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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42686/psn-pdf
    April 16, 2019 - Improving the quality of health care: what's taking so long? April 16, 2019 Chassin MR. Improving The Quality Of Health Care: What’s Taking So Long? Health Aff. 2013;32(10):1761-1765. doi:10.1377/hlthaff.2013.0809. https://psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long Almost a decade-and…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41464/psn-pdf
    November 26, 2014 - Risk of unintentional overdose with non-prescription acetaminophen products. November 26, 2014 Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen products. J Gen Intern Med. 2012;27(12):1587-93. doi:10.1007/s11606-012-2096-3. https://psnet.ahrq.gov/issue/risk-uni…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45862/psn-pdf
    February 08, 2017 - Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. February 8, 2017 Newcastle Upon Tyne, UK: Care Quality Commission; December 2016. CQC-356-122016. https://psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-rev…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836823/psn-pdf
    March 30, 2022 - Five-year audit of adherence to an anaesthesia pre- induction checklist. March 30, 2022 Fuchs A, Frick S, Huber M, et al. Five?year audit of adherence to an anaesthesia pre?induction checklist. Anaesthesia. 2022;77(7):751-762. doi:10.1111/anae.15704. https://psnet.ahrq.gov/issue/five-year-audit-adherence-anaesthes…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43581/psn-pdf
    December 26, 2014 - Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic. December 26, 2014 Beauchamp GA, Winstanley EL, Ryan SA, et al. Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epid…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45784/psn-pdf
    April 03, 2017 - Processes for identifying and reviewing adverse events and near misses at an academic medical center. April 3, 2017 Martinez W, Lehmann LS, Hu Y-Y, et al. Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. Jt Comm J Qual Patient Saf. 2017;43(1):5-15. doi:10.1016/j…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851663/psn-pdf
    July 26, 2023 - Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023 Washington, DC: VA Office of the Inspector General; June 28, 2023. Report no. 22-02725-132. https://psnet.ahrq.gov/issue/quality-care-concerns-and-facility-…
  8. psnet.ahrq.gov/issue/affordable-health-care-floridians-act
    January 15, 2025 - Legislation/Regulation Affordable Health Care for Floridians Act. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 27, 2008 Established the patient safety center in the st…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44688/psn-pdf
    February 23, 2018 - Improving diagnosis in health care—the next imperative for patient safety. February 23, 2018 Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp1512241. https://psnet.ahrq.gov/issue/improving-diagnosis-health-care…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837677/psn-pdf
    July 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022 Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186. https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46092/psn-pdf
    July 11, 2017 - Development of a research agenda to identify evidence- based strategies to improve physician wellness and reduce burnout. July 11, 2017 Dyrbye LN, Trockel M, Frank E, et al. Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness and Reduce Burnout. Ann Intern Med. 2017…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47251/psn-pdf
    July 25, 2018 - Fail-safe patient ID matching remains just out of reach. July 25, 2018 Arndt RZ. Mod Healthc. July 14, 2018. https://psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach Similarities in patient names and clinical situations can result in medical errors. Discussing how digital technologies can …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47399/psn-pdf
    November 14, 2018 - Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine. November 14, 2018 Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and Patient Safety Competency Requirements Ac…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39893/psn-pdf
    November 02, 2010 - Surgical safety and hospital volume across a wide range of interventions. November 2, 2010 Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6. https://psnet.ahrq.gov/issue/surgical-safety-and-h…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50732/psn-pdf
    December 11, 2019 - Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis December 11, 2019 Pereira-Lima K, Mata DA, Loureiro SR, et al. Association Between Physician Depressive Symptoms and Medical Errors: A Systematic Review and Meta-analysis. JAMA Netw Open. 2019;2(11):e1916097.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837428/psn-pdf
    June 15, 2022 - A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. June 15, 2022 Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. J Patient Saf. 2022;18(4):358-364. doi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73652/psn-pdf
    September 01, 2021 - Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. September 1, 2021 Churruca K, Ellis LA, Pomare C, et al. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867390/psn-pdf
    December 18, 2024 - Quality of care and quality of life: balancing patient safety and physician burnout. December 18, 2024 Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000000000005681. https://psnet.ahrq.go…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36843/psn-pdf
    January 05, 2017 - Improving medication reconciliation in the outpatient setting. January 5, 2017 Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92. https://psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting The Jo…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45613/psn-pdf
    September 01, 2018 - Patients as partners in learning from unexpected events. September 1, 2018 Etchegaray J, Ottosen M, Aigbe A, et al. Patients as Partners in Learning from Unexpected Events. Health Serv Res. 2016;51 Suppl 3:2600-2614. doi:10.1111/1475-6773.12593. https://psnet.ahrq.gov/issue/patients-partners-learning-unexpected-eve…