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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38347/psn-pdf
    May 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. May 24, 2015 Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF. https://psnet.ahrq.gov/issue/usin…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48087/psn-pdf
    July 10, 2019 - The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. July 10, 2019 Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(Suppl 7):S998-S1008. doi:10.21037/jtd.20…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34907/psn-pdf
    August 03, 2009 - Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? August 3, 2009 Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92. https://psnet.ahrq.gov/issue…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848378/psn-pdf
    May 04, 2023 - Ensuring competency and safety when onboarding newly hired professional staff. May 3, 2023 ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;23(9):1-3. https://psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional- staff Psychological sa…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856631/psn-pdf
    November 29, 2023 - Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. November 29, 2023 Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patien…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46362/psn-pdf
    January 01, 2021 - Making patient safety event data actionable: understanding patient safety analyst needs. October 4, 2017 Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.1097/pts.0000000000000400. https:/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43426/psn-pdf
    July 03, 2016 - Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence. July 3, 2016 Dankoski ME, Bickel J, Gusic ME. Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence. Acad Med. 2014;89(12):1610-3. doi:…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853241/psn-pdf
    September 06, 2023 - Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. September 6, 2023 McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non?24/7 theatre on?site staffed obstetric units. Aust N Z J Obstet Gynaecol. 2023;63(4):606-611. doi:10.111…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45563/psn-pdf
    October 19, 2016 - Using a change model to reduce the risk of surgical site infection. October 19, 2016 Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949- 955. https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection Surgical site infections can resul…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73708/psn-pdf
    September 15, 2021 - Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. September 15, 2021 Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 2021;47(10):673-676. doi:10.1016/j.jc…
  11. psnet.ahrq.gov/perspective/safety-medical-devices
    June 01, 2011 - Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and culture … that is that organizations can start to deviate from established procedures and bend them if in their culture … The culture created at the top is more important than any number of experts that you have there. … Japan's culture made it harder to discuss the risk.
  12. psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
    September 01, 2014 - Beliefs are a factor. … Physicians and patients have their beliefs about medicine and its possibilities and limitations. … RW : So the reasons for overuse include financial incentives, cultural beliefs, marketing, and production … of overutilization," formed from the confluence of many reinforcing drivers, including a physician culture
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33867/psn-pdf
    October 01, 2018 - For example, safety culture. Remember the Eric Cropp case? … RW: You talked a little about culture in terms of punitive culture, you talked about production pressures
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859302/psn-pdf
    December 20, 2023 - Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. December 20, 2023 Aunger JA, Maben J, Abrams R, et al. Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. BMC Health Serv Res. 2023;23(1):1326. doi:10.1186/s12913-023-10291-3. http…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857445/psn-pdf
    January 01, 2024 - The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. December 6, 2023 Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant b…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854627/psn-pdf
    October 18, 2023 - Implementing strategies to prevent home medication administration errors in children with medical complexity. October 18, 2023 Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in children with medical complexity. Clin Pediatr (Phila). 2023;20(18):6788. doi:10.1177/0…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34710/psn-pdf
    February 18, 2011 - Fatigue among clinicians and the safety of patients. February 18, 2011 Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. New Engl J Med. 2002;347(16):1249-1255. https://psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients Acknowledging the inevitable connection b…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866960/psn-pdf
    October 16, 2024 - The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. October 16, 2024 Sanders AA, Roberts JD, McDowell MC, et al. The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. Soc Work Public Health. 2024;39(7):721-733. doi:10.1080/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37054/psn-pdf
    September 30, 2011 - Impact of the nurse shortage on hospital patient care: comparative perspectives. September 30, 2011 Buerhaus P, Donelan K, Ulrich BT, et al. Impact of the nurse shortage on hospital patient care: comparative perspectives. Health Aff (Millwood). 2007;26(3):853-62. https://psnet.ahrq.gov/issue/impact-nurse-shortage-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854381/psn-pdf
    October 11, 2023 - Addressing bias in acute postoperative pain management. October 11, 2023 Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management. Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0. https://psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pa…

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