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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862998/psn-pdf
    February 21, 2024 - Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. February 21, 2024 Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47030/psn-pdf
    June 06, 2018 - Creating a safer operating room: groups, team dynamics and crew resource management principles. June 6, 2018 Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008. https://p…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72821/psn-pdf
    March 10, 2019 - I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. March 10, 2019 O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/mep_2374- 8265.10736. https://psnet.ahr…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34645/psn-pdf
    December 23, 2008 - How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. December 23, 2008 Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. Arch Intern Med. 1996;156(22):2565-9…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46032/psn-pdf
    May 03, 2017 - Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. May 3, 2017 King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the Military Health System. Mil Med. 2017;182(…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73912/psn-pdf
    October 06, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science. October 6, 2021 Bajaj K, de Roche A, Goffman D. Rockville, MD: Agency for Healthcare Research and Quality; September 2021. AHRQ Publication No. 20(21)-0040-6-EF. https://ps…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865341/psn-pdf
    March 27, 2024 - Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care. March 27, 2024 Forrest C, O'Sullivan MJ, Ryan M, et al. Patients' and doctors’ views and experiences of the patient safety trajectory of breast cancer care. Breast. 2024;75:103699. doi:10.1016/j.breast.2024.103699. …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45791/psn-pdf
    September 01, 2018 - Changes in physician practice patterns after implementation of a communication-and-resolution program. September 1, 2018 Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program. Health Serv Res. 2016;51(Suppl 3):2516-2536. doi:10.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73895/psn-pdf
    September 29, 2021 - Open Notes shines light on errors in patient medical records — will the new rule lead to a flood of correction requests? September 29, 2021 Clark C. MedPage Today. September 14, 2021.  https://psnet.ahrq.gov/issue/open-notes-shines-light-errors-patient-medical-records-will-new-rule-lead- flood-correctio…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860732/psn-pdf
    April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. April 16, 2024 Dorset, UK: Health Services Safety Investigations Body; April 2024. https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs- serious-incident …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44037/psn-pdf
    March 14, 2018 - Pediatric medication safety in the emergency department. March 14, 2018 Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013. https://psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-departmen…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840495/psn-pdf
    November 30, 2022 - Made whole: the efficacy of legal redress for black women who have suffered injuries from medical bias. November 30, 2022 Baker MB. Harv Civ Rights-Civil Lib Law Rev. 2022: 57(Summer):321-360. https://psnet.ahrq.gov/issue/made-whole-efficacy-legal-redress-black-women-who-have-suffered-injuries- medical-bias Women…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44568/psn-pdf
    October 21, 2015 - Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. October 21, 2015 Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. J…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861277/psn-pdf
    January 24, 2024 - Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. January 24, 2024 Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out?of ?hospital context: a scoping review. J Clin Nurs. 2024;33(3):874-889. doi:10.1111/joc…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837432/psn-pdf
    June 15, 2022 - Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. June 15, 2022 ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4. https://psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix- ups Minimizing look-alike/sound-alike me…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43855/psn-pdf
    April 15, 2016 - Perioperative safety in plastic surgery: is the World Health Organization checklist useful in a broad practice? April 15, 2016 Biskup N, Workman AD, Kutzner E, et al. Perioperative Safety in Plastic Surgery: Is the World Health Organization Checklist Useful in a Broad Practice? Ann Plast Surg. 2016;76(5):550-5. do…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46580/psn-pdf
    June 25, 2018 - Out-of-hospital pediatric patient safety events: results of the CSI chart review. June 25, 2018 Meckler G, Hansen M, Lambert W, et al. Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI Chart Review. Prehosp Emerg Care. 2018;22(3):290-299. doi:10.1080/10903127.2017.1371261. https://psnet.ahrq.gov/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43383/psn-pdf
    August 13, 2014 - Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. August 13, 2014 Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(2):429-36. doi:10.1016/j.jss.2014…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44470/psn-pdf
    October 13, 2015 - Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. October 13, 2015 Walton M, Harrison R, Burgess A, et al. Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838325/psn-pdf
    October 12, 2022 - Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. October 12, 2022 Washington, DC: VA Office of the Inspector General; September 15, 2022. Report no. 22-00815-232. https://psnet.ahrq.gov/issue/comprehensive-healthcare…
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