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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47121/psn-pdf
    August 08, 2018 - Assessment of programs aimed to decrease or prevent mistreatment of medical trainees. August 8, 2018 Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870. doi:10.1001/jamanetworkopen.2018.0870. https…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866563/psn-pdf
    August 21, 2024 - Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. August 21, 2024 Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2024;44(1):17-23. doi:10.1002/jhrm…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74109/psn-pdf
    November 24, 2021 - Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. November 24, 2021 Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/bmjoq-2021-001421. https://psne…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864376/psn-pdf
    March 13, 2024 - Implementing and evaluating patient-focused safety technology on adult acute mental health wards. March 13, 2024 Kendal S, Louch G, Walker L, et al. Implementing and evaluating patient?focused safety technology on adult acute mental health wards. J Psychiatr Ment Health Nurs. 2024;31(5):742-754. doi:10.1111/jpm.13…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40816/psn-pdf
    March 21, 2017 - Professionalism: a necessary ingredient in a culture of safety. March 21, 2017 Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-55. https://psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety Di…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73133/psn-pdf
    April 14, 2021 - A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward. April 14, 2021 Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward. BMC Health Serv Res. 2021;21(1):11…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73679/psn-pdf
    September 08, 2021 - Why an open disclosure procedure is and is not followed after an avoidable adverse event. September 8, 2021 Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405. https…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839826/psn-pdf
    November 09, 2022 - Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. November 9, 2022 Skeff KM, Brown-Johnson CG, Asch SM, et al. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. J Healthc Manag. 2022;67(5):339-352. …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841473/psn-pdf
    December 14, 2022 - Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. December 14, 2022 Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lond). 2022;18:174550572211338. …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34656/psn-pdf
    May 27, 2011 - A look into the nature and causes of human errors in the intensive care unit. May 27, 2011 Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23(2):294-300. https://psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837345/psn-pdf
    June 08, 2022 - A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. June 8, 2022 Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. Health Secur. 2022;20(3):261-263. doi:…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854633/psn-pdf
    October 18, 2023 - A survey of pharmacists' perception of the work environment and patient safety in community pharmacies during the COVID-19 pandemic. October 18, 2023 Ljungberg Persson C, Nordén Hägg A, Södergård B. A survey of pharmacists' perception of the work environment and patient safety in community pharmacies during the CO…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866070/psn-pdf
    June 05, 2024 - Large language models for preventing medication direction errors in online pharmacies. June 5, 2024 Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8. https://psnet.ahrq.gov/issue/large…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60210/psn-pdf
    April 08, 2020 - Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients. April 8, 2020 Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients. Perspect Psychiatr Ca…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37226/psn-pdf
    December 15, 2011 - Adverse drug events in pediatric outpatients. December 15, 2011 Kaushal R, Goldmann DA, Keohane C, et al. Adverse drug events in pediatric outpatients. Ambul Pediatr. 2007;7(5):383-9. https://psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients The incidence of adverse drug events (ADEs) among children h…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837036/psn-pdf
    May 04, 2022 - Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. May 4, 2022 Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. J Patient Saf. …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867381/psn-pdf
    December 18, 2024 - Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. December 18, 2024 Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Br J Clin Pharm…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48079/psn-pdf
    June 12, 2019 - Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. June 12, 2019 Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a pharmacy technician-supported medi…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41068/psn-pdf
    September 29, 2017 - A review of verbal order policies in acute care hospitals. September 29, 2017 Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt Comm J Qual Patient Saf. 2012;38(1):24-33. https://psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals Verbal …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74719/psn-pdf
    February 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…
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