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  1. psnet.ahrq.gov/issue/what-extent-world-health-organizations-medication-safety-challenge-being-addressed-english
    November 02, 2022 - Study To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study. Citation Text: Garfield S, Teo V, Chan L, et al. To what extent is the World Health Organization's Medication Safety Challenge being…
  2. psnet.ahrq.gov/issue/associations-between-internet-based-patient-ratings-and-conventional-surveys-patient
    August 26, 2020 - Study Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study. Citation Text: Greaves F, Pape UJ, King D, et al. Associations between Internet-based patient ratings and conventional surveys of patient…
  3. psnet.ahrq.gov/issue/how-do-patients-respond-safety-problems-ambulatory-care-results-retrospective-cross-sectional
    September 15, 2021 - Study How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey. Citation Text: Seufert S, de Cruppé W, Assheuer M, et al. How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sect…
  4. psnet.ahrq.gov/issue/analysis-prehospital-pediatric-medication-dosing-errors-after-implementation-state-wide-ems
    August 25, 2021 - Study An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference. Citation Text: Kazi R, Hoyle JD, Huffman C, et al. An analysis of prehospital pediatric medication dosing errors after implementation of a state-w…
  5. psnet.ahrq.gov/issue/evaluating-independent-double-checks-pediatric-intensive-care-unit-human-factors-engineering
    October 07, 2013 - Study Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. Citation Text: Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach…
  6. psnet.ahrq.gov/issue/identifying-adverse-events-patients-hospitalized-isolation-or-quarantine-due-covid-19
    September 13, 2023 - Study Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19. Citation Text: de Arriba Fernández A, Sánchez Medina R, Dorta Hung ME, et al. Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19. J Patient Sa…
  7. psnet.ahrq.gov/issue/burnout-and-sources-stress-among-health-care-risk-managers-and-patient-safety-personnel
    May 26, 2021 - Study Burnout and sources of stress among health care risk managers and patient safety personnel during the COVID-19 pandemic: a pilot study. Citation Text: Card AJ. Burnout and sources of stress among health care risk managers and patient safety personnel during the COVID-19 pandemic: a…
  8. psnet.ahrq.gov/issue/effects-rudeness-experience-and-perspective-taking-challenging-premature-closure-after
    February 16, 2022 - Study The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial. Citation Text: Avesar M, Erez A, Essakow J, et al. The effects of rudenes…
  9. psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
    December 21, 2014 - Study Clinical triggers: an alternative to a rapid response team. Citation Text: Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74. Copy Citation Format: Google Scholar PubMed Bib…
  10. psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
    May 24, 2012 - Study Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery. Citation Text: Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Survei…
  11. psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience
    February 15, 2023 - Book/Report Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 Citation Text: Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland: International Society for …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33745/psn-pdf
    February 01, 2013 - Patient Engagement and Patient Safety February 1, 2013 Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety Perspective Patient engagement has arrived at the station. A Google search of this phrase identified 335,000 hi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49836/psn-pdf
    July 01, 2018 - Primary Workaround, Secondary Complication July 1, 2018 Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication The Case A young adult with a progressive neurological disorder presented to a hospital emerg…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49844/psn-pdf
    October 01, 2018 - Diffusion of Responsibility Leads to Danger October 1, 2018 Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger The Case A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33629/psn-pdf
    March 01, 2006 - What Does Simulation Add to Teamwork Training? March 1, 2006 Gaba DM. What Does Simulation Add to Teamwork Training? PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training Editor's Note: In these point–counterpoint articles, Drs. Pratt and Sachs of Beth Israel Deacones…
  16. psnet.ahrq.gov/web-mm/cups-error
    January 12, 2011 - Cups of Error Citation Text: Blegen MA, Pepper GA. Cups of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840255/psn-pdf
    November 16, 2022 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions November 16, 2022 Carayon P, Werner N, Makkenchery A, et al. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions . PSNet [internet]. 2022. https://psnet.ahrq.gov/perspecti…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853080/psn-pdf
    August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges August 30, 2023 Sanford K, Schuelke S, Lee M, et al. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workf…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867652/psn-pdf
    February 26, 2025 - The Evolution of Root Cause Analysis February 26, 2025 Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis Introduction Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841493/psn-pdf
    December 14, 2022 - Telehealth and Patient Safety. December 14, 2022 O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/telehealth-and-patient-safety Background In recent years, telehealth, or the delivery of healthcare over a distance using telecommunications techno…

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