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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854383/psn-pdf
    January 01, 2024 - What can safety cases offer for patient safety? A multisite case study. October 11, 2023 Liberati EG, Martin GP, Lamé G, et al. What can Safety Cases offer for patient safety? A multisite case study. BMJ Qual Saf. 2024;33(3):156-165. doi:10.1136/bmjqs-2023-016042. https://psnet.ahrq.gov/issue/what-can-safety-cases…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73654/psn-pdf
    September 01, 2021 - CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. September 1, 2021 Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi:10.1093/jamia/ocab038. https:…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41701/psn-pdf
    September 26, 2019 - The CUSP Method September 26, 2019 The CUSP Method. https://psnet.ahrq.gov/issue/cusp-method The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in several landmark pat…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852460/psn-pdf
    August 16, 2023 - Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. August 16, 2023 Rockville, MD: Agency for Healthcare Research and Quality; July 2023. https://psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage Obstetric hemorrhage and severe high blood pressure during pregna…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851060/psn-pdf
    June 28, 2023 - An integrative systematic review of employee silence and voice in healthcare: what are we really measuring. June 28, 2023 Lainidi O, Jendeby MK, Montgomery A, et al. An integrative systematic review of employee silence and voice in healthcare: what are we really measuring? Front Psychiatry. 2023;14:111579. doi:10.…
  6. digital.ahrq.gov/location/usa-mt-billings
    January 01, 2023 - USA, MT, Billings Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System Description This project developed, implemented, and evaluated a care transition information transfer system to improve provider-to-provider commu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854386/psn-pdf
    January 01, 2024 - Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. October 11, 2023 Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele- palliative care: an integrative review. J Hosp Palliat Nurs. 2024;26(1):e1-e12. doi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74755/psn-pdf
    February 09, 2022 - Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. February 9, 2022 Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res Clin Obstet Gynaecol. 2022;80:105-113…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39859/psn-pdf
    November 21, 2016 - Experience with family activation of rapid response teams. November 21, 2016 Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg Nurs. 2010;19(4):215-22; quiz 223. https://psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams The central tenet behi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60283/psn-pdf
    April 29, 2020 - Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. April 29, 2020 Shanafelt TD, Ripp JA, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323(21):2133-2134. doi:10.1001/jama…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847536/psn-pdf
    April 12, 2023 - Racism and electronic health records (EHRs): perspectives for research and practice. April 12, 2023 Emani S, Rodriguez JA, Bates DW. Racism and electronic health records (EHRs): perspectives for research and practice. J Am Med Inform Assoc. 2023;30(5):995-999. doi:10.1093/jamia/ocad023. https://psnet.ahrq.gov/issu…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74746/psn-pdf
    February 09, 2022 - Medication errors' causes analysis in home care setting: a systematic review. February 9, 2022 Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037. https://psnet.ahrq.gov/issue/medicati…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73575/psn-pdf
    August 04, 2021 - Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. August 4, 2021 Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.  https://psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs Lack of appropriate follow up o…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46597/psn-pdf
    November 01, 2017 - A novel process audit for standardized perioperative handoff protocols. November 1, 2017 Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.04.011. https://psnet.ahrq.gov/issue…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47039/psn-pdf
    September 12, 2018 - Overdiagnosis in primary care: framing the problem and finding solutions. September 12, 2018 Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820. https://psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-findi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43903/psn-pdf
    April 21, 2015 - Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills. April 21, 2015 Arora S, Hull L, Fitzpatrick M, et al. Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847726/psn-pdf
    January 01, 2024 - Systematic review of clinical debriefing tools: attributes and evidence for use. April 19, 2023 Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-015464. https://psnet.ahrq.gov/issue…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839324/psn-pdf
    November 02, 2022 - The impact of COVID-19 workflow changes on radiation oncology incident reporting. November 2, 2022 Volpini ME, Lekx?Toniolo K, Mahon R, et al. The impact of COVID?19 workflow changes on radiation oncology incident reporting. J Appl Clin Med Phys. 2022;23(11):e13742. doi:10.1002/acm2.13742. https://psnet.ahrq.gov/i…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840144/psn-pdf
    November 16, 2022 - Dedicated teams to optimize quality and safety of surgery: a systematic review. November 16, 2022 Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078. doi:10.1093/intqhc/mzac078. ht…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45140/psn-pdf
    November 28, 2016 - Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study. November 28, 2016 Fisher K, Ahmad S, Jackson M, et al. Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: A qualitative study. Patient …