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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36902/psn-pdf
    June 09, 2010 - Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. June 9, 2010 Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41054/psn-pdf
    January 27, 2012 - The impact of nontechnical skills on technical performance in surgery: a systematic review. January 27, 2012 Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.1016/j.jamcollsurg.2011.10.016. ht…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36386/psn-pdf
    July 14, 2010 - Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network. July 14, 2010 Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: Reports of Medical Errors in Primary…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40921/psn-pdf
    November 16, 2011 - Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. November 16, 2011 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; October 2011. Report No. OEI-01-08-00590. https://psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-response…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60643/psn-pdf
    July 01, 2020 - Human factors considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey study. July 1, 2020 Parush A, Wacht O, Gomes R, et al. Human Factors Considerations in Using Personal Protective Equipment in the COVID-19 Pandemic Context: A Bi-national Survey Study (Preprin…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60838/psn-pdf
    January 01, 2021 - Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. August 26, 2020 Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. J Rac…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43013/psn-pdf
    March 12, 2014 - Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice. March 12, 2014 Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in gene…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841142/psn-pdf
    December 07, 2022 - Experience of hospital-initiated medication changes in older people with multimorbidity: a multicentre mixed- methods study embedded in the OPtimising thERapy to prevent Avoidable hospital admissions in Multimorbid older people (OPERAM) trial. December 7, 2022 Thevelin S, Pétein C, Metry B, et al. Experience of h…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47893/psn-pdf
    April 08, 2019 - Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. April 8, 2019 Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consensus Panel Report. Pain Med. 2019;20(4):7…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861771/psn-pdf
    January 31, 2024 - The impact of nursing practice environments on patient safety culture in primary health care: a scoping review. January 31, 2024 Pereira SC de A, Ribeiro OMPL, Fassarella CS, et al. The impact of nursing practice environments on patient safety culture in primary health care: a scoping review. BJGP Open. 2024;8(1):B…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74154/psn-pdf
    December 08, 2021 - Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review. December 8, 2021 Cam H, Kempen TGH, Eriksson H, et al. Assessment of requests for medication-related follow-up after hospi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854375/psn-pdf
    October 11, 2023 - Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants. October 11, 2023 Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849340/psn-pdf
    May 24, 2023 - Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. May 24, 2023 Massachusetts Protection and Advocacy. Boston, MA:  Disability Law Center; May 8, 2023. https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treat…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847546/psn-pdf
    March 25, 2021 - Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. March 25, 2021 Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional interventi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844758/psn-pdf
    September 18, 2019 - The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. September 18, 2019 Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. https://psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours Early recognition of clinica…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61108/psn-pdf
    November 11, 2020 - Association of clinical nursing work environment with quality and safety in maternity care in the United States. November 11, 2020 Clark RRS, Lake ET. Association of clinical nursing work environment with quality and safety in maternity care in the United States. MCN: Am J Maternal Child Nurs. 2020;45(5):265-270. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34949/psn-pdf
    June 23, 2009 - A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. June 23, 2009 Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continui…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38377/psn-pdf
    March 21, 2017 - The You CAN campaign: teamwork training for patients and families in ambulatory oncology. March 21, 2017 Weingart SN, Simchowitz B, Eng TK, et al. The You CAN campaign: teamwork training for patients and families in ambulatory oncology. Jt Comm J Qual Patient Saf. 2009;35(2):63-71. https://psnet.ahrq.gov/issue/you…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73603/psn-pdf
    August 18, 2021 - The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. August 18, 2021 Bryant J, Carey M, Sanson-Fisher R, et al. The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. J Patient Saf. 2021;17(5):e387-e392. doi:10.10…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74035/psn-pdf
    January 01, 2022 - Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. November 3, 2021 O’Dowd E, Lydon S, Lambe KA, et al. Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. Fam Pract. 2022;39(4):57…