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  1. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet

    psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
    September 25, 2019 - Delay in Malignancy Diagnosis Reflects Systemic Failures Citation Text: Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: …

  2. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units | PSNet

    psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
    April 26, 2023 - Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units Susan McGrath, PhD,George Blike, MD, MHCDS,Bryan M. Gale, MA,Sarah E. Mossburg, RN, PhD | April 26, 2023  Also Read the Conversation View more articles from the same authors. Citation…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38224/psn-pdf
    February 18, 2011 - Hospital readmissions: physician awareness and communication practices. February 18, 2011 Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s11606-008-0848-x. https://psnet.ahrq.gov/issue/hospital-readmission…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73247/psn-pdf
    May 12, 2021 - Emergency physician perceptions of electronic health record usability and safety. May 12, 2021 Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.0000000000000849. https://psnet.ahrq.gov/iss…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43713/psn-pdf
    December 03, 2014 - Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). December 3, 2014 West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care practices: A report from the sh…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838316/psn-pdf
    October 12, 2022 - The Lancet Commission on lessons for the future from the COVID-19 pandemic. October 12, 2022 Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9. https://psnet.ahrq.gov/issue/lancet-com…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61068/psn-pdf
    October 28, 2020 - Are dental patients concerned about safety? An exploratory study. October 28, 2020 Obadan-Udoh E, Panwar S, Yansane A-I, et al. Are dental patients concerned about safety? An exploratory study. J Evid Based Dent Pract. 2020;20(3):101424. doi:10.1016/j.jebdp.2020.101424. https://psnet.ahrq.gov/issue/are-dental-pati…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50676/psn-pdf
    November 20, 2019 - Peer support for nurses as second victims: resilience, burnout, and job satisfaction. November 20, 2019 Connors C, Dukhanin V, March AL, et al. Peer support for nurses as second victims: Resilience, burnout, and job satisfaction. J Patient Saf Risk Manag. 2019;25(1):22-28. doi:10.1177/2516043519882517. https://psn…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36476/psn-pdf
    December 14, 2009 - 10 Patient Safety Tips for Hospitals. December 14, 2009 Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10- M008. https://psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854641/psn-pdf
    October 18, 2023 - Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. October 18, 2023 Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023. https://psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021 There are recognized systemic w…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35596/psn-pdf
    February 17, 2011 - Disciplinary action by medical boards and prior behavior in medical schools. February 17, 2011 Papadakis MA, Teherani A, Banach MA, et al. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 2005;353(25):2673-82. https://psnet.ahrq.gov/issue/disciplinary-action-medical-boards-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867597/psn-pdf
    January 22, 2025 - A coaching program to improve employee engagement, culture of safety, and patient experience. January 22, 2025 Scheurer D, Coulter A, Harper K, et al. A coaching program to improve employee engagement, culture of safety, and patient experience. NEJM Catalyst. 2024;6(1):CAT.24.0225. doi:10.1056/cat.24.0225. https:/…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867447/psn-pdf
    January 08, 2025 - The influence of hospital physician integration on culture of patient safety. January 8, 2025 Upadhyay S, Chien L-C. The influence of hospital physician integration on culture of patient safety. J Patient Saf. 2024;20(8):542-548. doi:10.1097/pts.0000000000001280. https://psnet.ahrq.gov/issue/influence-hospital-phy…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853438/psn-pdf
    September 13, 2023 - In search of an international multidimensional action plan for second victim support: a narrative review. September 13, 2023 Seys D, Panella M, Russotto S, et al. In search of an international multidimensional action plan for second victim support: a narrative review. BMC Health Serv Res. 2023;23(1):816. doi:10.118…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837505/psn-pdf
    June 22, 2022 - Parent participation in morbidity and mortality review: parent and physician perspectives. June 22, 2022 de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102674.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841486/psn-pdf
    January 26, 2018 - Do words matter? Stigmatizing language and the transmission of bias in the medical record. January 26, 2018 P. Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? Stigmatizing language and the transmission of bias in the medical record. J Gen Intern Med. 2018;33(5):685-691. doi:10.1007/s11606-017-4289-2. http…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50908/psn-pdf
    February 19, 2020 - Psychological safety and infection prevention practices: results from a national survey. February 19, 2020 Greene MT, Gilmartin HM, Saint S. Psychological safety and infection prevention practices: results from a national survey. Am J Infect Control. 2020;48(1):2-6. doi:10.1016/j.ajic.2019.09.027. https://psnet.ah…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35716/psn-pdf
    July 10, 2008 - Adherence to black box warnings for prescription medications in outpatients. July 10, 2008 Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44. https://psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medic…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46113/psn-pdf
    July 12, 2017 - Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. July 12, 2017 Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-in…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840165/psn-pdf
    November 16, 2022 - Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. November 16, 2022 Washington, DC: Veterans Affairs Office of Inspector General; 2022. Report No. 22-00818-03. https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-…
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