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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46873/psn-pdf
    June 27, 2018 - Diagnostic errors and the bedside clinical examination. June 27, 2018 Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007. https://psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination Diag…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867685/psn-pdf
    March 05, 2025 - Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. March 5, 2025 Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operative vaginal birth through multidis…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73571/psn-pdf
    August 04, 2021 - "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. August 4, 2021 Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of a central fetal monitoring system…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858172/psn-pdf
    January 01, 2024 - Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010–2023. December 13, 2023 McGowan JE, Attal B, Kuhn I, et al. Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010–2023. BMJ Qual …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866808/psn-pdf
    September 25, 2024 - What is safety leadership? A systematic review of definitions. September 25, 2024 Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. https://psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-defini…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44741/psn-pdf
    January 20, 2016 - System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. January 20, 2016 Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45928/psn-pdf
    April 24, 2018 - Comparing VA and Non-VA quality of care: a systematic review. April 24, 2018 O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2. https://psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-syst…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45851/psn-pdf
    February 22, 2017 - Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. February 22, 2017 Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus aureus health care-associated i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867388/psn-pdf
    December 18, 2024 - Secure messaging use and wrong-patient ordering errors among inpatient clinicians. December 18, 2024 Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47797. https://psnet.ahrq.gov/is…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47608/psn-pdf
    March 20, 2019 - Use of a public health law framework to improve medication safety by anesthesia providers. March 20, 2019 Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/2516043518825383. https://psnet.ahrq.gov/issue/us…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35670/psn-pdf
    June 28, 2010 - Quality improvement implementation and hospital performance on patient safety indicators. June 28, 2010 Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance on patient safety indicators. Med Care Res Rev. 2006;63(1):29-57. https://psnet.ahrq.gov/issue/quality-improv…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43085/psn-pdf
    March 26, 2014 - A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India. March 26, 2014 Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, E…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45021/psn-pdf
    April 06, 2016 - Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. April 6, 2016 Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629. https://psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-t…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866563/psn-pdf
    August 21, 2024 - Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. August 21, 2024 Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2024;44(1):17-23. doi:10.1002/jhrm…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47993/psn-pdf
    May 15, 2019 - Using near-miss events to improve MRI safety in a large academic centre. May 15, 2019 Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593. https://psnet.ahrq.gov/issue/using-near-miss-events-imp…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865338/psn-pdf
    March 27, 2024 - Analysis of intervention employability in pharmacy- related medication safety reports at a tertiary medical center. March 27, 2024 Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. Hosp Pharm. 2024;59(2):210-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865518/psn-pdf
    April 10, 2024 - Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. April 10, 2024 Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program- restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hpeds.2023-007548. https://psnet.ahr…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50866/psn-pdf
    February 05, 2020 - Effectiveness of acute care remote triage systems: a systematic review. February 5, 2020 Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4. https://psnet.ahrq.gov/issue/effectiveness-…
  19. psnet.ahrq.gov/information
    September 01, 2015 - About AHRQ Patient Safety Network (PSNet) is a national web-based resource featuring the latest news and essential resources on patient safety. The site offers weekly updates of patient safety literature, news, tools, and meetings ("Current Issue"), and a vast set of carefully annotated links to important research an…
  20. psnet.ahrq.gov/issue/top-10-drug-errors-and-how-prevent-them
    April 15, 2015 - Meeting/Conference Proceedings The "top 10" drug errors and how to prevent them. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 6, 2007 View more articles from the same authors. The aut…

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