    August 21, 2015 - Reflection on adverse event disclosure in the postsurgical hospital context. August 21, 2015 Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016. https://psnet.ahrq.gov/issue/reflection…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837665/psn-pdf
    July 13, 2022 - Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. July 13, 2022 Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. Health Care Manage Rev.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73464/psn-pdf
    July 07, 2021 - Errors in breast imaging: how to reduce errors and promote a safety environment. July 7, 2021 Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118. https://psnet.ahrq.gov/issue/errors-breast-im…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852271/psn-pdf
    August 09, 2023 - Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. August 9, 2023 Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes Manag. 2023;30(3):67-70. doi:10.12788/j…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848042/psn-pdf
    April 26, 2023 - Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. April 26, 2023 Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. JAMA Netw Open. 2023;6(4):e237621. doi:10.1001/jamanetworkopen.2023.7621…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40940/psn-pdf
    December 31, 2011 - New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. December 31, 2011 Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. Health Aff (Millwood). 20…

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