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  1. psnet.ahrq.gov/issue/safercare-texas
    November 26, 2018 - Multi-use Website SaferCare Texas Citation Text: SaferCare Texas UNT Health Science Center; University of North Texas Health Science Center; UNTHSC. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  2. psnet.ahrq.gov/issue/anesthesia-awareness-registry
    May 24, 2015 - Multi-use Website Anesthesia Awareness Registry. Citation Text: Anesthesia Awareness Registry. American Society of Anesthesiologists, University of Washington. Copy Citation Save Save to your library Print Download PDF Share Facebook Tw…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40916/psn-pdf
    August 01, 2016 - Disclosure of medical errors involving gametes and embryos. August 1, 2016 Ethics Committee of the American Society for Reproductive Medicine. Fertil Steril. 2016;106:59-63. https://psnet.ahrq.gov/issue/disclosure-medical-errors-involving-gametes-and-embryos This publication advocates for open disclosure of errors…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40468/psn-pdf
    May 26, 2011 - Hospitals overhaul ERs to reduce mistakes. May 26, 2011 Landro L. https://psnet.ahrq.gov/issue/hospitals-overhaul-ers-reduce-mistakes This newspaper article reports on efforts to reduce errors in emergency medicine, including improving physician–nurse communication, adopting timeouts before discharge, and using tr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49397/psn-pdf
    May 01, 2003 - The Dropped Lung May 1, 2003 Heffner JR. The Dropped Lung. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/dropped-lung The Case A 79-year-old woman was admitted for hypoxia and shortness of breath. Two weeks prior she had been hospitalized for dyspnea and was found to have multiple bilateral pulmonary nodu…
  6. psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
    July 01, 2012 - "Superficial" Report Leads to "Deep" Problem Citation Text: Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndN…
  7. psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
    September 01, 2014 - In Conversation With… Rosemary Gibson, MSc September 1, 2014  Also Read an Essay Citation Text: In Conversation With… Rosemary Gibson, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
  8. psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
    October 31, 2023 - SPOTLIGHT CASE A Loss of Trust and a Missed Diagnosis Citation Text: Landefeld J, Teasdale S, Jain S. A Loss of Trust and a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format:…
  9. psnet.ahrq.gov/perspective/overuse-patient-safety-problem
    September 01, 2014 - Overuse as a Patient Safety Problem Christopher Moriates, MD | September 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. Rockville (MD): Agency for Heal…
  10. psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
    September 28, 2022 - A narrow view of patient safety is if you, for example, give the wrong medicines to someone and they … If you just saw that in a clinic setting, often providers would say, oh, you're not adhering to medicines
  11. psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
    August 01, 2010 - Operationalizing Patient Safety at Academic Medical Centers Chayan Chakraborti, MD; Marc J. Kahn, MD; N. Kevin Krane, MD | August 1, 2010  Also Read a Conversation View more articles from the same authors. Citation Text: Chakraborti C, Kahn MJ, Krane K. Operatio…
  12. psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
    September 28, 2010 - Study A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. Citation Text: Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of …
  13. psnet.ahrq.gov/issue/top-patient-safety-strategies-can-be-encouraged-adoption-now
    September 20, 2011 - Commentary The top patient safety strategies that can be encouraged for adoption now. Citation Text: Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-…
  14. psnet.ahrq.gov/issue/implementing-medication-reconciliation-outpatient-pediatrics
    September 23, 2020 - Study Implementing medication reconciliation in outpatient pediatrics. Citation Text: Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/impact-simulation-based-closed-loop-communication-training-medical-errors-pediatric-emergency
    July 22, 2020 - Study Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department. Citation Text: Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department. Am J Med Qual…
  16. psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit
    August 03, 2022 - Study Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). Citation Text: Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary c…
  17. psnet.ahrq.gov/issue/assessing-controlled-substance-prescribing-errors-pediatric-teaching-hospital-analysis-safety
    August 02, 2010 - Study Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. Citation Text: Lee BH, Lehmann CU, Jackson E, et al. Assessing controlled substance prescr…
  18. psnet.ahrq.gov/issue/consensus-statement-effective-communication-urgent-diagnoses-and-significant-unexpected
    November 16, 2022 - Organizational Policy/Guidelines Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. Cit…
  19. psnet.ahrq.gov/issue/hacking-teamwork-health-care-addressing-adverse-effects-ad-hoc-team-composition-critical-care
    October 11, 2023 - Study Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. Citation Text: McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing adverse effects of ad hoc team composition in critical care …
  20. psnet.ahrq.gov/issue/adverse-medication-events-related-hospitalization-united-states-comparison-between-adults
    February 02, 2022 - Study Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without. Citation Text: Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the Unite…

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