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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47903/psn-pdf
    January 01, 2021 - A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. April 17, 2019 Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Settings: Observed Safety Vulnerabilitie…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46002/psn-pdf
    October 13, 2018 - Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. October 13, 2018 Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative Study to Understand an Increasing…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866955/psn-pdf
    October 16, 2024 - Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. October 16, 2024 Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single- centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. doi:10.1136/bmjqs-2024-017183. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60233/psn-pdf
    April 15, 2020 - Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports. April 15, 2020 Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports. Patient Safety. 2020;2…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73164/psn-pdf
    April 21, 2021 - Effectiveness of communication interventions in obstetrics--a systematic review. April 21, 2021 Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616. https://psnet.ahrq.go…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41166/psn-pdf
    February 29, 2012 - Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. February 29, 2012 Taylor JA, Gerwin D, Morlock L, et al. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. Inj Prev. 2011;17(6)…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47400/psn-pdf
    November 28, 2018 - Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. November 28, 2018 Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. doi:10.1136/bmjopen-2018-022202…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839315/psn-pdf
    January 01, 2024 - Six major steps to make investigations of suicide valuable for learning and prevention. November 2, 2022 Fröding E, Vincent C, Andersson-Gäre B, et al. Six major steps to make investigations of suicide valuable for learning and prevention. Arch Suicide Res. 2024;28(1):1-19. doi:10.1080/13811118.2022.2133652. https…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38064/psn-pdf
    February 23, 2009 - Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system. February 23, 2009 Niazkhani Z, van der Sijs H, Pirnejad H, et al. Same system, different outcomes: comparing the transitions from two paper-based systems to the same comput…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60649/psn-pdf
    July 01, 2020 - The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. July 1, 2020 The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. ISMP Medication Safety Alert! Acute Care Edition. June 2020;25(12). https://psnet.ahrq.gov/iss…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44898/psn-pdf
    November 23, 2016 - Types and patterns of safety concerns in home care: client and family caregiver perspectives. November 23, 2016 Tong CE, Sims-Gould J, Martin-Matthews A. Types and patterns of safety concerns in home care: client and family caregiver perspectives. Int J Qual Health Care. 2016;28(2):214-220. doi:10.1093/intqhc/mzw0…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74241/psn-pdf
    January 12, 2022 - Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. January 12, 2022 Winning AM, Merandi J, Rausch JR, et al. Validation of the second victim experience and support tool- revised in the neonatal intensive care unit. J Patient Saf. 2021;17(8):531-540. doi:10.1097…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72600/psn-pdf
    December 23, 2020 - Improving hospital safety culture for falls prevention through interdisciplinary health education. December 23, 2020 Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi:10.1177/1524839919840337. htt…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73470/psn-pdf
    July 07, 2021 - Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. July 7, 2021 Dynan L, Smith RB. Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. Health Serv Outcomes Res Methodol. 2021. doi:10.1007/s10742-021-00251-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45848/psn-pdf
    November 19, 2018 - New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. November 19, 2018 Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014. https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies- physicians Poor c…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865583/psn-pdf
    April 17, 2024 - Impact of repeated reimbursement penalties on hospital total quality scores. April 17, 2024 Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199. https://psnet.ahrq.gov/issue/impact-repeated-r…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47219/psn-pdf
    July 25, 2018 - Preparing clinicians for transitioning patients across care settings and into the home through simulation. July 25, 2018 Molloy MA, Cary MP, Brennan-Cook J, et al. Preparing Clinicians for Transitioning Patients Across Care Settings and Into the Home Through Simulation. Home Healthc Now. 2018;36(4):225-231. doi:10…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42156/psn-pdf
    April 03, 2013 - The effect of a checklist on the quality of post- anaesthesia patient handover: a randomized controlled trial. April 3, 2013 Salzwedel C, Bartz H-J, Kühnelt I, et al. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Int J Qual Health Care. 2013;25(2):176…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36118/psn-pdf
    September 24, 2010 - Implementing patient safety practices in small ambulatory care settings. September 24, 2010 Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt Comm J Qual Patient Saf. 2006;32(8):419-425. https://psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-amb…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44210/psn-pdf
    September 09, 2015 - The future of graduate medical education: a systems- based approach to ensure patient safety. September 9, 2015 Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824. https://psnet.ahrq.gov/issue/futur…

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