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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45106/psn-pdf
    August 16, 2017 - The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff. August 16, 2017 MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50576/psn-pdf
    October 23, 2019 - Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. October 23, 2019 Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provider encounter are a frequent sou…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44038/psn-pdf
    May 06, 2015 - Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. May 6, 2015 Marks L, Mazur L, Chera B, Adams R. Boca Raton, FL: Productivity Press; 2015. ISBN: 9781482233643. https://psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46917/psn-pdf
    April 18, 2018 - Consumer mobile apps for potential drug–drug interaction check: systematic review and content analysis using the Mobile App Rating Scale (MARS). April 18, 2018 Kim BY, Sharafoddini A, Tran N, et al. Consumer Mobile Apps for Potential Drug-Drug Interaction Check: Systematic Review and Content Analysis Using the Mob…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72483/psn-pdf
    November 18, 2020 - ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. November 18, 2020 Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments: Pathway Leaders Patient Safety Collaborative. Chicago, IL: Accreditation Council for Graduate Medical Educatio…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61026/psn-pdf
    October 14, 2020 - A blinded, prospective study of error detection during physician chart rounds in radiation oncology. October 14, 2020 Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart rounds in radiation oncology. Pract Radiat Oncol. 2020;10(5):312-320. doi:10.1016/j.prr…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858170/psn-pdf
    December 13, 2023 - Unsafe care in residential settings for older adults. A content analysis of accreditation reports. December 13, 2023 Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int J Qual Health Care. 2023;35(4):mzad085. doi:10.1093/intqhc/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844038/psn-pdf
    January 01, 2024 - The effectiveness of tele-triage during the COVID-19 pandemic: a systematic review and narrative synthesis. February 8, 2023 Farzandipour M, Nabovati E, Sharif R. The effectiveness of tele-triage during the COVID-19 pandemic: a systematic review and narrative synthesis. J Telemed Telecare. 2024;30(9):1367-1375. do…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73220/psn-pdf
    May 05, 2021 - Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? May 5, 2021 Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for telehealth implementation amidst the COVID…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74086/psn-pdf
    November 17, 2021 - Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. November 17, 2021 Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. J Patien…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865920/psn-pdf
    May 22, 2024 - Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. May 22, 2024 Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processes as predictors of resident physic…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845304/psn-pdf
    March 01, 2023 - For children admitted to hospital, what interventions improve medication safety on ward rounds? March 1, 2023 King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588. doi:10.1136/archdis…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863226/psn-pdf
    February 28, 2024 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report. February 28, 2024 Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; February 2024. AHRQ Publication No. 24-0028. https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-med…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43192/psn-pdf
    December 15, 2014 - Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? December 15, 2014 Rosen AK, Chen Q, Borzecki A, et al. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? Health Serv Res.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837199/psn-pdf
    May 25, 2022 - Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. May 25, 2022 Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safet…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44616/psn-pdf
    November 04, 2015 - Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. November 4, 2015 Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74695/psn-pdf
    January 26, 2022 - Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. January 26, 2022 Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departm…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837631/psn-pdf
    July 06, 2022 - The impact of an electronic alert to reduce the risk of co- prescription of low molecular weight heparins and direct oral anticoagulants. July 6, 2022 Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoag…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46288/psn-pdf
    August 23, 2017 - Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. August 23, 2017 Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional students to raise concerns with the qua…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836831/psn-pdf
    March 30, 2022 - A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences. March 30, 2022 Upadhyay S, Hu H-fen. . A Qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences. He…

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