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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73601/psn-pdfAugust 18, 2021 - From implementation to sustainment: a large-scale adverse event disclosure support program generated through embedded research in the Veterans Health Administration. August 18, 2021 Elwy AR, Maguire EM, McCullough M, et al. From implementation to sustainment: a large-scale adverse event disclosure support program… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47680/psn-pdfJanuary 16, 2019 - Perioperative medication errors: uncovering risk from behind the drapes. January 16, 2019 Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes The operating room environment harbors particular pat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836749/psn-pdfMarch 16, 2022 - Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. March 16, 2022 Clift K, Macklin-Mantia S, Barnhorst M, et al. Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. J… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72790/psn-pdfMarch 03, 2021 - Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. March 3, 2021 Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high?income countries. BJOG. 2020;128(4):696-703. doi:10.11… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60297/psn-pdfJanuary 01, 2021 - A call for the application of patient safety culture in medical humanitarian action: a literature review. May 6, 2020 Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864848/psn-pdfMarch 20, 2024 - An mHealth design to promote medication safety in children with medical complexity. March 20, 2024 Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000. https://psnet.ahrq.gov/issue/mh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45335/psn-pdfAugust 10, 2016 - The Feasibility of Determining the Effectiveness and Cost- effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. August 10, 2016 Bhattacharya D, Aldus CF, Barton G, et al. Health Tech… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45197/psn-pdfMarch 20, 2017 - When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship. March 20, 2017 Bell SK, Mejilla R, Anselmo M, et al. When doctors share visit notes with patients: a study of patient and doctor perceptions of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861767/psn-pdfJanuary 31, 2024 - Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial. January 31, 2024 Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47535/psn-pdfNovember 07, 2018 - Gosport War Memorial Hospital. The Report of the Gosport Independent Panel. November 7, 2018 Gosport Independent Panel. London, England: Crown Copyright; 2018. ISBN: 9781528604062. https://psnet.ahrq.gov/issue/gosport-war-memorial-hospital-report-gosport-independent-panel Organizational culture influences how comf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44753/psn-pdfApril 12, 2019 - Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups. April 12, 2019 Zwaan L, Monteiro SD, Sherbino J, et al. Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups. BMJ Qual Saf. 201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72483/psn-pdfNovember 18, 2020 - ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. November 18, 2020 Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments: Pathway Leaders Patient Safety Collaborative. Chicago, IL: Accreditation Council for Graduate Medical Educatio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836925/psn-pdfApril 13, 2022 - Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. April 13, 2022 Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. J Patient Saf. 2022;18(3):e61… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60916/psn-pdfSeptember 17, 2020 - Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. September 17, 2020 Boylen S, Cherian S, Gill FJ, et al. Impact of professional interpreters on outcomes for hospitalized children from migrant and refug… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44599/psn-pdfDecember 09, 2015 - Association between day of delivery and obstetric outcomes: observational study. December 9, 2015 Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774. https://psnet.ahrq.gov/issue/association-between-day-delivery-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39602/psn-pdfAugust 09, 2013 - Postoperative handover: problems, pitfalls, and prevention of error. August 9, 2013 Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656. https://psnet.ahrq.gov/issue/postoperative-handover-problems-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73438/psn-pdfJune 30, 2021 - Implementation of patient safety structures and processes in the patient-centered medical home. June 30, 2021 Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):324-339. doi:10.1097/jhq.000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844538/psn-pdfFebruary 15, 2023 - Patient safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a systematic review and consensus recommendations. February 15, 2023 Balestracci B, La Regina M, Di Sessa D, et al. Patient safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836915/psn-pdfApril 13, 2022 - Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. April 13, 2022 Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical Electronic Health Record workaround… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837730/psn-pdfJanuary 01, 2023 - Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. July 28, 2022 Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. Prehosp Emerg Care. 2023;27(5):669-…
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