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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37406/psn-pdf
    March 28, 2012 - Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. March 28, 2012 Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46417/psn-pdf
    October 11, 2017 - Center for Health Care Human Factors. October 11, 2017 Armstrong Institute for Patient Safety and Quality. https://psnet.ahrq.gov/issue/center-health-care-human-factors Human factors engineering has provided unique insights into designing solutions to address human error and system weaknesses that facilitate mista…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37326/psn-pdf
    January 05, 2012 - Healthy work environments, nurse-physician communication, and patients' outcomes. January 5, 2012 Manojlovich M, DeCicco B. Healthy work environments, nurse-physician communication, and patients' outcomes. Am J Crit Care. 2007;16(6):536-43. https://psnet.ahrq.gov/issue/healthy-work-environments-nurse-physician-com…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45747/psn-pdf
    December 21, 2016 - Implementing No Interruption Zones in the perioperative environment. December 21, 2016 Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536- 540. doi:10.1016/j.aorn.2016.09.018. https://psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environme…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42981/psn-pdf
    March 19, 2014 - Recognizing and managing errors of cognitive underspecification. March 19, 2014 Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1. https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification Inc…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44279/psn-pdf
    August 26, 2015 - Leadership style and patient safety: implications for nurse managers. August 26, 2015 Merrill KC. Leadership style and patient safety: implications for nurse managers. J Nurs Adm. 2015;45(6):319-324. doi:10.1097/NNA.0000000000000207. https://psnet.ahrq.gov/issue/leadership-style-and-patient-safety-implications-nur…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47025/psn-pdf
    April 11, 2018 - Chemotherapy medication errors. April 11, 2018 Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol. 2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9. https://psnet.ahrq.gov/issue/chemotherapy-medication-errors Chemotherapy errors can result in serious patient harm. This revi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46382/psn-pdf
    December 19, 2017 - Medication errors and trainees: advice for learners and organizations. December 19, 2017 Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092. https://psnet.ahrq.gov/issue/medication-errors-and…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844060/psn-pdf
    June 01, 2016 - Developing a measure of value in health care. June 1, 2016 Ken Lee KH, Matthew Austin J, Pronovost PJ. Developing a measure of value in health care. Value Health. 2015;19(4):323-325. doi:10.1016/j.jval.2014.12.009. https://psnet.ahrq.gov/issue/developing-measure-value-health-care Value-based healthcare is emerging…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40356/psn-pdf
    May 26, 2011 - Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. May 26, 2011 Khajouei R, Wierenga PC, Hasman A, et al. Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. Int J Med Inform. 2011;80(5)…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46630/psn-pdf
    November 15, 2017 - Patient Safety in the Office-Based Practice Setting. November 15, 2017 Philadelphia, PA: American College of Physicians; 2017. https://psnet.ahrq.gov/issue/patient-safety-office-based-practice-setting Patient safety in the ambulatory setting is gaining traction as a focus for research, intervention, and policy. Th…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47940/psn-pdf
    May 01, 2019 - Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. May 1, 2019 Giles SJ, Parveen S, Hernan AL. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. BMJ Qual Saf. 2019;28(5):389-396. doi:10.1136/bmjqs-2018-007988. https://psnet.ahrq.gov/issue/validation-pr…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39015/psn-pdf
    October 14, 2009 - Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests. October 14, 2009 Hunt EA, Vera K, Diener-West M, et al. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonar…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33962/psn-pdf
    June 22, 2007 - Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements. June 22, 2007 HB 1602. Washington State Legislature. 2003-2004. https://psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hosp…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45051/psn-pdf
    May 11, 2016 - Pediatric quality and safety: a nursing perspective. May 11, 2016 Butler GA, Hupp DS. Pediatric Quality and Safety. Pediatr Clin North Am. 2016;63(2). doi:10.1016/j.pcl.2015.11.005. https://psnet.ahrq.gov/issue/pediatric-quality-and-safety-nursing-perspective Nurses play a key role in ensuring safety, particularly…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44457/psn-pdf
    September 29, 2017 - Hospitals slow to adopt patient apology policies. September 29, 2017 Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30. https://psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies Communication-and-resolution approaches to medical errors have garnered …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41965/psn-pdf
    January 30, 2013 - Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients. January 30, 2013 Fagan K, Sabel A, Mehler PS, et al. Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients. Am J Med Qual. 2012;27(6):480-6. doi:10.1177/1062860611436127. https://psnet.ahrq.go…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46212/psn-pdf
    September 13, 2017 - Improving patient care through improved caregiver support. September 13, 2017 Headley M. Patient Saf Qual Healthc. August 21, 2017. https://psnet.ahrq.gov/issue/improving-patient-care-through-improved-caregiver-support Health care workers face high levels of stress and production pressures, which can contribute to…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43084/psn-pdf
    May 19, 2014 - How can the criminal law support the provision of quality in healthcare? May 19, 2014 Yeung K, Horder J. How can the criminal law support the provision of quality in healthcare? BMJ Qual Saf. 2014;23(6):519-24. doi:10.1136/bmjqs-2013-002688. https://psnet.ahrq.gov/issue/how-can-criminal-law-support-provision-quali…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42774/psn-pdf
    May 28, 2015 - Patient safety in plastic surgery: identifying areas for quality improvement efforts. May 28, 2015 Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10.1097/SAP.0b013e318297791e. https:…

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