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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74158/psn-pdf
    December 08, 2021 - An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. December 8, 2021 Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. JAMIA Open. 2021;4(4):ooab096. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843320/psn-pdf
    February 01, 2023 - Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. February 1, 2023 Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73293/psn-pdf
    May 19, 2021 - Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. May 19, 2021 Remtulla R, Hagana A, Houbby N, et al. Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. BMC Health Serv Res. 2021;21(1):269. doi:10.1186…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60184/psn-pdf
    April 01, 2020 - Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. April 1, 2020 Nelson CA, Pérez-Chada LM, Creadore A, et al. Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. JAMA Dermatol. 2020;156(5):501-512. doi:1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39032/psn-pdf
    September 19, 2016 - The natural history of recovery for the healthcare provider "second victim" after adverse patient events. September 19, 2016 Scott SD, Hirschinger LE, Cox KR, et al. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Qual Saf Health Care. 2009;18(5):325-330. d…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35242/psn-pdf
    February 24, 2011 - What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. February 24, 2011 Weingart SN, Pagovich O, Sands DZ, et al. What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. J Gen Intern Med. 2005;20(9):830-6. https://psnet…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60530/psn-pdf
    January 01, 2022 - A systematic review of patient-report safety climate measures in health care. May 27, 2020 Madden C, Lydon S, O’Dowd E, et al. A systematic review of patient-report safety climate measures in health care. J Patient Saf. 2022;18(1):e51-e60. doi:10.1097/pts.0000000000000705. https://psnet.ahrq.gov/issue/systematic-r…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838248/psn-pdf
    October 05, 2022 - The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic achievement: a review of the literature. October 5, 2022 McTaggart LS, Walker JP. The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic a…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44949/psn-pdf
    February 01, 2019 - Detecting and treating suicide ideation in all settings. December 23, 2016 Detecting and treating suicide ideation in all settings. Sentinel event alert. 2016;(56):1-7. https://psnet.ahrq.gov/issue/detecting-and-treating-suicide-ideation-all-settings The Joint Commission publishes sentinel event alerts to emphasize…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47902/psn-pdf
    April 24, 2019 - Recommendations from a national panel on quality improvement in obstetrics. April 24, 2019 Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.02.011. https://psnet.ahrq.gov/issue/r…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60045/psn-pdf
    March 18, 2020 - Making Healthcare Safer III. March 18, 2020 Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF. https://psnet.ahrq.gov/issue/making-healthcare-safer-iii This newly issued follow up to the seminal AHRQ Making Health Care Safer rep…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862617/psn-pdf
    February 14, 2024 - Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. February 14, 2024 Dorset, UK: Health Services Safety Investigations Body; November 2023. https://psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and- usability-inpatient …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74189/psn-pdf
    January 01, 2022 - US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019. December 15, 2021 Mital R, Lovegrove MC, Moro RN, et al. US emergency department visits for acute harms from over-the- counter cough and cold medications, 2017-2019. Pharmacoepidemiol Drug Saf. 2022;31(2):225…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47754/psn-pdf
    April 17, 2019 - FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering. April 17, 2019 Silver Spring, MD: US Food and Drug Administration; April 9, 2019. https://psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34642/psn-pdf
    June 24, 2015 - Human factor in cardiac surgery: errors and near misses in a high technology medical domain. June 24, 2015 Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Thorac Surg. 2001;72(1):300-5. https://psnet.ahrq.gov/issue/human-factor…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46705/psn-pdf
    March 21, 2018 - A national study links nurses' physical and mental health to medical errors and perceived worksite wellness. March 21, 2018 Melnyk BM, Orsolini L, Tan A, et al. A National Study Links Nurses' Physical and Mental Health to Medical Errors and Perceived Worksite Wellness. J Occup Environ Med. 2018;60(2):126-131. doi:…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44483/psn-pdf
    September 09, 2015 - Learning Not Blaming. September 9, 2015 Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716. https://psnet.ahrq.gov/issue/learning-not-blaming The National Health Service (NHS) has a history of sharing analyses of problems in its system. This publication contain…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72790/psn-pdf
    March 03, 2021 - Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. March 3, 2021 Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high?income countries. BJOG. 2020;128(4):696-703. doi:10.11…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46862/psn-pdf
    February 21, 2018 - Considering human factors and developing systems- thinking behaviours to ensure patient safety. February 21, 2018 Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical Pharmacist. 2018;10(2). https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-syste…