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Patient Safety Network

The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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Displaying 1 - 20 of 334 Results
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    • Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013.
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    • Gray AM, Fenn P, Rickman N, et al. Soc Sci Med. 2017;195.
    … Social Science & Medicine … This study compared two population-based surveys in the United Kingdom regarding … public perceptions of adverse events associated with health care, one from 2001 and the other in 2013. Researchers … that medical care has become safer in the National Health Service. …
    Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study.
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    • Usher M, Sahni N, Herrigel D, et al. J Gen Intern Med. 2018;33:1447-1453.
    … during hospitalization. Hospital transfers where a health information exchange (HIE) was in place had fewer … M, Sahni N, Herrigel D, et al. Diagnostic Discordance, Health Information Exchange, and Inter-Hospital Transfer Outcomes: a Population Study.  J Gen Intern Med . 2018;33(9):1447-1453. …
    Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey.
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    • Bell SK, Dong J, Ngo L, et al. BMJ Qual Saf. 2022;Epub Feb 4.
    … Limited English-language health literacy (LEHL) and disadvantaged socioeconomic … of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. BMJ Qual Saf. Epub 2022 Feb 4. …
    How Can Health Care Organizations Become More Health Literate?: Workshop Summary.
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    • Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Washington, DC: The National Academies Press; 2012. ISBN: 9780309256810.
    … This report details the results of a workshop on health literacy in health care organizations. … Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of …
    Implications of Health Literacy for Public Health: Workshop Summary.
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    • Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2014. ISBN: 9780309303651.
    … Health literacy can affect patients' ability to understand … , ask good questions , and participate in care. Framing health literacy as a public health challenge, this report … M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of …
    Health Literacy: Past, Present, and Future: Workshop Summary.
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    • Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. ISBN: 9780309371544.
    … Efforts to develop patients' ability to understand health information and follow treatment recommendations can … in their care. The Institute of Medicine highlighted health literacy as a safety concern in 2004. This report … … Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of …
    Do variations in hospital mortality patterns after weekend admission reflect reduced quality of care or different patient cohorts? A population-based study.
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    • Concha OP, Gallego B, Hillman K, et al. BMJ Qual Saf. 2014;23:215-22.
    … mechanism for this finding is unknown and could be due to health care system factors (i.e., lower weekend staffing and … and at higher risk of death than weekday admissions). This population-based analysis from New South Wales, Australia sought to determine the contribution of health care system and patient factors to elevated weekend …
    Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study.
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    • Sundwall DN, Munger MA, Tak CR, et al. Health Equity. 2020;4:430-437.
    … harms occurred most commonly in women and those in poor health with comorbid conditions.   … Sundwall DN, Munger MA, … errors experienced in the U.S. ambulatory setting: a population-based study. Health Equity. 2020;4(1):430-437. Epub 2020 Oct 29. …
    Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level.
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    • Hibbert PD, Healey F, Lamont T, et al. Int J Qual Health Care. 2016;28:114-21.
    … International journal for quality in health care : journal of the International Society for Quality in Health Care … Incident reporting systems have been widely implemented throughout health care, but mechanisms to respond to reports have …
    Facilitating Patient Understanding of Discharge Instructions: Workshop Summary.
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    • Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN: 9780309307383.
    … Poor health literacy has been identified as an important threat to … to adverse drug events. This workshop report reveals how health literacy affects patients' abilities to follow … J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of …
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