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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39510/psn-pdf
    September 24, 2016 - Interruptions and distractions in healthcare: review and reappraisal. September 24, 2016 Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2009.033282. https://psnet.ahrq.gov/issue/interruptions-and-distr…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853432/psn-pdf
    September 13, 2023 - Healthcare leaders' and elected politicians' approach to support-systems and requirements for complying with quality and safety regulation in nursing homes - a case study. September 13, 2023 Magerøy MR, Braut GS, Macrae C, et al. Healthcare leaders’ and elected politicians’ approach to support- systems and requir…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73161/psn-pdf
    April 21, 2021 - The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents. April 21, 2021 Dürr P, Schlichtig K, Kelz C, et al. The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medicati…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846749/psn-pdf
    March 29, 2023 - The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study. March 29, 2023 Barlow M, Watson B, Jones EW, et al. The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73242/psn-pdf
    May 12, 2021 - Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. May 12, 2021 Longhini J, Papastavrou E, Efstathiou G, et al. Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. J Nurs Manag. 20…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73682/psn-pdf
    September 08, 2021 - Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study. September 8, 2021 Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds capacity and improves competence for patient saf…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73537/psn-pdf
    July 28, 2021 - Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. July 28, 2021 Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. Pediatr Qual Saf. 2021;6(4):e425. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865968/psn-pdf
    May 29, 2024 - A strategic solution to preventing the harm associated with ambulance handover delays. May 29, 2024 Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199. https://psnet.ahrq.gov/issue/strategic-solu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60906/psn-pdf
    August 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. August 18, 2021 Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705. https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable- harm-health-care The Wo…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837142/psn-pdf
    January 01, 2023 - Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. May 18, 2022 Lackie K, Hayward K, Ayn C, et al. Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866404/psn-pdf
    July 31, 2024 - Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. July 31, 2024 Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. BMJ Qual Saf. 2024;Epub …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73399/psn-pdf
    June 16, 2021 - Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands. June 16, 2021 Smits M, Langelaan M, de Groot J, et al. Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospect…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837975/psn-pdf
    August 31, 2022 - Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture. August 31, 2022 van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors affecting surgical patient safety using innovative technology: cre…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865591/psn-pdf
    January 01, 2025 - "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. April 17, 2024 Post W, Thomas AD, Sutton KM. “Black Women Should Not Die Giving Life”: The lived experiences of Black women diagnosed with severe maternal morbidity in the U…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50931/psn-pdf
    February 26, 2020 - Timely diagnosis of esophageal perforation February 26, 2020 Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation The Case  A man with mixed connective tissue disease on low-dose prednisone and methotrexate pre…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33679/psn-pdf
    January 01, 2009 - Disclosure of Medical Error January 1, 2009 Kachalia A. Disclosure of Medical Error. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/disclosure-medical-error Perspective Disclosure of medical error is inextricably linked to today's patient safety efforts. Health care experts advocate that greater discl…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33631/psn-pdf
    April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety April 1, 2006 Alldredge BK, Koda-Kimble MA. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacis…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33850/psn-pdf
    January 01, 2018 - EHR Copy and Paste and Patient Safety January 1, 2018 Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety Perspective Although the ability to copy and paste text is a central benefit of computing in general, and electronic…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33815/psn-pdf
    September 01, 2016 - Telemedicine and Patient Safety September 1, 2016 Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/telemedicine-and-patient-safety Perspective A paradigm shift is ongoing in the health care sector. The traditional model of episodic and hospital-base…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49578/psn-pdf
    January 01, 2009 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction January 1, 2009 Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction The Case A 40-year-old wo…

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