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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73171/psn-pdf
    April 21, 2021 - Patient safety and quality improvement adaptation during the COVID-19 pandemic. April 21, 2021 Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448.50484.a8. https://psnet.ahrq.gov/issu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47016/psn-pdf
    June 25, 2018 - U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. June 25, 2018 Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for Digital Health Software: Weighing the Benefits and Risks. Ann Intern Med. 2018;168…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74183/psn-pdf
    December 15, 2021 - Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. December 15, 2021 Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Gen Pract. 2021;71(713):e931-e940…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853619/psn-pdf
    September 20, 2023 - Defining speaking up in the healthcare system: a systematic review. September 20, 2023 Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0. https://psnet.ahrq.gov/issue/defining-speaking-healthca…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47184/psn-pdf
    August 08, 2018 - Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. August 8, 2018 Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. Acad Med. 2018;93(6):898-903. doi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47907/psn-pdf
    July 19, 2019 - Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. July 19, 2019 Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual Saf. 2019;28(8):667-671. doi:10.1136/bmjqs-2018-009147. https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-bur…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44228/psn-pdf
    September 04, 2016 - Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. September 4, 2016 Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Safety Mission of Teaching Hospitals a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48108/psn-pdf
    July 10, 2019 - Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study. July 10, 2019 Donohue JM, Kennedy JN, Seymour CW, et al. Patterns of Opioid Administration Among Opioid-Naive Inpatients and Associations With Postdischarge Opioid Use: A Cohort Study. An…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38014/psn-pdf
    March 02, 2011 - The frequency and significance of discrepancies in the surgical count. March 2, 2011 Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3. https://psnet.ahrq.gov/issue/frequency-and-significanc…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45348/psn-pdf
    September 14, 2016 - Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review. September 14, 2016 Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - development of a conceptual framework based on a systemati…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50795/psn-pdf
    January 15, 2020 - Diagnostic error in the emergency department: learning from national patient safety incident report analysis. January 15, 2020 Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37131/psn-pdf
    October 04, 2011 - Supplemental nurse staffing in hospitals and quality of care. October 4, 2011 Aiken LH, Xue Y, Clarke SP, et al. Supplemental Nurse Staffing in Hospitals and Quality of Care. JONA: The Journal of Nursing Administration. 2007;37(7). doi:10.1097/01.nna.0000285119.53066.ae. https://psnet.ahrq.gov/issue/supplemental-n…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43808/psn-pdf
    April 22, 2015 - Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. April 22, 2015 Beaudoin FL, Merchant RC, Janicki A, et al. Preventing iatrogenic overdose: a review of in-emergency department opioid-related adverse drug events and medication errors. Ann …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50945/psn-pdf
    February 26, 2020 - She hoped to shine a light on maternal mortality among Native Americans. Instead, she became a statistic of it. February 26, 2020 Chuck E, Assefa H. NBC News. February 8, 2020. https://psnet.ahrq.gov/issue/she-hoped-shine-light-maternal-mortality-among-native-americans-instead- she-became-statistic Maternal morbi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37448/psn-pdf
    January 06, 2017 - Patient safety rounds in a pediatric tertiary care center. January 6, 2017 Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt Comm J Qual Patient Saf. 2008;34(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center Executive walk…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866117/psn-pdf
    January 01, 2025 - Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. June 12, 2024 Raffel KE, Gershanik EF, Ranji SR. Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. J Hosp Med. 2025;20(1):71-74. doi:10.1002/jhm.13375. https://psnet.ahrq.gov/issue/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72856/psn-pdf
    March 17, 2021 - The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. March 17, 2021 Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. Pract Radiat Oncol. 2020;1…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43809/psn-pdf
    February 25, 2015 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. February 25, 2015 Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pedia…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46623/psn-pdf
    July 02, 2019 - Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review. July 2, 2019 Tolley CL, Forde NE, Coffey KL, et al. Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review. J Am Med Info Assoc. 2017…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34680/psn-pdf
    February 09, 2011 - Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. February 9, 2011 Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA. 2001;286(4):415-20. https://psnet.ahrq.gov/issue/estimating-hospital-deaths-du…