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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36577/psn-pdfJanuary 12, 2011 - Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. January 12, 2011 Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Obstet Gyneco… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36975/psn-pdfMarch 24, 2011 - Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? March 24, 2011 Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? Qual Saf Health Care. 2007;16(3):181-4. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38343/psn-pdfDecember 09, 2014 - Liability associated with obstetric anesthesia: a closed claims analysis. December 9, 2014 Davies JM, Posner KL, Lee LA, et al. Liability associated with obstetric anesthesia: a closed claims analysis. Anesthesiology. 2009;110(1):131-139. doi:10.1097/ALN.0b013e318190e16a. https://psnet.ahrq.gov/issue/liability-ass… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43694/psn-pdfNovember 17, 2015 - Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. November 17, 2015 McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. J Hosp Med. 2014;9(12):7… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46064/psn-pdfApril 19, 2017 - Prognosis of undiagnosed chest pain: linked electronic health record cohort study. April 19, 2017 Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194. https://psnet.ahrq.gov/issue/prognosis-undiagnosed-ch… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837193/psn-pdfMay 25, 2022 - Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. May 25, 2022 Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60934/psn-pdfSeptember 23, 2020 - Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. September 23, 2020 Auerbach AD, O'Leary KJ, Greysen SR, et al. Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. J Hosp Med. 2020;15(8):483-488. doi:10.12788/jhm.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37530/psn-pdfDecember 15, 2008 - Do medical inpatients who report poor service quality experience more adverse events and medical errors? December 15, 2008 Taylor BB, Marcantonio ER, Pagovich O, et al. Do medical inpatients who report poor service quality experience more adverse events and medical errors? Med Care. 2008;46(2):224-228. doi:10.1097… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44601/psn-pdfFebruary 23, 2018 - Emergency department visits for adverse events related to dietary supplements. February 23, 2018 Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267. https://psnet.ahrq.gov/issue/emergenc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845277/psn-pdfMarch 01, 2023 - Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. March 1, 2023 Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Emerg Med. 2022;30(3):187-195. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37873/psn-pdfJune 16, 2009 - Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. June 16, 2009 Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Ann Emerg Med. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42038/psn-pdfJune 03, 2013 - A systematic review of simulation for multidisciplinary team training in operating rooms. June 3, 2013 Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/SIH.0b013e31827e2f4c. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73140/psn-pdfApril 14, 2021 - Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. April 14, 2021 Gray BM, Vandergrift JL, McCoy RG, et al. Association between pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39729/psn-pdfSeptember 20, 2011 - Contextual errors and failures in individualizing patient care: a multicenter study. September 20, 2011 Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010;153(2):69-75. doi:10.7326/0003-4819-153-2-201007200-00002. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866104/psn-pdfJune 12, 2024 - When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. June 12, 2024 Beauvais B, Pradhan R, Ramamonjiarivelo Z, et al. When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. Risk Manag Healthc Policy. 2024;17:1361-13… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37499/psn-pdfJanuary 10, 2017 - Medicare's decision to withhold payment for hospital errors: the devil is in the details. January 10, 2017 Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23. https://psnet.ahrq.gov/issue/medicares-deci… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35572/psn-pdfFebruary 03, 2011 - The long road to patient safety: a status report on patient safety systems. February 3, 2011 Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42789/psn-pdfDecember 04, 2013 - Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. December 4, 2013 Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. J Patient Saf. 2013… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39670/psn-pdfJuly 07, 2010 - The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. July 7, 2010 Washington DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care The landmark Institute of Medicine (IOM) report, To Err Is Human,… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836808/psn-pdfMarch 30, 2022 - Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. March 30, 2022 Kukielka E, Jones R. Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. Patient Safety. 2022;…
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