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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45736/psn-pdf
    February 01, 2017 - Disruptive behaviour in the perioperative setting: a contemporary review. February 1, 2017 Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. https://psnet.ahrq.gov/issue/disruptive…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73150/psn-pdf
    April 14, 2021 - Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being. April 14, 2021 Chicago, IL: Accreditation Council for Graduate Medical Education; March 2021. https://psnet.ahrq.gov/issue/documenting-day-discussion-ahead-crest-wave-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46114/psn-pdf
    June 07, 2017 - Standardizing concentrations of adult drug infusions in Indiana. June 7, 2017 Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana. Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018. https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44740/psn-pdf
    April 15, 2016 - Interhospital transfer patients discharged by academic hospitalists and general internists: characteristics and outcomes. April 15, 2016 Sokol-Hessner L, White AA, Davis KF, et al. Interhospital transfer patients discharged by academic hospitalists and general internists: Characteristics and outcomes. J Hosp Med. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44149/psn-pdf
    June 03, 2015 - Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. June 3, 2015 Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;19 Suppl 1:S59-70. doi:10.1111/hdi.12248. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39446/psn-pdf
    May 25, 2010 - Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study. May 25, 2010 Gustafsson M, Wennerholm S, Fridlund B. Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a cri…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847726/psn-pdf
    January 01, 2024 - Systematic review of clinical debriefing tools: attributes and evidence for use. April 19, 2023 Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-015464. https://psnet.ahrq.gov/issue…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44259/psn-pdf
    April 01, 2024 - Training Program for Nurses on Shift Work and Long Work Hours. April 1, 2024 Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and He…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36192/psn-pdf
    June 14, 2011 - Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. June 14, 2011 Brown M, Frost R, Ko Y, et al. Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and rese…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46489/psn-pdf
    January 01, 2021 - Intervening in interruptions: what exactly is the risk we are trying to manage? October 11, 2017 Gao J, Rae AJ, Dekker SWA. Intervening in Interruptions: What Exactly Is the Risk We Are Trying to Manage? J Patient Saf. 2021;17(7):e684-e688. doi:10.1097/PTS.0000000000000429. https://psnet.ahrq.gov/issue/intervening…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44651/psn-pdf
    December 09, 2015 - Measurement of diagnostic errors is a key first step to their reduction. December 9, 2015 Singh H. National Quality Measures Expert Commentaries. November 23, 2015. https://psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction Recently, diagnostic error has garnered much discussion and …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45908/psn-pdf
    April 05, 2017 - Towards a framework for managing risk associated with technology-induced error. April 5, 2017 Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72735/psn-pdf
    February 10, 2021 - Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. February 10, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 5, 2021. Report No. 20-01521-48. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865587/psn-pdf
    April 17, 2024 - Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. April 17, 2024 Crowe L, Riley CM. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Curr Opin Cardiol. 2024;39(4):331-337. doi:10.1097/hco.0000000000001139. https://psnet.ahrq.gov/issue/bad-b…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73589/psn-pdf
    August 11, 2021 - Suicide and suicide attempts on hospital grounds and clinic areas. August 11, 2021 Mills PD, Watts BV, Hemphill RR. Suicide and suicide attempts on hospital grounds and clinic areas. J Patient Saf. 2021;17(5):e423-e428. doi:10.1097/pts.0000000000000356. https://psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hos…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47087/psn-pdf
    May 02, 2018 - The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. May 2, 2018 Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisation for Economic Co-operation and Development; 2018. https://psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind The global eco…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44345/psn-pdf
    October 05, 2015 - Apologies following an adverse medical event: the importance of focusing on the consumer's needs. October 5, 2015 Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):1058-62. doi:10.1016/j.pec.2015.06…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45034/psn-pdf
    February 25, 2019 - Future directions for diagnostic decision support. February 25, 2019 Carr S. ImproveDx. April 2016;3:1-3. https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic accuracy. This newsletter article …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860731/psn-pdf
    January 17, 2024 - Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. January 17, 2024 Tran Y, Ellis LA, Clay-Williams R, eds. Lausanne, Switzerland: Frontiers Media SA; 2023. ISBN 9782832540770. https://psnet.ahrq.gov/issue/occupational-health-and-organizational-cult…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44118/psn-pdf
    May 19, 2018 - Inadequate preoperative team briefings lead to more intraoperative adverse events. May 19, 2018 Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181. https://psnet.ahrq.gov/issue/inadequate-…