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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34612/psn-pdf
    January 21, 2015 - Canadian Patient Safety Dictionary. January 21, 2015 Royal College of Physicians and Surgeons of Canada https://psnet.ahrq.gov/issue/canadian-patient-safety-dictionary Developed by the Systems Issues Working Group of the National Steering Committee on Patient Safety, the dictionary represents an effort to establis…
  2. psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
    April 30, 2014 - SPOTLIGHT CASE Diagnosing Diagnostic Mistakes Citation Text: McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google S…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49786/psn-pdf
    March 01, 2017 - Consequences of Medical Overuse March 1, 2017 Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/consequences-medical-overuse Case Objectives Define overuse and overdiagnosis. State how much of all care is estimated to be overuse. Describe why the likelihood…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34123/psn-pdf
    November 02, 2014 - Preventing Infections in the Hospital—What You As a Patient Can Do. November 2, 2014 National Patient Safety Foundation; NPSF https://psnet.ahrq.gov/issue/preventing-infections-hospital-what-you-patient-can-do Postoperative infections represent a common and often preventable event. This patient fact sheet outlines…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851653/psn-pdf
    July 26, 2023 - Content analysis of nurses' reflections on medication errors in a regional hospital. July 26, 2023 Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.2220432. https://psnet.ahrq.gov/issue/co…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60535/psn-pdf
    May 27, 2020 - Dramatic drop in cancer diagnoses amid COVID pandemic is cause for concern, doctors say. May 27, 2020 Abdelmalek M, Bruggeman L. ABC News. May 14, 2020. https://psnet.ahrq.gov/issue/dramatic-drop-cancer-diagnoses-amid-covid-pandemic-cause-concern- doctors-say The COVID-19 pandemic has reduced patient use of prima…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74209/psn-pdf
    December 22, 2021 - Aligning patient safety and stewardship: a harm reduction strategy for children. December 22, 2021 Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-00227-6. https://psnet.ahrq.gov/iss…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74128/psn-pdf
    December 01, 2021 - Call to action: addressing pediatric fall safety in ambulatory environments. December 1, 2021 Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. https://psnet.ahrq.gov/issue/call-action-ad…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74850/psn-pdf
    February 16, 2022 - Medicare penalizes dozens of hospitals it also gives five stars. February 16, 2022 Rau J. Kaiser Health News. February 8, 2022.  https://psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars Rating systems face challenges to accurately represent the safety and quality of patient ca…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856636/psn-pdf
    January 01, 2024 - Public opinion of resident physician work hours in 2022. November 29, 2023 Weaver MD, Barger LK, Sullivan JP, et al. Public opinion of resident physician work hours in 2022. Sleep Health. 2024;10(1supp):s194-s200. doi:10.1016/j.sleh.2023.08.016. https://psnet.ahrq.gov/issue/public-opinion-resident-physician-work-ho…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38793/psn-pdf
    August 12, 2016 - Pediatric Quality Indicators Overview. August 12, 2016 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/pediatric-quality-indicators-overview The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality measures that make use of a hospital's available ad…
  12. psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
    April 08, 2018 - Study Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. Citation Text: Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and fa…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865970/psn-pdf
    May 29, 2024 - A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data. May 29, 2024 Connolly A, Kirwan M, Matthews A. A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in admin…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867192/psn-pdf
    November 20, 2024 - 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events. November 20, 2024 2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. 24-0088 https://psnet.ahrq.gov/issue…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36604/psn-pdf
    June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports. June 4, 2024 St Paul, MN: Minnesota Department of Health. https://psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report The National Quality Forum has defined 29 never events—patient safety problems that should never occur, such as wrong-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862124/psn-pdf
    February 07, 2024 - The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. February 7, 2024 Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Jt Comm J Qual Patient Saf. 2024;50(2):95…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45948/psn-pdf
    January 01, 2021 - Preoperative site marking: are we adhering to good surgical practice? July 26, 2017 Bathla S, Chadwick M, Nevins EJ, et al. Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508. doi:10.1097/pts.0000000000000398. https://psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73185/psn-pdf
    April 28, 2021 - Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. April 28, 2021 Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-55.1.21. https://psnet.ahrq.gov/issue/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852284/psn-pdf
    August 09, 2023 - ‘Medical errors are the third leading cause of death’ and other statistics you should question. August 9, 2023 Jaklevic MC. HealthJournalism.org. July 27, 2023. https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should- question Published rates of medical errors con…
  20. psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
    August 17, 2018 - Study Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. Citation Text: Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res…

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