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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73857/psn-pdf
    September 22, 2021 - A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. September 22, 2021 Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi:10.1097/pts.0000000000000406.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47242/psn-pdf
    January 01, 2021 - "It matters what I think, not what you say": scientific evidence for a medical error disclosure competence (MEDC) model. October 10, 2018 Hannawa AF, Frankel RM. "It Matters What I Think, Not What You Say": Scientific Evidence for a Medical Error Disclosure Competence (MEDC) Model. J Patient Saf. 2021;17(8):e1130-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836826/psn-pdf
    March 30, 2022 - Pediatric trainee perspectives on the decision to disclose medical errors. March 30, 2022 Lin M, Horwitz LI, Gross RS, et al. Pediatric trainee perspectives on the decision to disclose medical errors. J Patient Saf. 2022;18(2):e470-e476. doi:10.1097/pts.0000000000000848. https://psnet.ahrq.gov/issue/pediatric-trai…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39090/psn-pdf
    November 11, 2009 - Nurse reports of adverse events during sedation procedures at a pediatric hospital. November 11, 2009 Lightdale JR, Mahoney LB, Fredette ME, et al. Nurse reports of adverse events during sedation procedures at a pediatric hospital. J Perianesth Nurs. 2009;24(5):300-6. doi:10.1016/j.jopan.2009.07.004. https://psnet…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72603/psn-pdf
    December 23, 2020 - Telemedicine as a medical examination tool during the Covid-19 emergency: the experience of the onco- haematology center of Tor Vergata Hospital in Rome. December 23, 2020 Postorino M, Treglia M, Giammatteo J, et al. Telemedicine as a medical examination tool during the Covid- 19 emergency: the experience of the o…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72577/psn-pdf
    December 16, 2020 - Identifying trigger concepts to screen emergency department visits for diagnostic errors. December 16, 2020 Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/dx-2020-0122. https://psnet.ahr…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60601/psn-pdf
    June 17, 2020 - Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. June 17, 2020 Zhang LM, Ellis RJ, Ma M, et al. Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. JAMA. 2020;323(20):2093-2095. doi:10.1001/jama.2020.2901. https://psnet.ahrq.gov/i…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60598/psn-pdf
    June 17, 2020 - Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. June 17, 2020 Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. BMJ Qual…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840140/psn-pdf
    January 01, 2023 - Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022 Starmer AJ, Spector ND, O'Toole JK, et al. Implementation of the I?PASS handoff program in diverse clinical environments: a multicenter prospective effectiv…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36229/psn-pdf
    October 19, 2010 - Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? October 19, 2010 Soleimani F. Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? N Z Med J. 2006;119(1239):U2099. https://psnet.ahrq.gov/issue/learning-mistakes-new-zealand-hospitals-wha…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34981/psn-pdf
    July 14, 2010 - Child-specific risk factors and patient safety. July 14, 2010 Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22. https://psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety To discover factors that may contribute to a child’s risk for error during hospitalization, this study iden…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43078/psn-pdf
    June 03, 2014 - The value of autopsies in the era of high-tech medicine: discrepant findings persist. June 3, 2014 Kuijpers CCHJ, Fronczek J, van de Goot FRW, et al. The value of autopsies in the era of high-tech medicine: discrepant findings persist. J Clin Pathol. 2014;67(6):512-9. doi:10.1136/jclinpath-2013-202122. https://psn…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37156/psn-pdf
    October 06, 2011 - Preventable harm occurring to critically ill children. October 6, 2011 Larsen G, Donaldson AE, Parker HB, et al. Preventable harm occurring to critically ill children. Pediatr Crit Care Med. 2007;8(4):331-336. https://psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children This retrospective cohort…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61064/psn-pdf
    October 28, 2020 - Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. October 28, 2020 Gleason KT, Peterson SM, Dennison Himmelfarb CR, et al. Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. Diagnosis (Berl). 2021;8(2):1…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841141/psn-pdf
    December 07, 2022 - Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. December 7, 2022 Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and n…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73663/psn-pdf
    September 01, 2021 - Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults. September 1, 2021 Pinheiro LC, Reshetnyak E, Safford MM, et al. Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study o…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61092/psn-pdf
    November 04, 2020 - Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. November 4, 2020 Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. Am Psychol. 2020;75(6):784-795. doi:…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60276/psn-pdf
    April 29, 2020 - Body of evidence: do autopsy findings impact medical malpractice claim outcomes? April 29, 2020 Gartland RM, Myers LC, Iorgulescu JB, et al. Body of evidence: do autopsy findings impact medical malpractice claim outcomes? J Patient Saf. 2020;17(8):576-582. doi:10.1097/pts.0000000000000686. https://psnet.ahrq.gov/i…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846446/psn-pdf
    March 22, 2023 - The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study. March 22, 2023 Moraes SM, Ferrari TCA, Beleigoli A. The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test stud…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73684/psn-pdf
    September 08, 2021 - Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. September 8, 2021 Keister LA, Stecher C, Aronson B, et al. Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. BMC Public H…

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