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  1. psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events
    December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…
  2. psnet.ahrq.gov/issue/increasing-rate-detection-wrong-patient-radiographs-use-photographs-obtained-time-radiography
    June 13, 2015 - Study Increasing rate of detection of wrong-patient radiographs: use of photographs obtained at time of radiography. Citation Text: Tridandapani S, Ramamurthy S, Galgano SJ, et al. Increasing Rate of Detection of Wrong-Patient Radiographs: Use of Photographs Obtained at Time of Radiograp…
  3. psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their
    July 31, 2008 - Study How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. Citation Text: Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to the quality and …
  4. psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients
    March 16, 2016 - Study Root cause analyses of suicides of mental health clients. Citation Text: Gillies D, Chicop D, O'Halloran P. Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level Prevention Strategies. Crisis. 2015;36(5):316-324. doi:10.1027/02…
  5. psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
    March 11, 2013 - Study A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. Citation Text: Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…
  6. psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
    December 20, 2017 - Study Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Citation Text: Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Scand J …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35729/psn-pdf
    May 08, 2018 - Pump up the volume—tips for increasing error reporting. May 8, 2018 ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4. https://psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting This article presents best practices in six areas that can influence the success of incident repor…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34006/psn-pdf
    August 15, 2018 - PULSE Center for Patient Safety Education & Advocacy. August 15, 2018 Wantagh, NY 11793-0353. 516-579-4711; Info@Pulsecpsea.org. https://psnet.ahrq.gov/issue/pulse-center-patient-safety-education-advocacy PULSE is a nonprofit grassroots organization and support group that works at the community level in sever…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35662/psn-pdf
    June 25, 2010 - Debriefing after critical incidents for anaesthetic trainees. June 25, 2010 Tan H. Debriefing after critical incidents for anaesthetic trainees. Anaesth Intensive Care. 2005;33(6):768- 72. https://psnet.ahrq.gov/issue/debriefing-after-critical-incidents-anaesthetic-trainees The author surveyed Australian anesthesi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35100/psn-pdf
    November 04, 2015 - Patient Safety Improvement Corps: An AHRQ/VA partnership. November 4, 2015 AHRQ; Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/patient-safety-improvement-corps-ahrqva-partnership The Agency for Healthcare Research and Quality announces the 2007–2008 Patient Safety Improvement Corps (PSI…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40389/psn-pdf
    July 31, 2012 - Getting Your Best Health Care: Real-World Stories for Patient Empowerment. July 31, 2012 Farbstein K. Rockville, MD: Access Intelligence, LLC; 2011. ISBN: 9781885461452. https://psnet.ahrq.gov/issue/getting-your-best-health-care-real-world-stories-patient-empowerment This book explores patient-centered care and pr…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36193/psn-pdf
    September 30, 2010 - The Ethics of Using QI Methods to Improve Health Care Quality and Safety. September 30, 2010 Baily MA, Bottrell M, Lynn J, Jennings J. Hastings Center Report; 2006(July-August): S2-S40. https://psnet.ahrq.gov/issue/ethics-using-qi-methods-improve-health-care-quality-and-safety The participants in this AHRQ–funded …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37128/psn-pdf
    February 24, 2011 - Development and implementation of an oral sign-out skills curriculum. February 24, 2011 Horwitz LI, Moin T, Green M. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med. 2007;22(10):1470-4. https://psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculu…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36352/psn-pdf
    April 14, 2011 - Patient expectations of fair complaint handling in hospitals: empirical data. April 14, 2011 Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC Health Serv Res. 2006;6:106. https://psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empir…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39737/psn-pdf
    November 30, 2016 - Physician's Guide to Patient Safety Organizations. November 30, 2016 Chicago, IL: American Medical Association; 2009. https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations This guide reviews the Patient Safety Quality and Improvement Act of 2005 and aims to further physician knowledge of and p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41933/psn-pdf
    February 19, 2013 - Overarching goals: a strategy for improving healthcare quality and safety? February 19, 2013 Nanji KC, Ferris T, Torchiana DF, et al. Overarching goals: a strategy for improving healthcare quality and safety? BMJ Qual Saf. 2013;22(3):187-93. doi:10.1136/bmjqs-2012-001082. https://psnet.ahrq.gov/issue/overarching-g…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38439/psn-pdf
    December 23, 2012 - Legality of technicians' involvement in medication reconciliation not clear. December 23, 2012 Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 2009;66…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38972/psn-pdf
    January 31, 2019 - From tragedy to advocacy. January 31, 2019 DerGurahian J. From tragedy to advocacy. Modern healthc. 2009;39(36):6-7, 12, 1. https://psnet.ahrq.gov/issue/tragedy-advocacy This article highlights stories of family members who have become influential patient safety advocates following tragic medical errors. Among tho…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35020/psn-pdf
    June 22, 2009 - Surgical skill is predicted by the ability to detect errors. June 22, 2009 Bann S, Khan M, Datta V, et al. Surgical skill is predicted by the ability to detect errors. Am J Surg. 2005;189(4):412-5. https://psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors The investigators observed surgeons parti…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38537/psn-pdf
    November 15, 2017 - Engaging as partners in patient safety: the experience of librarians. November 15, 2017 Zipperer L, Sykes J. Patient Saf Qual Healthc. March/April 2009;6:28-30,32-33.  https://psnet.ahrq.gov/issue/engaging-partners-patient-safety-experience-librarians This survey explores the varied roles that medical librarians p…

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