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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44569/psn-pdf
    October 21, 2015 - Continuing education in patient safety: massive open online courses as a new training tool. October 21, 2015 Sarabia-Cobo CM, Torres-Manrique B, Ortego-Mate MC, et al. Continuing Education in Patient Safety: Massive Open Online Courses as a New Training Tool. J Contin Educ Nurs. 2015;46(10):439-447. doi:10.3928/00…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857452/psn-pdf
    December 06, 2023 - Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. December 6, 2023 Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning from successes and failures: qualita…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44322/psn-pdf
    June 21, 2016 - Emotional harm from disrespect: the neglected preventable harm. June 21, 2016 Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034. https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-pre…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45106/psn-pdf
    August 16, 2017 - The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff. August 16, 2017 MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837062/psn-pdf
    May 11, 2022 - Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims May 11, 2022 Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims. J Adv Nurs. 2022;78…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60614/psn-pdf
    June 24, 2020 - A systems approach to analyzing and preventing hospital adverse events. June 24, 2020 Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:10.1097/pts.0000000000000263. https://psnet.ahrq.gov/issue/systems-approach-an…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44805/psn-pdf
    January 27, 2016 - NHS Safety Thermometer Reports. January 27, 2016 Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017. https://psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november- 2014-november-2015 The NHS Safety Thermometer was a tool developed by …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46739/psn-pdf
    January 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. January 24, 2019 Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodologica…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46606/psn-pdf
    July 10, 2019 - Implementation of a mock root cause analysis to provide simulated patient safety training. July 10, 2019 Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-2017-000096. https://psnet.ahrq.gov/iss…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836710/psn-pdf
    March 09, 2022 - Implementation of an antibiotic stewardship program in long-term care facilities across the US. March 9, 2022 doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181. https://psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities- across-us Overuse of antibiotics has been co…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46467/psn-pdf
    October 18, 2017 - The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. October 18, 2017 Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National Collaborative for Improving the Clinical Learning Environment. Chicago, IL: Accreditation Council for Graduate Medical Education; 2017. ht…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72483/psn-pdf
    November 18, 2020 - ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. November 18, 2020 Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments: Pathway Leaders Patient Safety Collaborative. Chicago, IL: Accreditation Council for Graduate Medical Educatio…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837681/psn-pdf
    September 11, 2023 - Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2022. September 11, 2023 Infect Control Hosp Epidemiol. 2022-2023. https://psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2022 Health care–associated infections (HAIs) affect patients both during and after hospitalizatio…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838075/psn-pdf
    September 14, 2022 - Crisis recovery in surgery: error management and problem solving in safety-critical situations. September 14, 2022 Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem solving in safety-critical situations. Surgery. 2022;172(2):537-545. doi:10.1016/j.surg.2022.03.007…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45103/psn-pdf
    October 06, 2016 - Use of personal electronic devices by nurse anesthetists and the effects on patient safety. October 6, 2016 Snoots LR, Wands BA. Use of Personal Electronic Devices by Nurse Anesthetists and the Effects on Patient Safety. AANA J. 2016;84(2):114-119. https://psnet.ahrq.gov/issue/use-personal-electronic-devices-nurse…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46044/psn-pdf
    December 21, 2017 - Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs. December 21, 2017 Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the Department of Veterans Affairs. AMA Intern Med. 2017;177(5):611-612. doi:10.1001/jamainternme…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854248/psn-pdf
    October 04, 2023 - Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity. October 4, 2023 Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to- home transition intervention for children with medical comp…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60892/psn-pdf
    September 09, 2020 - Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care. September 9, 2020 Drey N, Gould D, Purssell E, et al. Applying thematic synthesis to interpretation and commentary in epidemiol…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859340/psn-pdf
    December 20, 2023 - Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. December 20, 2023 Dato Md Yusof YJ, Ng QX, Teoh SE, et al. Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. Public Health. 2023;223:183-192. doi:10.1016/j.puhe.20…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43678/psn-pdf
    April 22, 2015 - 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. April 22, 2015 Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:10.1136/amiajnl-2014-002963. https://ps…

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