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9301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45221/psn-pdf
      July 18, 2016 - When less is better, but physicians are afraid not to intervene. July 18, 2016 Esserman L. When Less Is Better, but Physicians Are Afraid Not to Intervene. JAMA Intern Med. 2016;176(7):888-9. doi:10.1001/jamainternmed.2016.2257. https://psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene Bia…

9302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45525/psn-pdf
      November 18, 2016 - In support of the medical apology: the nonlegal arguments. November 18, 2016 Heaton HA, Campbell RL, Thompson KM, et al. In Support of the Medical Apology: The Nonlegal Arguments. J Emerg Med. 2016;51(5):605-609. doi:10.1016/j.jemermed.2016.06.048. https://psnet.ahrq.gov/issue/support-medical-apology-nonlegal-argu…

9303. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50705/psn-pdf
      January 01, 2020 - Closing the loop with ambulatory staff on safety reports. December 4, 2019 Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009. https://psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-repor…

9304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837077/psn-pdf
      May 11, 2022 - At US hospitals, a drug mix-up is just a few keystrokes away. May 11, 2022 Kelman B. Kaiser Health News. April 29, 2022. https://psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away Technological solutions harbor unique risks that can result in patient harm. This article shares a response to report…

9305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43321/psn-pdf
      August 02, 2015 - Costs associated with surgical site infections in Veterans Affairs hospitals. August 2, 2015 Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. https://psnet.ahrq.gov/issue/costs…

9306. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44227/psn-pdf
      November 19, 2018 - A scholarly pathway in quality improvement and patient safety. November 19, 2018 Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772. https://psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety…

9307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34648/psn-pdf
      April 21, 2015 - Gaps in the continuity of care and progress on patient safety. April 21, 2015 Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4. https://psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety This commentary discusses the concept o…

9308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44863/psn-pdf
      July 01, 2016 - Rating the raters: the inconsistent quality of health care performance measurement. July 1, 2016 Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.0000000000001631. https://psnet.ahrq.gov/is…

9309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40195/psn-pdf
      February 02, 2011 - Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... February 2, 2011 Berlin L. Mock trial at 2009 RSNA annual meeting: Jury exonerates radiologist for failure to communicate abnormal finding--but.. Radiology. 2010;257(3):836-45. doi:10.1148/radiol.…

9310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39042/psn-pdf
      July 13, 2010 - Global oximetry: an international anaesthesia quality improvement project. July 13, 2010 Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x. https://psnet.ahrq.gov/issue/global-oxim…

9311. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38942/psn-pdf
      November 25, 2009 - Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward. November 25, 2009 Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. Using in situ simulation to identify and resolve latent environmental threats to patient safety: case …

9312. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/839828/psn-pdf
      October 14, 2016 - STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. October 14, 2016 Cohen JF, Korevaar DA, Altman DG, et al. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. BMJ Open. 2016;6(11):e012799. doi:10.1136/bmjopen-2016-012799. https:…

9313. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46451/psn-pdf
      September 27, 2017 - Health Care Facility Design Safety Risk Assessment Toolkit. September 27, 2017 Rockville, MD: Agency for Healthcare Research and Quality; 2017. https://psnet.ahrq.gov/issue/health-care-facility-design-safety-risk-assessment-toolkit Both organizational culture and the physical environment affect the safety of care …

9314. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35619/psn-pdf
      June 24, 2010 - Studying patient safety in health care organizations: accentuate the qualitative. June 24, 2010 Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organ…

9315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35501/psn-pdf
      June 15, 2011 - Ethical issues in patient safety. June 15, 2011 Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501. https://psnet.ahrq.gov/issue/ethical-issues-patient-safety This commentary, written by patient safety expert Lucian Leape, begins with a retrospective view on the birth of patient safety…

9316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44540/psn-pdf
      September 30, 2015 - The bare minimum: the reality of global anaesthesia and patient safety. September 30, 2015 McQueen K, Coonan T, Ottaway A, et al. The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety. World J Surg. 2015;39(9):2153-60. doi:10.1007/s00268-015-3101-x. https://psnet.ahrq.gov/issue/bare-minimum-realit…

9317. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37732/psn-pdf
      May 30, 2008 - Oncology care setting design and planning part I: concepts for the oncology nurse that improve patient safety. May 30, 2008 Sheridan-Leos N. Oncology care setting design and planning part I: Concepts for the oncology nurse that improve patient safety. Clin J Oncol Nurs. 2008;12(2):361-3. doi:10.1188/08.CJON.361-36…

9318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42199/psn-pdf
      June 12, 2013 - Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. June 12, 2013 McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. BMJ Qual Saf. 2013;2…

9319. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33927/psn-pdf
      June 23, 2015 - Errors, incidents and accidents in anaesthetic practice. June 23, 2015 Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5):506-19. https://psnet.ahrq.gov/issue/errors-incidents-and-accidents-anae…

9320. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50425/psn-pdf
      September 04, 2019 - Why doctors still offer treatments that may not help. September 4, 2019 Frakt A. New York Times. August 26, 2019. https://psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient care. This newspaper…