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psnet.ahrq.gov/node/849332/psn-pdf
May 24, 2023 - Analysis of reported suicide safety events among
veterans who received treatment through Department of
Veterans Affairs-contracted community care.
May 24, 2023
Riblet NB, Soncrant C, Mills PD, et al. Analysis of reported suicide safety events among veterans who
received treatment through Department of Veterans Aff…
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psnet.ahrq.gov/node/73509/psn-pdf
July 21, 2021 - NHS ‘Learning from Deaths’ reports: a qualitative and
quantitative document analysis of the first year of a
countrywide patient safety programme.
July 21, 2021
Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and
quantitative document analysis of the first year of a …
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psnet.ahrq.gov/node/61064/psn-pdf
October 28, 2020 - Feasibility of patient-reported diagnostic errors following
emergency department discharge: a pilot study.
October 28, 2020
Gleason KT, Peterson SM, Dennison Himmelfarb CR, et al. Feasibility of patient-reported diagnostic errors
following emergency department discharge: a pilot study. Diagnosis (Berl). 2021;8(2):1…
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psnet.ahrq.gov/node/44680/psn-pdf
February 24, 2018 - Measurement is essential for improving diagnosis and
reducing diagnostic error: a report from the Institute of
Medicine.
February 24, 2018
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing
Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2…
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psnet.ahrq.gov/node/61066/psn-pdf
October 28, 2020 - Using event reports in real-time to identify and mitigate
patient safety concerns during the COVID-19 pandemic.
October 28, 2020
Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient
safety concerns during the COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(4)…
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psnet.ahrq.gov/node/43444/psn-pdf
August 27, 2014 - Patient-safety–related hospital deaths in England:
thematic analysis of incidents reported to a national
database, 2010–2012.
August 27, 2014
Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of
incidents reported to a national database, 2010-2012. PLoS Med. 201…
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psnet.ahrq.gov/node/837063/psn-pdf
May 11, 2022 - Patients' experiences and perspectives of patient-
reported outcome measures in clinical care: a systematic
review and qualitative meta-synthesis.
May 11, 2022
Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported
outcome measures in clinical care: a systematic revie…
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psnet.ahrq.gov/node/48017/psn-pdf
January 01, 2020 - The 2018 Gosport Independent Panel report into deaths at
the National Health Service's Gosport War Memorial
Hospital. Does the culture of the medical profession
influence health outcomes?
June 12, 2019
Bennett S. The 2018 Gosport Independent Panel report into deaths at the National Health Service’s
Gosport War Me…
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psnet.ahrq.gov/node/39719/psn-pdf
July 28, 2010 - Bedside shift report improves patient safety and nurse
accountability.
July 28, 2010
Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency
nursing: JEN : official publication of the Emergency Department Nurses Association. 2010;36(4):355-8.
doi:10.1016/j.jen.2010.03.…
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psnet.ahrq.gov/node/39116/psn-pdf
April 30, 2014 - Diagnostic error in medicine: analysis of 583 physician-
reported errors.
April 30, 2014
Schiff G, Hasan O, Kim S, et al. Diagnostic error in medicine: analysis of 583 physician-reported errors.
Arch Intern Med. 2009;169(20):1881-1887. doi:10.1001/archinternmed.2009.333.
https://psnet.ahrq.gov/issue/diagnostic-err…
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psnet.ahrq.gov/node/42691/psn-pdf
October 23, 2013 - Patient Safety Investigation report into services at
University Hospital Galway (UHG) and as reflected in the
care provided to Savita Halappanavar.
October 23, 2013
Dublin, Ireland: Health Information and Quality Authority; October 2013.
https://psnet.ahrq.gov/issue/patient-safety-investigation-report-services-uni…
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psnet.ahrq.gov/node/36879/psn-pdf
June 13, 2011 - Medication Safety and Hospital Referrals: A Report by the
Health and Disability Commissioner.
June 13, 2011
Paterson R. Auckland, NZ; Office of the Health and Disability Commissioner: April 2007.
https://psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability-
commissioner
…
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psnet.ahrq.gov/node/35096/psn-pdf
June 22, 2009 - Paediatric adverse drug reactions reported in Sweden
from 1987 to 2001.
June 22, 2009
Kimland E, Rane A, Ufer M, et al. Paediatric adverse drug reactions reported in Sweden from 1987 to
2001. Pharmacoepidemiol Drug Saf. 2005;14(7):493-9.
https://psnet.ahrq.gov/issue/paediatric-adverse-drug-reactions-reported-swede…
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psnet.ahrq.gov/node/47292/psn-pdf
May 01, 2022 - Nebraska Coalition for Patient Safety Annual Report.
May 1, 2022
Omaha, NE: Nebraska Coalition for Patient Safety; 2022.
https://psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
Patient Safety Organizations (PSOs) provide local evidence to inform learning among their members. This
annual r…
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psnet.ahrq.gov/node/41397/psn-pdf
June 06, 2012 - Semi-supervised classification of patient safety event
reports.
June 6, 2012
McKnight SD. Semi-supervised classification of patient safety event reports. J Patient Saf. 2012;8(2):60-4.
doi:10.1097/PTS.0b013e31824ab987.
https://psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports
This s…
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psnet.ahrq.gov/node/34069/psn-pdf
April 12, 2011 - Patient reports of preventable problems and harms in
primary health care.
April 12, 2011
Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary
health care. Ann Fam Med. 2004;2(4):333-40.
https://psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-prim…
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - In Conversation With… Mark L. Graber, MD
January 1, 2016
Also Read an Essay
Citation Text:
In Conversation With… Mark L. Graber, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
…
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psnet.ahrq.gov/node/36982/psn-pdf
June 11, 2017 - Requires DHSS to make reported information about
certain adverse events publicly available.
June 27, 2007
212 New Jersey Legislature. Assembly, No. 4327. June 11, 2017.
https://psnet.ahrq.gov/issue/requires-dhss-make-reported-information-about-certain-adverse-events-
publicly-available
This bill amends a previous…
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psnet.ahrq.gov/node/42794/psn-pdf
December 04, 2013 - Improving Diagnosis: Teenage Cancer Trust Report on
Improving the Diagnostic Experience of Young People
With Cancer.
December 4, 2013
London, England: Teenage Cancer Trust; 2013.
https://psnet.ahrq.gov/issue/improving-diagnosis-teenage-cancer-trust-report-improving-diagnostic-
experience-young-people
This …
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psnet.ahrq.gov/node/37781/psn-pdf
May 21, 2008 - Alcohol based surgical prep solution and the risk of fire in
the operating room: a case report.
May 21, 2008
Batra S, Gupta R. Alcohol based surgical prep solution and the risk of fire in the operating room: a case
report. Patient Saf Surg. 2008;2(1):10. doi:10.1186/1754-9493-2-10.
https://psnet.ahrq.gov/issue/alc…