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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60030/psn-pdf
    March 11, 2020 - Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. March 11, 2020 Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and team processes in reducing adverse ev…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50792/psn-pdf
    January 15, 2020 - Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center January 15, 2020 Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61040/psn-pdf
    January 01, 2021 - Cancer diagnostic delay in Northern and Central Italy during the 2020 lockdown due to the coronavirus disease 2019 pandemic. October 21, 2020 Ferrara G, De Vincentiis L, Ambrosini-Spaltro A, et al. Cancer diagnostic delay in Northern and Central Italy during the 2020 lockdown due to the coronavirus disease 2019 pa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60670/psn-pdf
    July 08, 2020 - Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. July 8, 2020 Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. Patient Saf. 2020;2(2):16-27. d…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837033/psn-pdf
    May 04, 2022 - Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. May 4, 2022 Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. JAMA…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865875/psn-pdf
    May 15, 2024 - Digital health interventions and patient safety in abdominal surgery: a systematic review and meta- analysis. May 15, 2024 Grygorian A, Montano D, Shojaa M, et al. Digital health interventions and patient safety in abdominal surgery: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(4):e248555. doi:10…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865976/psn-pdf
    May 29, 2024 - What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. May 29, 2024 Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real?time narratives. J Hosp Med. 2024;19(9):765-776. doi:10.1002/j…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847045/psn-pdf
    April 05, 2023 - Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities during the coronavirus disease 2019 (COVID-19) pandemic. April 5, 2023 Evans ME, Simbartl LA, Kralovic SM, et al. Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities d…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72521/psn-pdf
    December 02, 2020 - I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. December 2, 2020 Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300/jgme-d-19-00755.1. https://psn…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837602/psn-pdf
    January 01, 2023 - Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study. June 29, 2022 Zhang D, Gu D, Rao C, et al. Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting proced…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60658/psn-pdf
    July 08, 2020 - Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. July 8, 2020 Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-anal…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44680/psn-pdf
    February 24, 2018 - Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. February 24, 2018 McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74757/psn-pdf
    February 09, 2022 - Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. February 9, 2022 Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.1001/jamanetworkopen.2021.44531. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866249/psn-pdf
    July 10, 2024 - Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. July 10, 2024 Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system in the Veterans Health Administration’s …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865806/psn-pdf
    May 08, 2024 - Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. May 8, 2024 Hedqvist A?T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patient…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45350/psn-pdf
    October 21, 2016 - A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. October 21, 2016 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2016. https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50832/psn-pdf
    January 01, 2021 - Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study. January 29, 2020 Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quant…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74834/psn-pdf
    February 16, 2022 - Evaluating incident learning systems and safety culture in two radiation oncology departments. February 16, 2022 Adamson L, Beldham?Collins R, Sykes J, et al. Evaluating incident learning systems and safety culture in two radiation oncology departments. J Med Radiat Sci. 2022;69(2):208-217. doi:10.1002/jmrs.563. h…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43787/psn-pdf
    June 22, 2016 - Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. June 22, 2016 Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional stud…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45651/psn-pdf
    November 16, 2016 - Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. November 16, 2016 Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…

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