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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47527/psn-pdf
    November 21, 2018 - Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review. November 21, 2018 van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Impact of interactions between drugs and laboratory test results on diagnostic test interpretation - a systematic r…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45430/psn-pdf
    September 28, 2016 - Understanding and responding when things go wrong: key principles for primary care educators. September 28, 2016 McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080/14739879.2016.1205959. https…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43001/psn-pdf
    March 19, 2014 - Variability in the measurement of hospital-wide mortality rates. March 19, 2014 Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. https://psnet.ahrq.gov/issue/variability-measurement-hospital-wide-m…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47154/psn-pdf
    May 23, 2018 - Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. May 23, 2018 Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JAMA Surg. 2018;153(4):367-375. doi:1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38887/psn-pdf
    August 26, 2009 - Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. August 26, 2009 Smits M, Wagner C, Spreeuwenberg P, et al. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. Quality and Safety in Health Ca…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39264/psn-pdf
    February 03, 2010 - Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. February 3, 2010 Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. Crit Care Med. 2010;38(2):445…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35575/psn-pdf
    April 11, 2011 - Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. April 11, 2011 Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. Pediatrics. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45816/psn-pdf
    February 01, 2017 - Parent preferences for medical error disclosure: a qualitative study. February 1, 2017 Coffey M, Espin S, Hahmann T, et al. Parent Preferences for Medical Error Disclosure: A Qualitative Study. Hosp Pediatr. 2017;7(1):24-30. doi:10.1542/hpeds.2016-0048. https://psnet.ahrq.gov/issue/parent-preferences-medical-error…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48172/psn-pdf
    July 31, 2019 - Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. July 31, 2019 Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ. 20…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50863/psn-pdf
    February 05, 2020 - Patient safety in inpatient mental health settings: a systematic review. February 5, 2020 Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic review. BMJ Open. 2019;9(12):e030230. doi:10.1136/bmjopen-2019-030230. https://psnet.ahrq.gov/issue/patient-safety-inpat…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73698/psn-pdf
    September 15, 2021 - Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial. September 15, 2021 Siebert JN, Bloudeau L, Combescure C, et al. Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical tria…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49460/psn-pdf
    September 01, 2004 - and anonymous reporting, now considered an integral part of preventing medical errors, although with varied
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867037/psn-pdf
    January 01, 2025 - Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. October 30, 2024 Browning S, Raleigh RA, Hattingh HL. Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. Int J…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867655/psn-pdf
    February 26, 2025 - Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety Despite an observable decrease in adverse events in health care over time, rat…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41688/psn-pdf
    April 17, 2013 - Teaching hospital financial status and patient outcomes following ACGME duty hour reform. April 17, 2013 Navathe AS, Silber JH, Small DS, et al. Teaching hospital financial status and patient outcomes following ACGME duty hour reform. Health Serv Res. 2013;48(2 Pt 1):476-98. doi:10.1111/j.1475- 6773.2012.01453.x. …
  16. 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…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37674/psn-pdf
    June 16, 2011 - An overview of patient safety climate in the VA. June 16, 2011 Hartmann CW, Rosen AK, Meterko M, et al. An overview of patient safety climate in the VA. Health Serv Res. 2008;43(4):1263-84. doi:10.1111/j.1475-6773.2008.00839.x. https://psnet.ahrq.gov/issue/overview-patient-safety-climate-va Measurement of institut…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44430/psn-pdf
    October 28, 2015 - The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. October 28, 2015 Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emergency care. Reliab Eng Syst Saf.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41643/psn-pdf
    September 05, 2012 - A Randomized Field Study of a Leadership WalkRounds- Based Intervention. September 5, 2012 Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113. https://psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention Leadership WalkRounds h…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44350/psn-pdf
    July 29, 2015 - Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. July 29, 2015 Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Primary Care Practices: A Collaborat…

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