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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35855/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO: HealthGrades; 2006. https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals- study This third annual report on the safety of hospitalized Medicare patien…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867087/psn-pdf
    January 01, 2025 - The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. November 6, 2024 Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechanisms as second victims. Am J Obs…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44743/psn-pdf
    December 22, 2017 - Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. December 22, 2017 van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observ…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854818/psn-pdf
    October 25, 2023 - The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. October 25, 2023 van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical laboratory testing process lea…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42933/psn-pdf
    July 03, 2014 - Critical events during land-based interfacility transport. July 3, 2014 Singh JM, MacDonald RD, Ahghari M. Critical events during land-based interfacility transport. Ann Emerg Med. 2014;64(1):9-15.e2. doi:10.1016/j.annemergmed.2013.12.009. https://psnet.ahrq.gov/issue/critical-events-during-land-based-interfacility…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864368/psn-pdf
    March 13, 2024 - Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015. March 13, 2024 Holmes L, Enwere M, Mason R, et al. Medical misadventures as errors and mistakes and motor veh…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41963/psn-pdf
    February 01, 2013 - National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. February 1, 2013 Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported medication errors between the IC…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836854/psn-pdf
    April 06, 2022 - Medication discrepancy rates and sources upon nursing home intake: a prospective study. April 6, 2022 Patterson ME, Bollinger S, Coleman C, et al. Medication discrepancy rates and sources upon nursing home intake: a prospective study. Res Social Adm Pharm. 2022;18(5):2830-2836. doi:10.1016/j.sapharm.2021.06.013. …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60642/psn-pdf
    July 01, 2020 - Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. July 1, 2020 Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid- Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414. doi:10.7326/m19-3805. https://psn…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865336/psn-pdf
    March 27, 2024 - Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022. March 27, 2024 Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion?related errors and associated adverse reactions and blood product …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41876/psn-pdf
    December 04, 2016 - Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. December 4, 2016 Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866908/psn-pdf
    October 09, 2024 - Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. October 9, 2024 Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.33940/001c.117084. https://psnet…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36975/psn-pdf
    March 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. …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38692/psn-pdf
    March 04, 2015 - Errare humanum est: frequency of laterality errors in radiology reports. March 4, 2015 Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. https://psnet.ahrq.gov/issue/errare-humanum-est-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39543/psn-pdf
    May 19, 2010 - Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. May 19, 2010 Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0026. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41925/psn-pdf
    November 26, 2014 - Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. November 26, 2014 Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. J Gen Intern Med. 2012;2…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35611/psn-pdf
    June 23, 2010 - Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. June 23, 2010 Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and d…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38205/psn-pdf
    November 12, 2008 - Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. November 12, 2008 Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatri…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39729/psn-pdf
    September 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…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47529/psn-pdf
    January 21, 2019 - Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. January 21, 2019 Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medica…
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