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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36804/psn-pdf
    August 26, 2011 - Patterns of communication breakdowns resulting in injury to surgical patients. August 26, 2011 Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204(4):533-40. https://psnet.ahrq.gov/issue/patterns-communication-brea…
  2. www.ahrq.gov/topics/telehealth.html
    Telehealth AHRQ has invested in research and shared information on the benefits of telehealth for several years, through its Digital Healthcare Research Program and Effective Healthcare Program. Use of telehealth has expanded through advances in technology, availability of training, and improvemen…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852288/psn-pdf
    January 16, 2025 - Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. January 16, 2025 Rockville, MD: Agency for Healthcare Research and Quality: July 2023 - Jan 2025. https://psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and- practices Patient safety …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865660/psn-pdf
    April 24, 2024 - Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. April 24, 2024 Forbes J, Arrieta A. Comparing hospital leadership and front-line workers’ perceptions of patient safety culture: an unbalanced panel study. BMJ Lead. 2024;8(8):335-339. doi:10.113…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46897/psn-pdf
    October 13, 2018 - An assessment of the impact of just culture on quality and safety in US hospitals. October 13, 2018 Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177/1062860618768057. https://psnet.ahrq.gov/issue/assessment-impact-just-cul…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43635/psn-pdf
    November 12, 2014 - Electronic medical record: a balancing act of patient safety, privacy and health care delivery. November 12, 2014 Gummadi S, Housri N, Zimmers TA, et al. Electronic medical record: a balancing act of patient safety, privacy and health care delivery. Am J Med Sci. 2014;348(3):238-243. doi:10.1097/MAJ.00000000000002…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46379/psn-pdf
    December 22, 2018 - Primary care providers' opening of time-sensitive alerts sent to commercial electronic health record InBaskets. December 22, 2018 Cutrona SL, Fouayzi H, Burns L, et al. Primary Care Providers' Opening of Time-Sensitive Alerts Sent to Commercial Electronic Health Record InBaskets. J Gen Intern Med. 2017;32(11):1210-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865870/psn-pdf
    May 15, 2024 - Leading quality and safety on the frontline - a case study of department leaders in nursing homes. May 15, 2024 Magerøy M, Braut GS, Macrae C, et al. Leading quality and safety on the frontline - a case study of department leaders in nursing homes. J Healthc Leadersh. 2024;16:193-208. doi:10.2147/jhl.s454109. http…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73983/psn-pdf
    October 20, 2021 - Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. October 20, 2021 Cecil E, Bottle A, Majeed A, et al. Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. Br J Gen Pract. 2021;71(70…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837795/psn-pdf
    August 10, 2022 - Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. August 10, 2022 Weenink J-W, Wallenburg I, Hartman L, et al. Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. BMJ Open. 2022;12(7):e061321. doi:10.1136/b…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40524/psn-pdf
    March 04, 2019 - Principles of pediatric patient safety: reducing harm due to medical care. March 4, 2019 Mueller BU, Neuspiel DR, Fisher ERS, et al. Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care. Pediatrics. 2019;143(2):e20183649. doi:10.1542/peds.2018-3649. https://psnet.ahrq.gov/issue/principles-pedi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74757/psn-pdf
    February 09, 2022 - Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. February 9, 2022 Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.1001/jamanetworkopen.2021.44531. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854985/psn-pdf
    November 01, 2023 - A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient safety in hospitals. November 1, 2023 Bremner BT, Heneghan CJ, Aronson JK, et al. A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient safety in hospitals. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837061/psn-pdf
    May 11, 2022 - Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. May 11, 2022 Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. BMJ Qual Saf. 2022;31(10):716-724. doi:10.1136/bm…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40994/psn-pdf
    December 18, 2014 - Implementing medication reconciliation in outpatient pediatrics. December 18, 2014 Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. https://psnet.ahrq.gov/issue/implementing-medication-reconciliat…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48191/psn-pdf
    August 28, 2019 - To catch a killer: electronic sepsis alert tools reaching a fever pitch? August 28, 2019 Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463. https://psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36237/psn-pdf
    September 12, 2011 - An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors. September 12, 2011 Kaldjian LC, Jones EW, Rosenthal GE, et al. An empirically derived taxonomy of factors affecting physicians’ willingness to disclose medical errors. J Gen Intern Med. 2007;21(9). doi:10.1007/b…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72682/psn-pdf
    January 27, 2021 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical center in Taiwan. January 27, 2021 Tiao C-H, Tsai L-C, Chen L-C, et al. Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effe…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60645/psn-pdf
    July 01, 2020 - How health care systems let our patients down: a systematic review into suicide deaths. July 1, 2020 Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1093/intqhc/mzaa011. https://psnet.ah…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60055/psn-pdf
    March 18, 2020 - A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach. March 18, 2020 Russ S, Latif Z, Hazell AL, et al. A Smartphone App Designed to Empower Patients to Contribute Toward Safer Surgical Care: Community-Based Evaluation Usi…