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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48030/psn-pdf
    May 22, 2019 - A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. May 22, 2019 Toffolutti V, Stuckler D. A Culture Of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service Acute Trusts. Health Aff (Millwood). 2019;38(5):844-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44471/psn-pdf
    September 27, 2016 - Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. September 27, 2016 Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in hospital units. Health Care …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857449/psn-pdf
    December 06, 2023 - "ChatGPT, can you help me save my child's life?" - Diagnostic accuracy and supportive capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases - an in-silico analysis. December 6, 2023 Bushuven S, Bentele M, Bentele S, et al. "ChatGPT, can you help me sa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44039/psn-pdf
    December 23, 2016 - Safe use of health information technology. December 23, 2016 Sentinel Event Alert. March 31, 2015;(54):1-6. https://psnet.ahrq.gov/issue/safe-use-health-information-technology The introduction of information technology (IT) has transformed health care, but it is clear that the rapid uptake of IT has profoundly cha…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40618/psn-pdf
    August 27, 2012 - Predictors of likelihood of speaking up about safety concerns in labour and delivery. August 27, 2012 Lyndon A, Sexton B, Simpson KR, et al. Correction. BMJ Qual Saf. 2011;22(2):791-799. doi:10.1136/bmjqs.2010.050211. https://psnet.ahrq.gov/issue/predictors-likelihood-speaking-about-safety-concerns-labour-and-deli…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41941/psn-pdf
    February 11, 2013 - A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. February 11, 2013 Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45167/psn-pdf
    May 25, 2016 - AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. May 25, 2016 Rockville, MD: Agency for Healthcare Research and Quality; May 2016. https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit Traditionally, health systems have disclosed adverse events to patients only through a …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42352/psn-pdf
    January 14, 2014 - Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital. January 14, 2014 Hsu E, Lin D, Evans SJ, et al. Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstrea…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46232/psn-pdf
    February 10, 2018 - Implications of electronic health record downtime: an analysis of patient safety event reports. February 10, 2018 Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Med Inform Assoc. 2018;25(2):187-191. doi:10.1093/jamia/ocx057. ht…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47104/psn-pdf
    December 04, 2018 - Deriving a framework for a systems approach to agitated patient care in the emergency department. December 4, 2018 Wong AH, Ruppel H, Crispino LJ, et al. Deriving a Framework for a Systems Approach to Agitated Patient Care in the Emergency Department. Jt Comm J Qual Patient Saf. 2018;44(5):279-292. doi:10.1016/j.j…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40586/psn-pdf
    March 21, 2017 - Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. March 21, 2017 Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Jt Comm J Qual Patient Saf. 2011;37(7):326-3…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41535/psn-pdf
    December 31, 2014 - Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. December 31, 2014 Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305-310. doi:10.1136/amiajnl- 201…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47875/psn-pdf
    July 19, 2019 - Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. July 19, 2019 Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a syste…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40946/psn-pdf
    January 19, 2012 - Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. January 19, 2012 Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad f…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43687/psn-pdf
    November 12, 2014 - Changes in medical errors after implementation of a handoff program. November 12, 2014 Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556. https://psnet.ahrq.gov/issue/changes-medical-er…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42298/psn-pdf
    December 31, 2014 - Using statistical text classification to identify health information technology incidents. December 31, 2014 Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10.1136/amiajnl-2012-001409. htt…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47742/psn-pdf
    February 20, 2019 - AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report. February 20, 2019 Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; February 2019. AHRQ Publication No. 19-0027-EF. https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38829/psn-pdf
    January 03, 2017 - Implementing standardized operating room briefings and debriefings at a large regional medical center. January 3, 2017 Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qual Patient Saf. 2009;35(8):391-7. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46245/psn-pdf
    June 28, 2017 - Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. June 28, 2017 Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two can…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45113/psn-pdf
    May 11, 2016 - Medical error—the third leading cause of death in the US. May 11, 2016 Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139. https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us How many patients die each year due to preventabl…

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