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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862152/psn-pdf
    February 07, 2024 - Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. February 7, 2024 Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45000/psn-pdf
    August 15, 2016 - Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. June 29, 2016 Centers for Medicare & Medicaid Services. Fed Regist. 2016;81:39447-39480. https://psnet.ahrq.gov/issue/medicare-and-medicaid-progra…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45763/psn-pdf
    December 19, 2017 - Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers. December 19, 2017 Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and communicating prescription transfers. Res Social Adm Pharm. 2017;13(6):1191-1195. doi:10.1016/j.s…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35726/psn-pdf
    February 09, 2011 - Sleep deprivation and clinical performance. February 9, 2011 Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7. https://psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance This review discusses evidence for the role sleep deprivation plays on performance in…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73257/psn-pdf
    December 01, 2021 - Peer Review of a Report on Strategies to Improve Patient Safety. May 12, 2021 Washington DC: National Academies of Sciences, Engineering, and Medicine; 2021. ISBN: 9780309462808. https://psnet.ahrq.gov/issue/peer-review-report-strategies-improve-patient-safety The Patient Safety and Quality Improvement Act of 200…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46190/psn-pdf
    August 17, 2017 - Preventing harm in the ICU—building a culture of safety and engaging patients and families. August 17, 2017 Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537. doi:10.1097/CCM.0000000000002556. ht…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73280/psn-pdf
    May 19, 2021 - Rates of serious surgical errors in California and plans to prevent recurrence. May 19, 2021 Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058. https://psnet.ahrq.gov/issue/rates-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46375/psn-pdf
    November 29, 2017 - Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. November 29, 2017 Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038. doi:10.1136/bmjoq-2017-000038. ht…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836996/psn-pdf
    April 27, 2022 - Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study. April 27, 2022 Staal J, Speelman M, Brand R, et al. Does a suggested diagnosis in a general practitioners’ referral question impact diagnostic reasoning: an experimental study. BMC Med Educ.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46654/psn-pdf
    December 13, 2017 - Organisational paradoxes in speaking up for safety: implications for the interprofessional field. December 13, 2017 Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field. J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561820.2017.1321305. https://psnet.ahr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60927/psn-pdf
    September 16, 2020 - Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. September 16, 2020 O'Donnell J. USA Today. September 8, 2020 https://psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors- may-slip-through Management and clinical functio…
  12. 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. …
  13. 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…
  14. 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…
  15. 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…
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/state-key-drive-diagram.pdf
    June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: State Medicaid Program - Key Driver Diagram Transcranial Doppler Screening for Children with Sickle Cell Anemia State Medicaid Program - Key Driver Diagram Global Aim To reduce the incidence of stroke in children wi…
  17. 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(…
  18. 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…
  19. 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. …
  20. 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.…