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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842416/psn-pdf
    January 11, 2023 - A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. January 11, 2023 Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48056/psn-pdf
    June 15, 2019 - Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety. June 15, 2019 Heavey E, Waring J, De Brún A, et al. Patients' Conceptualizations of Responsibility for Healthcare: A Typology for Understanding Differing Attributions…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764402/psn-pdf
    March 02, 2022 - A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. March 2, 2022 Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. J Patient Saf. 2021;17(8):e1234-e12…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72843/psn-pdf
    March 17, 2021 - COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric OUTCOMEREA network. March 17, 2021 Buetti N, Ruckly S, de Montmollin E, et al. COVID-19 increased the risk of ICU-acquired bloodstream infections: a case–cohort study from the multicentric OUTCOMEREA netwo…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44164/psn-pdf
    November 03, 2015 - Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. November 3, 2015 Sage WM, Jablonski JS, Thomas EJ. Use of Nondisclosure Agreements in Medical Malpractice Settlements by a Large Academic Health Care System. JAMA Intern Med. 2015;175(7):1130-1135. doi:10.100…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38570/psn-pdf
    April 22, 2009 - Factors influencing incident reporting in surgical care. April 22, 2009 Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534. https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-sur…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50775/psn-pdf
    January 01, 2021 - Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? January 8, 2020 Scott J, Dawson P, Heavey E, et al. Content analysis of patient safety incident reports for older adult patient transfers, handovers, an…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38047/psn-pdf
    January 31, 2011 - Single-patient rooms for safe patient-centered hospitals. January 31, 2011 Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8). doi:10.1001/jama.300.8.954. https://psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals Providing patient-centered care continues …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842764/psn-pdf
    January 18, 2023 - Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. January 18, 2023 Barrett AK, Sandbrink F, Mardian A, et al. Medication use evaluation of high-dose long-term opioid de- prescribing in multiple Veterans Affairs medical centers. J Gen Intern Med. 20…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42669/psn-pdf
    September 27, 2017 - Patient-reported missed nursing care correlated with adverse events. September 27, 2017 Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J Med Qual. 2014;29(5):415-22. doi:10.1177/1062860613501715. https://psnet.ahrq.gov/issue/patient-reported-missed-nursing-car…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44494/psn-pdf
    June 21, 2016 - Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial. June 21, 2016 Murphy DR, Wu L, Thomas EJ, et al. Electronic Trigger-Based Intervention to Reduce Delays in Diagnostic Evaluation for Cancer: A Cluster Randomized Controlled Trial. J Cl…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865309/psn-pdf
    May 29, 2024 - A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024 Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post- Tracheostomy Care. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33833/psn-pdf
    May 01, 2017 - In Conversation With… David Juurlink, MD, PhD May 1, 2017 In Conversation With… David Juurlink, MD, PhD. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd Editor's note: Dr. Juurlink is professor of medicine, pediatrics, and health policy at the University of Toronto, w…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49717/psn-pdf
    September 01, 2014 - A Lot of Pain (Medications) September 1, 2014 Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/lot-pain-medications Case Objectives Appreciate the challenges of managing acute pain in hospitalized patients on chronic opioids. Describe the importance of understanding th…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33783/psn-pdf
    April 01, 2015 - In Conversation With… Lucian Leape, MD April 1, 2015 In Conversation With… Lucian Leape, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-lucian-leape-md Editor's note: Dr. Lucian Leape is Adjunct Professor of Health Policy at the Harvard School of Public Health, Chairman of the Lucian …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33566/psn-pdf
    September 15, 2024 - Teamwork Training September 15, 2024 Teamwork Training. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/teamwork-training PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33795/psn-pdf
    November 01, 2015 - Introducing the Redesigned AHRQ Patient Safety Network November 1, 2015 Wachter R. Introducing the Redesigned AHRQ Patient Safety Network . PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network Editorial It's hard to believe that it has been 15 years since th…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33572/psn-pdf
    December 15, 2024 - Checklists December 15, 2024 Checklists. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/checklists PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Background …
  19. psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
    January 01, 2024 - Benign paroxysmal positional vertigo: a practical approach for emergency physicians.
  20. psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
    December 01, 2010 - In Conversation with...Geri Amori, PhD December 1, 2010  Also Read an Essay Citation Text: In Conversation with..Geri Amori, PhD. PSNet [internet]. 2010.In Conversation with...Geri Amori, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…

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