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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865593/psn-pdf
    April 17, 2024 - An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective. April 17, 2024 Strandås M, Vizcaya-Moreno M, Ingstad K, et al. An integrative systematic review of promoting patient safety within prehospital emergency medical servi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74235/psn-pdf
    January 12, 2022 - Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. January 12, 2022 Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. Ann Fam Med. 2021;19(6):521-52…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857456/psn-pdf
    December 06, 2023 - When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. December 6, 2023 Schlesinger M, Grob R. When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. Hastings Cent Rep. 2023;53(S2):s22-s32. doi:10.1002/hast.1520. https://…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42626/psn-pdf
    October 02, 2013 - Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. October 2, 2013 Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification of Missing Safety Barriers Using t…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50706/psn-pdf
    December 04, 2019 - Improving end-of-rotation transitions of care among ICU patients December 4, 2019 Denson JL, Knoeckel J, Kjerengtroen S, et al. Improving end-of-rotation transitions of care among ICU patients. BMJ Qual Saf. 2019;29(3):250-259. doi:10.1136/bmjqs-2019-009867. https://psnet.ahrq.gov/issue/improving-end-rotation-tran…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43780/psn-pdf
    September 09, 2015 - Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors. September 9, 2015 Kitto S, Marshall SD, McMillan SE, et al. Rapid response systems and collective (in)competence: An exploratory analysis of intraprofessional and interprofes…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44950/psn-pdf
    March 02, 2016 - Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets. March 2, 2016 Schwartz A, Weiner SJ, Binns-Calvey A, et al. Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46184/psn-pdf
    January 01, 2018 - A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. December 19, 2017 Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. Ergonomics. 2018;61(1):104…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72482/psn-pdf
    November 18, 2020 - Real-time debriefing after critical events: exploring the gap between principle and reality. November 18, 2020 Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. Anesthesiol Clin. 2020;38(4):801-820. doi:10.1016/j.anclin.2020.08.003. ht…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46579/psn-pdf
    April 11, 2018 - Electronic medicine can send you test results quickly. But what if they're scary? April 11, 2018 Boodman SG. Washington Post. March 26, 2018. https://psnet.ahrq.gov/issue/electronic-medicine-can-send-you-test-results-quickly-what-if-theyre-scary Although providing patients with access to physician notes and test r…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844545/psn-pdf
    February 15, 2023 - Providers' and patients' perspectives on diagnostic errors in the acute care setting. February 15, 2023 Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.1016/j.jcjq.2022.11.009. https://…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858165/psn-pdf
    December 13, 2023 - When public health goes wrong: toward a new concept of public health error. December 13, 2023 Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67. https://psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-con…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838911/psn-pdf
    October 26, 2022 - Medication adverse events in the ambulatory setting: a mixed-methods analysis. October 26, 2022 Wong J, Lee S-Y, Sarkar U, et al. Medication adverse events in the ambulatory setting: a mixed-methods analysis. Am J Health Syst Pharm. 2022;79(24):2230-2243. doi:10.1093/ajhp/zxac253. https://psnet.ahrq.gov/issue/medi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43703/psn-pdf
    December 19, 2014 - Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? December 19, 2014 Shin MH, Sullivan JL, Rosen AK, et al. Examining the validity of AHRQ's patient safety indicators (PSIs): is variation in PSI composite score related …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836785/psn-pdf
    March 23, 2022 - Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. March 23, 2022 Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. BMC Med Inform Decis Mak. 2022;…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73863/psn-pdf
    September 22, 2021 - Electronic health record interoperability-why electronically discontinued medications are still dispensed. September 22, 2021 Shervani S, Madden W, Gleason LJ. Electronic health record interoperability-why electronically discontinued medications are still dispensed. JAMA Intern Med. 2021;181(10):1383-1384. doi:10…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865706/psn-pdf
    May 01, 2024 - Stigmatizing language, patient demographics, and errors in the diagnostic process. May 1, 2024 Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.2024.0705. https://psnet.ahrq.gov/is…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838924/psn-pdf
    October 26, 2022 - Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. October 26, 2022 Wu G, Podlinski L, Wang C, et al. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Jt Comm J Qual Patient Saf. 2022;48(12):665-6…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35361/psn-pdf
    July 16, 2009 - Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. July 16, 2009 Wu HW, Nishimi RY, Page-Lopez CM, et al. Washington DC: National Quality Forum; 2005. https://psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health- literacy In the 2…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47841/psn-pdf
    April 24, 2019 - Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. April 24, 2019 Ameratunga R, Klonin H, Vaughan J, et al. Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. BMJ. 2019;364:l706. doi:10.1136/bmj.l706. https://psnet.ahrq.gov/i…