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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45959/psn-pdf
    June 29, 2017 - Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. June 29, 2017 Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Pain. 2017;158(5):833-839. doi:10.1097/j.pain.0000000000000837. https://psnet.ahrq.gov/issue/impact…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43533/psn-pdf
    August 28, 2017 - Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems. August 28, 2017 Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48061/psn-pdf
    June 12, 2019 - Interventions to reduce burnout and improve resilience: impact on a health system's outcomes. June 12, 2019 Moffatt-Bruce SD, Nguyen MC, Steinberg B, et al. Interventions to Reduce Burnout and Improve Resilience: Impact on a Health System's Outcomes. Clin Obstet Gynecol. 2019;62(3):432-443. doi:10.1097/GRF.0000000…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38288/psn-pdf
    February 03, 2011 - Hospital-wide code rates and mortality before and after implementation of a rapid response team. February 3, 2011 Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team. JAMA. 2008;300(21):2506-13. doi:10.1001/jama.2008.715. https://ps…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863747/psn-pdf
    March 06, 2024 - "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. March 6, 2024 Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. J Gen Intern Med. 2024;39(9):1575-1582. doi:10.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45979/psn-pdf
    April 05, 2017 - Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose- related events in the Veterans Health Administration. April 5, 2017 Brennan PL, Del Re AC, Henderson PT, et al. Healthcare system-wide implementation of opioi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39063/psn-pdf
    December 17, 2009 - Safety and risk management interventions in hospitals: a systematic review of the literature. December 17, 2009 Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S. doi:10.1177/10775587093…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40450/psn-pdf
    December 21, 2014 - Unit-based care teams and the frequency and quality of physician–nurse communications. December 21, 2014 Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician- nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54. htt…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39873/psn-pdf
    January 22, 2017 - A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. January 22, 2017 Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm J Qual Patient Saf. 2010;36(10):461-7…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48150/psn-pdf
    August 21, 2019 - Communication between primary and secondary care: deficits and danger. August 21, 2019 Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037. https://psnet.ahrq.gov/issue/communication-between-primary…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39001/psn-pdf
    April 04, 2011 - Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential? April 4, 2011 Singh H, Thomas EJ, Mani S, et al. Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records ach…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40907/psn-pdf
    December 08, 2011 - Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. December 8, 2011 Öhrn A, Elfström J, Liedgren C, et al. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. Jt Comm J…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44750/psn-pdf
    January 06, 2016 - Simulation in the executive suite: lessons learned for building patient safety leadership. January 6, 2016 Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377. https://psnet.ahrq.gov/issue/simulation-exe…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43367/psn-pdf
    May 01, 2015 - Promoting Patient Safety Through Effective Health Information Technology Risk Management. May 1, 2015 Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND Health. Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014. RR-654-DHHSNCH. https://psnet.ahrq.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44302/psn-pdf
    August 04, 2015 - The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. August 4, 2015 Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24(8):492-504. doi:10.1136/bmjqs-20…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42211/psn-pdf
    April 24, 2013 - An organizational assessment of disruptive clinician behavior: findings and implications. April 24, 2013 Walrath JM, Dang D, Nyberg D. An Organizational Assessment of Disruptive Clinician Behavior. J Nurs Care Qual. 2012;28(2):110-121. doi:10.1097/ncq.0b013e318270d2ba. https://psnet.ahrq.gov/issue/organizational-a…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47973/psn-pdf
    July 18, 2019 - Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs. July 18, 2019 Rosengart TK, Doherty G, Higgins R, et al. Transition Planning for the Senior Surgeon: Guidance and Recommendations From the Society of Surgical Chairs. JAMA Surg. 2019;154(7):647-653. doi:10…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764396/psn-pdf
    March 02, 2022 - Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. March 2, 2022 Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile technology for in?hospital reporting from families and patients. J Hosp Med. 2022;…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43301/psn-pdf
    May 01, 2015 - Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. May 1, 2015 Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Jt Comm J Qual Patient Saf. 2014;40(7):303-310. htt…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43393/psn-pdf
    July 30, 2014 - Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. July 30, 2014 Collins SJ, Newhouse R, Porter J, et al. Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. AORN J…