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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41591/psn-pdf
    November 26, 2014 - "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions. November 26, 2014 Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions. J Gen Intern Med. 2012;27(12)…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853068/psn-pdf
    August 30, 2023 - Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study. August 30, 2023 Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44216/psn-pdf
    April 25, 2016 - Improving medication safety during hospital-based transitions of care. April 25, 2016 Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care. Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025. https://psnet.ahrq.gov/issue/improving-medication-safety-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37454/psn-pdf
    January 09, 2008 - Quantifying nursing workflow in medication administration. January 9, 2008 Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc. https://psnet.ahrq.gov/issue/quantifying-nursing-workflow-medicatio…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852285/psn-pdf
    August 09, 2023 - Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. August 9, 2023 ISMP Medication Safety Alert! Acute care edition. July 13, 2023;(4):1-3;July 27, 2023;(5):1-5. https://psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety- part…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73587/psn-pdf
    August 11, 2021 - Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. August 11, 2021 Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. J Patient Saf. 2021;17(5):e4…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41132/psn-pdf
    March 13, 2012 - Spreading a medication administration intervention organizationwide in six hospitals. March 13, 2012 Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. https://psnet.ahrq.gov/issue/spreading-medi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864857/psn-pdf
    March 20, 2024 - Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care. March 20, 2024 Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the factors influencing medical registrars’ provision of saf…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856588/psn-pdf
    November 29, 2023 - It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. November 29, 2023 Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. J Contingencies Cr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50627/psn-pdf
    November 06, 2019 - Change?of?shift nursing handoff interruptions: implications for evidence?based practice. November 6, 2019 Rhudy LM, Johnson MR, Krecke CA, et al. Change-of-Shift Nursing Handoff Interruptions: Implications for Evidence-Based Practice. Worldviews Evid Based Nurs. 2019;16(5):362-370. doi:10.1111/wvn.12390. https://p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866313/psn-pdf
    July 17, 2024 - Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. July 17, 2024 Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. Health Expect.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35229/psn-pdf
    January 02, 2017 - Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. January 2, 2017 Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37. https://psnet.ahrq.gov/issue/p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35451/psn-pdf
    January 05, 2017 - Closing the loop: follow-up and feedback in a patient safety program. January 5, 2017 Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21. https://psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-pati…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861765/psn-pdf
    January 31, 2024 - Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation. January 31, 2024 Beran T, Altabbaa G, Oddone Paolucci E. Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidel…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47896/psn-pdf
    July 10, 2019 - Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home: a qualitative descriptive study. July 10, 2019 Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety and facilitate person- and family…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849325/psn-pdf
    January 01, 2024 - Medication safety event reporting: factors that contribute to safety events during times of organizational stress. May 24, 2023 Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stress. J Nurs Care Qual. 2024;39(1):51-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837731/psn-pdf
    July 27, 2022 - Predictors and outcomes of patient safety culture: a cross-sectional comparative study. July 27, 2022 Mrayyan MT. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ Open Qual. 2022;11(3):e001889. doi:10.1136/bmjoq-2022-001889. https://psnet.ahrq.gov/issue/predictors-and-out…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60536/psn-pdf
    May 27, 2020 - Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. May 27, 2020 Ellis B, Hicken M. CNN. May 14, 2020. https://psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19- outbreaks-and-deaths Long-term care and skilled nursing faci…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46603/psn-pdf
    April 12, 2019 - Comparison of internal medicine and general surgery residents' assessments of risk of postsurgical complications in surgically complex patients. April 12, 2019 Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurgical Complications in Surgically …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50917/psn-pdf
    February 19, 2020 - "Thank You for Listening": An exploratory study regarding the lived experience and perception of medical errors among those who receive care. February 19, 2020 Terry D, Kim J-ah, Gilbert J, et al. “Thank You for Listening”: An Exploratory Study Regarding the Lived Experience and Perception of Medical Errors Among …