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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46510/psn-pdf
    January 01, 2019 - Pediatric weight errors and resultant medication dosing errors in the emergency department. November 22, 2017 Hirata KM, Kang AH, Ramirez G, et al. Pediatric Weight Errors and Resultant Medication Dosing Errors in the Emergency Department. Pediatr Emerg Care. 2019;35(9):637-642. doi:10.1097/PEC.0000000000001277. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74858/psn-pdf
    February 23, 2022 - Improving responses to safety incidents: we need to talk about justice. February 23, 2022 Cribb A, O'Hara JK, Waring J. Improving responses to safety incidents: we need to talk about justice. BMJ Qual Saf. 2022;31(4):327-330. doi:10.1136/bmjqs-2021-014333. https://psnet.ahrq.gov/issue/improving-responses-safety-in…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37120/psn-pdf
    March 24, 2011 - Patient safety culture in primary care: developing a theoretical framework for practical use. March 24, 2011 Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical framework for practical use. Qual Saf Health Care. 2007;16(4):313-20. https://psnet.ahrq.gov/issue/patie…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60020/psn-pdf
    March 04, 2020 - The eNOTSS platform for surgeons’ nontechnical skills performance improvement. March 4, 2020 Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880. https://psnet.ahrq.gov/issue/enotss-platform-s…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35374/psn-pdf
    January 02, 2017 - Intimidation: practitioners speak up about this unresolved problem. January 2, 2017 Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4. https://psnet.ahrq.gov/issue/intimidation-practitioners-s…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44170/psn-pdf
    May 29, 2023 - Ambulatory Surgery Center Survey on Patient Safety Culture. May 29, 2023 Rockville, MD: Agency for Healthcare Research and Quality; October 2020. https://psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture Ambulatory surgery centers (ASCs) are increasingly being used to provide surgical ca…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73077/psn-pdf
    March 24, 2021 - Well-Being Playbook 2.0. A COVID-19 Resource for Hospital and Health System Leaders. March 24, 2021 AHA Physician Alliance. Chicago, IL: American Hospital Association. February 2021.  https://psnet.ahrq.gov/issue/well-being-playbook-20-covid-19-resource-hospital-and-health-system-leaders Human factors enginee…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44330/psn-pdf
    September 02, 2015 - Health Literacy: Past, Present, and Future: Workshop Summary. September 2, 2015 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. https://psnet.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38663/psn-pdf
    May 27, 2009 - Prevention of retained surgical sponges: a decision- analytic model predicting relative cost-effectiveness. May 27, 2009 Regenbogen SE, Greenberg CC, Resch SC, et al. Prevention of retained surgical sponges: a decision- analytic model predicting relative cost-effectiveness. Surgery. 2009;145(5):527-35. doi:10.1016…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42997/psn-pdf
    May 28, 2014 - Exploring perinatal shift-to-shift handover communication and process: an observational study. May 28, 2014 Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166-75. doi:10.1111/jep.12103. https:/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39356/psn-pdf
    April 08, 2011 - Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. April 8, 2011 Thomas EJ, Williams AL, Reichman EF, et al. Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. Pediatrics. 2010;125(3):539-546. doi:10.1542/ped…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48028/psn-pdf
    August 28, 2019 - Error Reduction and Prevention in Surgical Pathology, Second Edition. August 28, 2019 Nakhleh RE, Volmar KE, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030184636. https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition Surgical specimen and laboratory process proble…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50905/psn-pdf
    February 19, 2020 - Patient activation related to fall prevention: a multisite study February 19, 2020 Christiansen TL, Lipsitz S, Scanlan M, et al. Patient activation related to fall prevention: a multisite study . Jt Comm J Qual Patient Saf. 2020. doi:10.1016/j.jcjq.2019.11.010. https://psnet.ahrq.gov/issue/patient-activation-relat…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40350/psn-pdf
    April 20, 2011 - Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. April 20, 2011 Mills PD, Huber SJ, Watts BV, et al. Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan Conflicts: review of cas…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45028/psn-pdf
    May 25, 2016 - 'Just culture': improving safety by achieving substantive, procedural and restorative justice. May 25, 2016 Dekker SWA, Breakey H. ‘Just culture:’ Improving safety by achieving substantive, procedural and restorative justice. Saf Sci. 2016;85. doi:10.1016/j.ssci.2016.01.018. https://psnet.ahrq.gov/issue/just-cultu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39840/psn-pdf
    September 15, 2010 - Wrong-site craniotomy: analysis of 35 cases and systems for prevention. September 15, 2010 Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. https://psnet.ahrq.gov/issue/wrong-site-craniotomy-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844793/psn-pdf
    September 11, 2019 - PC standards for maternal safety. September 11, 2019 The Joint Commission. R3 Report. August 21, 2019;24:1-6. https://psnet.ahrq.gov/issue/pc-standards-maternal-safety Maternal safety in the United States is gaining momentum as a system-level patient safety concern. This report reviews the new Joint Commission Pro…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45035/psn-pdf
    January 23, 2017 - Premature closure? Not so fast. January 23, 2017 Dhaliwal G. Premature closure? Not so fast. BMJ Qual Saf. 2017;26(2):87-89. doi:10.1136/bmjqs-2016- 005267. https://psnet.ahrq.gov/issue/premature-closure-not-so-fast Analyzing clinician decision making is increasingly suggested as a strategy to reduce diagnostic er…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61123/psn-pdf
    November 11, 2020 - Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. November 11, 2020 Sinsky CA, Biddison LD, Mallick A, et al. NAM Perspectives. Washington DC: National Academy of Medicine; 2020. https://psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improvin…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46942/psn-pdf
    September 24, 2018 - Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. September 24, 2018 Chatburn E, Macrae C, Carthey J, et al. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. BMJ Qual Saf. 2018;27(10):818-826. doi…

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