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9421. Diagnostic errors and the bedside clinical examination. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
      August 20, 2018 - Review Emerging Classic Diagnostic errors and the bedside clinical examination. Citation Text: Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007. Copy…

9422. Duty hour reform in a shifting medical landscape. | PSNet
      psnet.ahrq.gov/issue/duty-hour-reform-shifting-medical-landscape
      June 08, 2022 - Commentary Duty hour reform in a shifting medical landscape. Citation Text: Jena AB, Prasad V. Duty hour reform in a shifting medical landscape. J Gen Intern Med. 2013;28(9):1238-40. doi:10.1007/s11606-013-2439-8. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

9423. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. | PSNet
      psnet.ahrq.gov/issue/ozis-and-politics-safety-using-ict-create-regionally-accessible-patient-medication-record
      February 04, 2009 - Commentary OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Citation Text: Stoop AP, Bal R, Berg M. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Int J Med Inform. 2007;76 S…

9424. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapb.html
      April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Appendix B. Council Information Sheet and Application A sample of the member information sheet and application for patients or caregivers for the Aurora Health Care Patient Safety Partnership Council follows. With minor edits, the informat…

9425. Lost in translation: impact of language barriers on children's healthcare. | PSNet
      psnet.ahrq.gov/issue/lost-translation-impact-language-barriers-childrens-healthcare
      January 06, 2018 - Review Lost in translation: impact of language barriers on children's healthcare. Citation Text: Goenka PK. Lost in translation: impact of language barriers on children's healthcare. Curr Opin Pediatr. 2016;28(5):659-666. doi:10.1097/MOP.0000000000000404. Copy Citation Format: …

9426. Nurses' perception of error reporting and patient safety culture in Korea. | PSNet
      psnet.ahrq.gov/issue/nurses-perception-error-reporting-and-patient-safety-culture-korea
      July 08, 2020 - Study Nurses' perception of error reporting and patient safety culture in Korea. Citation Text: Kim J, An K. Nurses' Perception of Error Reporting and Patient Safety Culture in Korea. West J Nurs Res. 2007;29(7). doi:10.1177/0193945906297370. Copy Citation Format: DOI Goo…

9427. Fostering ethical conduct through psychological safety. | PSNet
      psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety
      March 30, 2022 - Newspaper/Magazine Article Fostering ethical conduct through psychological safety. Citation Text: Fostering ethical conduct through psychological safety. Ferrere A, Rider C, Renerte B et al. Sloan Manag Rev. Summer 2022;39-43. Copy Citation Save Save to your lib…

9428. FMEA team performance in health care: a qualitative analysis of team member perceptions. | PSNet
      psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions
      December 31, 2014 - Study FMEA team performance in health care: a qualitative analysis of team member perceptions. Citation Text: Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be. Copy Citation Format: DOI Go…

9429. IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. | PSNet
      psnet.ahrq.gov/issue/it-vulnerabilities-highlighted-errors-malfunctions-veterans-medical-centers
      January 31, 2024 - Commentary IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. Citation Text: Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 2009;301(9):919. doi:10.1001/jama.2009.239. Copy Citation Format: …

9430. Closed medical negligence claims can drive patient safety and reduce litigation. | PSNet
      psnet.ahrq.gov/issue/closed-medical-negligence-claims-can-drive-patient-safety-and-reduce-litigation
      February 05, 2020 - Review Closed medical negligence claims can drive patient safety and reduce litigation. Citation Text: Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5. Copy …

9431. The incidence and cost of adverse events in Victorian hospitals 2003-04. | PSNet
      psnet.ahrq.gov/issue/incidence-and-cost-adverse-events-victorian-hospitals-2003-04
      July 13, 2010 - Study The incidence and cost of adverse events in Victorian hospitals 2003-04. Citation Text: Ehsani JP, Jackson T, Duckett SJ. The incidence and cost of adverse events in Victorian hospitals 2003-04. Med J Aust. 2006;184(11):551-5. Copy Citation Format: Google Scholar P…

9432. The role of the patient in patient safety: what can we learn from healthcare's history? | PSNet
      psnet.ahrq.gov/issue/role-patient-patient-safety-what-can-we-learn-healthcares-history
      June 12, 2024 - Commentary The role of the patient in patient safety: what can we learn from healthcare's history? Citation Text: Leistikow I, Huisman F. The role of the patient in patient safety: What can we learn from healthcare's history? J Patient Saf Risk Manag. 2018;23(4):139-141. doi:10.1177/2516…

9433. Measurement of adverse events using "incidence flagged" diagnosis codes. | PSNet
      psnet.ahrq.gov/issue/measurement-adverse-events-using-incidence-flagged-diagnosis-codes
      June 18, 2013 - Study Measurement of adverse events using "incidence flagged" diagnosis codes. Citation Text: Jackson T, Duckett S, Shepheard J, et al. Measurement of adverse events using "incidence flagged" diagnosis codes. J Health Serv Res Policy. 2006;11(1):21-6. Copy Citation Format: …

9434. What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors. | PSNet
      psnet.ahrq.gov/issue/what-measure-safe-hospital-medication-errors-missed-risk-management-clinical-staff-and
      September 27, 2017 - Study What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors. Citation Text: Grasso BC, Rothschild JM, Jordan CW, et al. What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and su…

9435. Strategy 4: IDEA Discharge Planning (Tool 3) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
      January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Guide to Patient and Family Engagement :: 1 Improving Discharge Outcomes with Patients and Families Evidence for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event within 30 days of discharge.1,2 Re…

9436. The cost of nurse-sensitive adverse events. | PSNet
      psnet.ahrq.gov/issue/cost-nurse-sensitive-adverse-events
      June 16, 2021 - Study The cost of nurse-sensitive adverse events. Citation Text: Pappas SH. The cost of nurse-sensitive adverse events. J Nurs Adm. 2008;38(5):230-236. doi:10.1097/01.NNA.0000312770.19481.ce. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

9437. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. | PSNet
      psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
      December 12, 2018 - Commentary Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. Citation Text: Chopra V, McMahon LF. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. JAMA. 2014;311(12):1199-200. doi:10.1001/jama.2014.710. Copy Citation …

9438. Bullying of junior doctors prevails in Irish health system: a bitter reality.   | PSNet
      psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-system-bitter-reality
      July 15, 2020 - Study Bullying of junior doctors prevails in Irish health system: a bitter reality.   Citation Text: Cheema S, Ahmad K, Giri SK, et al. Bullying of junior doctors prevails in Irish health system: a bitter reality. Ir Med J. 2005;98(9):274-275. Copy Citation Format: Google…

9439. Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. | PSNet
      psnet.ahrq.gov/issue/pediatric-safety-emergency-department-identifying-risks-and-preparing-care-child-and-family
      July 08, 2009 - Commentary Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. Citation Text: Nadzam D, Westergaard F. Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. J Nurs Care Qual. 2…

9440. Celebrating the 40th Anniversary of the U.S. Preventive Services Task Force | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/uspstf-40th-anniversary.html
      July 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders Celebrating the 40th Anniversary of the U.S. Preventive Services Task Force JUL 8 2024 By Robert Otto Valdez, Ph.D., M.H.S.A. Robert Otto Valdez, Ph.D., M.H.S.A. The Ben Franklin proverb, “An ounce of prevention is worth mo…