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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838183/psn-pdf
    September 28, 2022 - Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. September 28, 2022 Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;158(2):212-215. doi:10.1093/ajc…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73138/psn-pdf
    April 14, 2021 - An act of performance: exploring residents' decision- making processes to seek help. April 14, 2021 Jansen I, Stalmeijer RE, Silkens MEWM, et al. An act of performance: exploring residents’ decision? making processes to seek help. Med Educ. 2021;55(6):758-767. doi:10.1111/medu.14465. https://psnet.ahrq.gov/issue/a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837415/psn-pdf
    June 15, 2022 - Instruments for measuring patient safety competencies in nursing: a scoping review. June 15, 2022 Mortensen M, Naustdal KI, Uibu E, et al. Instruments for measuring patient safety competencies in nursing: a scoping review. BMJ Open Qual. 2022;11(2):e001751. doi:10.1136/bmjoq-2021-001751. https://psnet.ahrq.gov/iss…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45772/psn-pdf
    January 11, 2017 - Technical Series on Safer Primary Care. January 11, 2017 Geneva, Switzerland: World Health Organization; 2016. https://psnet.ahrq.gov/issue/technical-series-safer-primary-care Much of patient safety research has focused on the hospital setting, but a majority of health care is delivered in the ambulatory setting. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50686/psn-pdf
    January 01, 2020 - 'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety. November 20, 2019 Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing trainee failure while guarding p…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837664/psn-pdf
    July 13, 2022 - Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. July 13, 2022 Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision- making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284. https://psn…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841472/psn-pdf
    December 14, 2022 - Reducing potential errors associated with insulin administration: an integrative review. December 14, 2022 Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668. https://psnet.ahrq.gov/issue/reducing-pote…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837334/psn-pdf
    June 08, 2022 - Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. June 8, 2022 Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Catheter …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46273/psn-pdf
    August 30, 2017 - Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. August 30, 2017 Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communication during delivery: a call for int…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47525/psn-pdf
    October 31, 2018 - Peer training using cognitive rehearsal to promote a culture of safety in health care. October 31, 2018 Roberts T, Hanna K, Hurley S, et al. Peer Training Using Cognitive Rehearsal to Promote a Culture of Safety in Health Care. Nurse Educ. 2018;43(5):262-266. doi:10.1097/NNE.0000000000000478. https://psnet.ahrq.go…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47659/psn-pdf
    January 27, 2019 - Medical overuse as a physician cognitive error: looking under the hood. January 27, 2019 Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136. https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47239/psn-pdf
    October 24, 2018 - Effects of individual nurse and hospital characteristics on patient adverse events and quality of care: a multilevel analysis. October 24, 2018 Lee SE, Vincent C, Dahinten S, et al. Effects of Individual Nurse and Hospital Characteristics on Patient Adverse Events and Quality of Care: A Multilevel Analysis. J Nurs…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862152/psn-pdf
    February 07, 2024 - Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. February 7, 2024 Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839823/psn-pdf
    November 09, 2022 - Prescribing decision making by medical residents on night shifts: a qualitative study. November 9, 2022 Lauffenburger JC, Coll MD, Kim E, et al. Prescribing decision making by medical residents on night shifts: a qualitative study. Med Educ. 2022;56(10):1032-1041. doi:10.1111/medu.14845. https://psnet.ahrq.gov/iss…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34957/psn-pdf
    February 28, 2011 - Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. February 28, 2011 Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005;142(8):700-708. https://psnet.ah…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838911/psn-pdf
    October 26, 2022 - Medication adverse events in the ambulatory setting: a mixed-methods analysis. October 26, 2022 Wong J, Lee S-Y, Sarkar U, et al. Medication adverse events in the ambulatory setting: a mixed-methods analysis. Am J Health Syst Pharm. 2022;79(24):2230-2243. doi:10.1093/ajhp/zxac253. https://psnet.ahrq.gov/issue/medi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861277/psn-pdf
    January 24, 2024 - Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. January 24, 2024 Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out?of ?hospital context: a scoping review. J Clin Nurs. 2024;33(3):874-889. doi:10.1111/joc…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42683/psn-pdf
    December 02, 2014 - Approval and perceived impact of duty hour regulations: survey of pediatric program directors. December 2, 2014 Drolet BC, Whittle SB, Khokhar MT, et al. Approval and perceived impact of duty hour regulations: survey of pediatric program directors. Pediatrics. 2013;132(5):819-24. doi:10.1542/peds.2013-1045. https:…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43767/psn-pdf
    February 04, 2015 - Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross- sectional survey. February 4, 2015 Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. BMJ Q…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46146/psn-pdf
    June 07, 2017 - Increasing patient safety event reporting in an emergency medicine residency. June 7, 2017 Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716. https://psnet.ahrq.gov/issue/increasing-p…

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