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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74729/psn-pdf
    February 02, 2022 - Healing our own: a randomized trial to assess benefits of peer support. February 2, 2022 Rivera-Chiauzzi EY, Smith HA, Moore-Murray T, et al. Healing our own: a randomized trial to assess benefits of peer support. J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771. https://psnet.ahrq.gov/issue/h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47786/psn-pdf
    June 26, 2019 - Creating a Safe Space: Psychological Health and Safety of Healthcare Workers. June 26, 2019 Canadian Patient Safety Institute: 2019. https://psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers Structured approaches to managing negative psychological consequences of medical e…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845649/psn-pdf
    March 08, 2023 - Medication rounds: a tool to promote medication safety for children with medical complexity. March 8, 2023 Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):226-234. doi:10.1016/j.jcjq.2023.01.003. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864860/psn-pdf
    March 20, 2024 - Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. March 20, 2024 Zheng Y, Rowell B, Chen Q, et al. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. JMIR Form Res. 2023;7:e51921. doi:10.2196/51921. https:/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48134/psn-pdf
    August 14, 2019 - Root cause analysis for hospital-acquired pressure injury. August 14, 2019 Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546. https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury Pr…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73468/psn-pdf
    July 07, 2021 - The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events. July 7, 2021 Chung EH, Truong T, Jooste KR, et al. The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events. J Surg Educ. 2021;78(3):942-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60913/psn-pdf
    September 16, 2020 - Triggers contributing to health care clinicians' disruptive behaviors. September 16, 2020 Bae S-H, Dang D, Karlowicz KA, et al. Triggers contributing to health care clinicians' disruptive behaviors. J Patient Saf. 2020;16(3):e148-e155. doi:10.1097/pts.0000000000000288. https://psnet.ahrq.gov/issue/triggers-contrib…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46955/psn-pdf
    May 30, 2018 - Governing the quality and safety of healthcare: a conceptual framework. May 30, 2018 Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework. Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020. https://psnet.ahrq.gov/issue/governing-quality-and-safety-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837511/psn-pdf
    June 22, 2022 - Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme. June 22, 2022 Rotteau L, Goldman J, Shojania KG, et al. Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme. BMJ Qual Saf. 2022;31…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843094/psn-pdf
    January 25, 2023 - Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. January 25, 2023 Collaborative for Accountability and Improvement Policy Committee. Seattle, WA: University of Washington; 2022 https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-c…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849131/psn-pdf
    May 17, 2023 - The time is now: addressing implicit bias in obstetrics and gynecology education. May 17, 2023 Royce CS, Morgan HK, Baecher-Lind L, et al. The time is now: addressing implicit bias in obstetrics and gynecology education. Am J Obstet Gynecol. 2023;228(4):369-381. doi:10.1016/j.ajog.2022.12.016. https://psnet.ahrq.g…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842422/psn-pdf
    January 11, 2023 - The REPAIR Project: a prospectus for change toward racial justice in medical education and health sciences research: REPAIR project steering committee. January 11, 2023 REPAIR Project Steering Committee. Acad Med. 2022;97(12):1753-1759.  https://psnet.ahrq.gov/issue/repair-project-prospectus-change-toward-rac…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43149/psn-pdf
    July 23, 2014 - FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. July 23, 2014 Washington, DC: Office of the National Coordinator for Health Information Technology, Federal Communications Commission. Silver Spring, MD: Food and Drug Administration. April 2014. https://psnet.ahrq.gov/issue…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45748/psn-pdf
    January 01, 2017 - Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study. December 14, 2016 Steege LM, Rainbow JG. Fatigue in hospital nurses - 'Supernurse' culture is a barrier to addressing problems: A qualitative interview study. Int J Nurs Stud. 2017;67:20-28. doi:10.1…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42862/psn-pdf
    January 15, 2014 - VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. January 15, 2014 Draper D. Washington, DC: United States Government Accountability Office; December 3, 2013. Publication GAO-14-55. https://psnet.ahrq.gov/issue/va-health-care-improvements-needed…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45609/psn-pdf
    November 16, 2016 - A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. November 16, 2016 Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000000536. https://psnet.ahrq.gov/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73284/psn-pdf
    May 19, 2021 - Safety participation at the direct care level: results of a patient questionnaire. May 19, 2021 Duhn L, Gumapac N, Medves J. Safety participation at the direct care level: results of a patient questionnaire. Patient Exp J. 2021;8(1):59-68. doi:10.35680/2372-0247.1506. https://psnet.ahrq.gov/issue/safety-participat…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44403/psn-pdf
    June 21, 2016 - Preventability of hospital-acquired venous thromboembolism. June 21, 2016 Haut ER, Lau BD, Kraus PS, et al. Preventability of Hospital-Acquired Venous Thromboembolism. JAMA Surg. 2015;150(9):912-5. doi:10.1001/jamasurg.2015.1340. https://psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60802/psn-pdf
    August 12, 2020 - Race, postoperative complications, and death in apparently healthy children. August 12, 2020 Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy children. Pediatrics. 2020;146(2):e20194113. doi:10.1542/peds.2019-4113. https://psnet.ahrq.gov/issue/race-postoperative-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45416/psn-pdf
    August 24, 2016 - A framework to assess patient-reported adverse outcomes arising during hospitalization. August 24, 2016 Okoniewska B, Santana MJ, Holroyd-Leduc J, et al. A framework to assess patient-reported adverse outcomes arising during hospitalization. BMC Health Serv Res. 2016;16(a):357. doi:10.1186/s12913-016- 1526-z. htt…

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