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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39405/psn-pdf
    March 31, 2010 - ED overcrowding is associated with an increased frequency of medication errors. March 31, 2010 Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. https://psnet.ahrq.gov/issue/ed-ov…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39193/psn-pdf
    April 21, 2011 - Disclosing harmful mammography errors to patients. April 21, 2011 Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. https://psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients Disclosing errors to pati…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34714/psn-pdf
    February 18, 2011 - Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. February 18, 2011 Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to Negligence. New England Journal of Medicine. 2010;325(4). doi:10.1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60523/psn-pdf
    May 27, 2020 - "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. May 27, 2020 Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. AJOB Empir …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42474/psn-pdf
    September 19, 2015 - A new, evidence-based estimate of patient harms associated with hospital care. September 19, 2015 James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36150/psn-pdf
    September 29, 2010 - Nurse-physician communication during labor and birth: implications for patient safety. September 29, 2010 Simpson KR, James DC, Knox E. Nurse-physician communication during labor and birth: implications for patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(4):547-56. https://psnet.ahrq.gov/issue/nurse-physic…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41858/psn-pdf
    November 21, 2012 - Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. November 21, 2012 Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 2012;177(1):43-8. doi:10.1016/j.jss.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72774/psn-pdf
    February 24, 2021 - Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross- sectional observational study. February 24, 2021 de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug events causing hospitalisation…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849329/psn-pdf
    May 24, 2023 - Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. May 24, 2023 Hyvämäki P, Sneck S, Meriläinen M, et al. Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42123/psn-pdf
    June 18, 2013 - On higher ground: ethical reasoning and its relationship with error disclosure. June 18, 2013 Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure. BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496. https://psnet.ahrq.gov/issue/higher-ground-ethical-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35935/psn-pdf
    June 16, 2011 - Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. June 16, 2011 Makary MA, Sexton B, Freischlag JA, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg. 2006;202(5):746-52. https://psnet.ahrq.gov/issue/operating-roo…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837311/psn-pdf
    June 01, 2022 - Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study. June 1, 2022 Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840484/psn-pdf
    November 30, 2022 - Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial. November 30, 2022 Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and primary care to improve medication …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866554/psn-pdf
    August 21, 2024 - Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. August 21, 2024 Marsteller JA, Rosen MA, Wyskiel R, et al. Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. Jt Comm J Qual Patient Saf. 2024;50(10):737-744. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42047/psn-pdf
    March 18, 2013 - Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. March 18, 2013 Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-2012-001537. https://psnet.ahrq.gov…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38673/psn-pdf
    April 30, 2014 - New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture. April 30, 2014 Leape L. New world of patient safety: 23rd Annual Samuel Jason Mixter lecture. Arch Surg. 2009;144(5):394-8. doi:10.1001/archsurg.2009.78. https://psnet.ahrq.gov/issue/new-world-patient-safety-23rd-annual-samuel-jason-mixter-lectu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37271/psn-pdf
    December 19, 2011 - Is hospital patient care becoming safer? A conversation with Lucian Leape. December 19, 2011 Leape L. Is hospital patient care becoming safer? A conversation with Lucian Leape. Interview by Peter I. Buerhaus. Health Aff (Millwood). 2007;26(6):w687-96. https://psnet.ahrq.gov/issue/hospital-patient-care-becoming-saf…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46010/psn-pdf
    July 12, 2017 - Changing the medical malpractice system to align with what we know about patient safety and quality improvement. July 12, 2017 Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-894. doi:10.1097/ACM.0000000000001733. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42113/psn-pdf
    March 20, 2013 - Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. March 20, 2013 Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-4819-158-5-201303051-00008. https:/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47322/psn-pdf
    September 12, 2018 - Crossing the Global Quality Chasm: Improving Health Care Worldwide. September 12, 2018 Committee on Improving the Quality of Health Care Globally. National Academies of Sciences, Engineering, and Medicine. Washington DC: National Academies Press; August 2018. ISBN: 9780309483087. https://psnet.ahrq.gov/issue/cros…

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