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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42660/psn-pdf
    October 16, 2013 - Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. October 16, 2013 Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. Acad…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41022/psn-pdf
    December 21, 2011 - Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. December 21, 2011 Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communicatio…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44511/psn-pdf
    October 14, 2015 - Multimorbidity and patient safety incidents in primary care: a systematic review and meta-analysis. October 14, 2015 Panagioti M, Stokes J, Esmail A, et al. Multimorbidity and Patient Safety Incidents in Primary Care: A Systematic Review and Meta-Analysis. PLoS One. 2015;10(8):e0135947. doi:10.1371/journal.pone.01…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46831/psn-pdf
    April 18, 2018 - Guideline Summary: Medication Safety. April 18, 2018 Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096. https://psnet.ahrq.gov/issue/guideline-summary-medication-safety Perioperative medication errors can result in patient harm as well as emotional distress among clinical te…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47951/psn-pdf
    April 24, 2019 - Safe medication management at ambulatory surgery centers. April 24, 2019 Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635. https://psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers Safe medication use can be challengin…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50867/psn-pdf
    February 05, 2020 - Cognitive testing of older clinicians prior to recredentialing. February 5, 2020 Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. https://psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing In an…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42248/psn-pdf
    June 12, 2013 - Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). June 12, 2013 Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development, validation, and application of the Coordi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44389/psn-pdf
    August 19, 2015 - A method of addressing proprietary name similarity for US prescription drugs. August 19, 2015 Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331. https://psnet.ahrq.gov/issue/method-addressing-propri…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45921/psn-pdf
    March 08, 2017 - Do hospital boards matter for better, safer, patient care? March 8, 2017 Mannion R, Davies HTO, Jacobs R, et al. Do Hospital Boards matter for better, safer, patient care? Soc Sci Med. 2017;177:278-287. doi:10.1016/j.socscimed.2017.01.045. https://psnet.ahrq.gov/issue/do-hospital-boards-matter-better-safer-patient-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73249/psn-pdf
    May 12, 2021 - I-PASS handover system: a decade of evidence demands action. May 12, 2021 Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314. https://psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action The I-PASS structu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45531/psn-pdf
    December 14, 2016 - The role of safety culture in influencing provider perceptions of patient safety. December 14, 2016 Bishop A, Boyle TA. The Role of Safety Culture in Influencing Provider Perceptions of Patient Safety. J Patient Saf. 2016;12(4):204-209. https://psnet.ahrq.gov/issue/role-safety-culture-influencing-provider-percepti…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38059/psn-pdf
    September 17, 2008 - Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension. September 17, 2008 Quach J, Downey A, Haase M, et al. Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension. J Crit Care. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60815/psn-pdf
    August 19, 2020 - Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. August 19, 2020 Boyle JG, Walters MR, Jamieson S, et al. Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. Diagnosis (Berl). 2020;7(3):177-179. doi:10.1515/dx-2020-0061. https://psnet.ahrq.gov/issue/clinic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73668/psn-pdf
    September 01, 2021 - Leadership: an effective human factor during COVID-19. September 1, 2021 Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203- 205. doi:10.1136/leader-2020-000384. https://psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19 Hierarchy and professional…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47389/psn-pdf
    November 02, 2018 - What 'just culture' doesn't understand about just punishment. November 2, 2018 Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911. https://psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment T…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44408/psn-pdf
    April 12, 2017 - Enhancing Surgical Performance: A Primer in Non- technical Skills. April 12, 2017 Flin R, Youngson GG, Yule S. Boca Raton, FL: CRC Press; 2015. ISBN: 9781482246322. https://psnet.ahrq.gov/issue/enhancing-surgical-performance-primer-non-technical-skills Non-technical skill development is gaining attention as a way …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39798/psn-pdf
    January 19, 2011 - Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. January 19, 2011 Evans S, Murray A, Patrick I, et al. Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. Qual Saf Health Care. 2010;19(6):e57. doi:10.1136/qshc.2009.0…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42839/psn-pdf
    January 09, 2014 - Teaching medical error disclosure to residents using patient-centered simulation training. January 9, 2014 Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.0000000000000046. https://psnet.ahrq.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44333/psn-pdf
    July 15, 2015 - One hospital's initiatives to encourage safe opioid use. July 15, 2015 Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. https://psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use This commentar…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47906/psn-pdf
    August 21, 2019 - Creating a just culture: the Ottawa Hospital's experience. August 21, 2019 Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303. https://psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-ex…

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