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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42031/psn-pdf
    February 06, 2013 - Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs. February 6, 2013 Ilgen JS, Humbert AJ, Kuhn G, et al. Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs. Acad Emerg Med. 2012;19(12):1454-61. doi:10.1111/acem.1203…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43282/psn-pdf
    April 25, 2016 - Understanding the effect of resident duty hour reform: a qualitative study. April 25, 2016 Pattani R, Wu PE, Dhalla IA. Resident duty hours in Canada: past, present and future. Can Med Assoc J. 2014;186(10). doi:10.1503/cmaj.131053. https://psnet.ahrq.gov/issue/understanding-effect-resident-duty-hour-reform-qualit…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38707/psn-pdf
    June 17, 2009 - Doctors' views of attitudes towards peer medical error. June 17, 2009 Asghari F, Fotouhi A, Jafarian A. Doctors' views of attitudes towards peer medical error. Qual Saf Health Care. 2009;18(3):209-12. doi:10.1136/qshc.2007.025015. https://psnet.ahrq.gov/issue/doctors-views-attitudes-towards-peer-medical-error The …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73660/psn-pdf
    September 01, 2021 - Hospital inpatient falls across clinical departments. September 1, 2021 Mikos M, Banas T, Czerw A, et al. Hospital inpatient falls across clinical departments. Int J Environ Res Public Health. 2021;18(15):8167. doi:10.3390/ijerph18158167. https://psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departm…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42485/psn-pdf
    August 14, 2013 - Impact of individual and team features of patient safety climate: a survey in family practices. August 14, 2013 Hoffmann B, Miessner C, Albay Z, et al. Impact of individual and team features of patient safety climate: a survey in family practices. Ann Fam Med. 2013;11(4):355-62. doi:10.1370/afm.1500. https://psnet…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837766/psn-pdf
    August 03, 2022 - Iatrogenesis in the context of residential dementia care: a concept analysis. August 3, 2022 Morris P, McCloskey R, Bulman D. Iatrogenesis in the context of residential dementia care: a concept analysis. Innov Aging. 2022;6(4):iagc028. doi:10.1093/geroni/igac028. https://psnet.ahrq.gov/issue/iatrogenesis-context-r…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40670/psn-pdf
    August 03, 2011 - ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. August 3, 2011 ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. ED management : the monthly update on emergency department management. 2011;23(7):78-80. https://psnet.ahrq.gov/issu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73477/psn-pdf
    July 07, 2021 - Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. July 7, 2021 Saks M, Landsman S. New York, NY: Oxford University Press; 2021.  ISBN: 9780190667986. https://psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm A weave of systemic factors c…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44546/psn-pdf
    December 14, 2016 - Diagnostic delays in paediatric stroke. December 14, 2016 Mallick AA, Ganesan V, Kirkham FJ, et al. Diagnostic delays in paediatric stroke. J Neurol Neurosurg Psychiatry. 2015;86(8):917-21. doi:10.1136/jnnp-2014-309188. https://psnet.ahrq.gov/issue/diagnostic-delays-paediatric-stroke Diagnostic error is a rapidly …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850936/psn-pdf
    June 29, 2023 - After Roe: Challenges in the Provision of Lifesaving Care. June 21, 2023 Washington DC; National Academies of Science, Engineering and Medicine: June 29, 2023. https://psnet.ahrq.gov/issue/after-roe-challenges-provision-lifesaving-care Delay in access to obstetric care hinders safe treatment for patients experienci…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838327/psn-pdf
    October 12, 2022 - Diagnoses Without Names: Challenges for Medical Care, Research, and Policy. October 12, 2022 Lockshin MD, Crow MK, Barbhaiya M, eds. Springer Nature: Cham, Switzerland; 2022.  ISBN 9783031049347.  https://psnet.ahrq.gov/issue/diagnoses-without-names-challenges-medical-care-research-and-policy Clinicians…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43813/psn-pdf
    January 20, 2015 - Adverse events in patients with return emergency department visits. January 20, 2015 Calder LA, Pozgay A, Riff S, et al. Adverse events in patients with return emergency department visits. BMJ Qual Saf. 2015;24(2):142-148. doi:10.1136/bmjqs-2014-003194. https://psnet.ahrq.gov/issue/adverse-events-patients-return-e…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33933/psn-pdf
    March 02, 2011 - Patient safety and medical malpractice: a case study. March 2, 2011 Brennan TA, Mello MM. Patient safety and medical malpractice: a case study. Ann Intern Med. 2003;139(4):267-73. https://psnet.ahrq.gov/issue/patient-safety-and-medical-malpractice-case-study This case study discusses the ongoing challenges in bala…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46059/psn-pdf
    July 11, 2017 - Pathologists' perspectives on disclosing harmful pathology error. July 11, 2017 Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. https://psnet.ahrq.gov/issue/pathologists-perspectives…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38125/psn-pdf
    January 11, 2017 - 2008 John M. Eisenberg Patient Safety and Quality Awards. January 11, 2017 Jt Comm J Qual Patient Saf. 2008;34(12):691-712. https://psnet.ahrq.gov/issue/2008-john-m-eisenberg-patient-safety-and-quality-awards The Eisenberg Award honors individuals and organizations who have made vital accomplishments in improving…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41421/psn-pdf
    November 26, 2014 - "Learning by Doing"—resident perspectives on developing competency in high-quality discharge care. November 26, 2014 Greysen R, Schiliro D, Curry LA, et al. "Learning by doing"--resident perspectives on developing competency in high-quality discharge care. J Gen Intern Med. 2012;27(9):1188-94. doi:10.1007/s11606- …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855104/psn-pdf
    November 08, 2023 - Healthcare wants to fly as high as the aviation industry. Can it? November 8, 2023 Twenter P. Becker's Clinical Leadership. October 30, 2023. https://psnet.ahrq.gov/issue/healthcare-wants-fly-high-aviation-industry-can-it Health care has long held commercial aviation as a beacon to guide patient safety improv…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34737/psn-pdf
    November 19, 2015 - First, Do No Harm Part 1: A Case Study of Systems Failure. November 19, 2015 Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000. https://psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure This video, produced by the Partnership for Patient Safety and the Harvard …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863003/psn-pdf
    February 21, 2024 - Positive Patient Identification. February 21, 2024 Healthcare Safety Investigation Branch (HSIB), Dorset, UK:  Health Services Safety Investigations Body; February 2024. https://psnet.ahrq.gov/issue/positive-patient-identification Patient misidentification can result in medication administration errors, …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46943/psn-pdf
    November 16, 2018 - A piece of my mind. The art of constructive worrying. November 16, 2018 John CC. The Art of Constructive Worrying. JAMA. 2018;319(22):2273-2274. doi:10.1001/jama.2018.6670. https://psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying Both organizational culture and individual accountability are key to admit…