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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34657/psn-pdf
    June 14, 2011 - Multidisciplinary approaches to reducing error and risk in a patient care setting. June 14, 2011 Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care setting. Crit Care Nurs Clin North Am. 2002;14(4):359-67, viii. https://psnet.ahrq.gov/issue/multidisciplinary-ap…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34980/psn-pdf
    February 15, 2011 - Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. February 15, 2011 Akins RB, Cole BR. J Patient Saf. 2005;1(1):9-16. https://psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions- leadership-and-policy In or…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60559/psn-pdf
    June 03, 2020 - Omissions of care in nursing home settings: a narrative review. June 3, 2020 Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. https://psnet.ahrq.gov/issue/omissions-care-nursing-home-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44517/psn-pdf
    October 21, 2015 - Electronic health record challenges, workarounds, and solutions observed in practices integrating behavioral health and primary care. October 21, 2015 Cifuentes M, Davis M, Fernald D, et al. Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Prim…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46740/psn-pdf
    January 01, 2021 - High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool. March 28, 2018 Washburn NC, Dossett HA, Fritschle AC, et al. High-Alert Medication Stratification Tool-Revised: An Exploratory Study of an Objective, Standardized Medication Safety Tool. J …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43870/psn-pdf
    January 28, 2015 - Peer review of medical practices: missed opportunities to learn. January 28, 2015 Kadar N. Peer review of medical practices: missed opportunities to learn. Am J Obstet Gynecol. 2014;211(6):596-601. doi:10.1016/j.ajog.2014.08.018. https://psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45088/psn-pdf
    May 11, 2016 - Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis. May 11, 2016 Aboneh EA, Look KA, Stone JA, et al. Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis. BMJ Qual Saf. 2016;25(5):355-63. doi:10.1136/bmjq…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46528/psn-pdf
    January 10, 2018 - Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety. January 10, 2018 Healthc Pap. 2017;17:1-61. https://psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality- and-safety Patient safety leaders have noted the need to recognize the…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60823/psn-pdf
    August 19, 2020 - Disaster ergonomics: human factors in COVID-19 pandemic emergency management. August 19, 2020 Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428. https://psnet.ahrq.gov/issue/disaster-e…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73491/psn-pdf
    July 14, 2021 - Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. July 14, 2021 Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. Jt Comm J Qual Patient Saf. 2021…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866645/psn-pdf
    September 04, 2024 - Technology-related safety event analysis in community clinical informatics: a case study. September 4, 2024 Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. doi:10.3233/shti240189. https://psne…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45582/psn-pdf
    June 15, 2017 - A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. June 15, 2017 Larcos G, Prgomet M, Georgiou A, et al. A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. BMJ Qual Saf. 2…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40602/psn-pdf
    December 31, 2014 - How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. December 31, 2014 Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47186/psn-pdf
    October 24, 2018 - Quality, Value, and Patient Safety in Orthopedic Surgery. October 24, 2018 Azar FM, ed. Orthop Clin North Am. 2018;49(4):A1-A8,389-552. https://psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery Quality and value have intersecting influence on the safety of health care. Articles in this specia…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46480/psn-pdf
    October 29, 2017 - Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. October 29, 2017 Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.1097/SIH.0000000000000232. https://p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860383/psn-pdf
    January 10, 2024 - Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. January 10, 2024 Giuffrida P, Davila S. Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. Nursing. 2024;54(1):35-40. doi:10.1097/01.nurse.0000995608.56374.f5. https://psnet.ahrq.gov/issue/addressing-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45449/psn-pdf
    October 29, 2017 - Situational awareness—what it means for clinicians, its recognition and importance in patient safety. October 29, 2017 Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition and importance in patient safety. Oral Dis. 2017;23(6):721-725. doi:10.1111/odi.12547. htt…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73472/psn-pdf
    July 07, 2021 - Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. July 7, 2021 Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Jt Comm J Qual Patient Saf. 2021;47…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44981/psn-pdf
    June 07, 2016 - Simulation-based training: the missing link to lastingly improved patient safety and health? June 7, 2016 Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/postgradmedj-2015-133732. https://psnet.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73977/psn-pdf
    October 20, 2021 - Optimizing situation awareness to reduce emergency transfers in hospitalized children. October 20, 2021 Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2020-034603. https://psnet.ahrq.…

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