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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44796/psn-pdf
    October 06, 2016 - The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings. October 6, 2016 Hemingway S, McCann T, Baxter H, et al. The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings. Int J Nurs Pract. 2015;21(6):733-40. do…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47724/psn-pdf
    March 20, 2019 - Understanding patient safety and quality outcome data. March 20, 2019 Easter K, Tamburri LM. Understanding Patient Safety and Quality Outcome Data. Crit Care Nurse. 2018;38(6):58-66. doi:10.4037/ccn2018979. https://psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data Public reporting of safet…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45736/psn-pdf
    February 01, 2017 - Disruptive behaviour in the perioperative setting: a contemporary review. February 1, 2017 Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. https://psnet.ahrq.gov/issue/disruptive…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43142/psn-pdf
    June 15, 2014 - Development and sustainability of an inpatient-to- outpatient discharge handoff tool: a quality improvement project. June 15, 2014 Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt Comm J Qual Patient Saf. 2014;40(5…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43425/psn-pdf
    July 03, 2016 - Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? July 3, 2016 Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and Safety. Acad Med. 2014;89(10):1328-1330. doi:10.1097/acm.00000000000…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46062/psn-pdf
    December 19, 2017 - Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. December 19, 2017 Alshehri GH, Keers RN, Ashcroft DM. Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. Drug Saf. 2017;40(10):871-886. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74729/psn-pdf
    February 02, 2022 - Healing our own: a randomized trial to assess benefits of peer support. February 2, 2022 Rivera-Chiauzzi EY, Smith HA, Moore-Murray T, et al. Healing our own: a randomized trial to assess benefits of peer support. J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771. https://psnet.ahrq.gov/issue/h…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860391/psn-pdf
    January 10, 2024 - Neonatal near-miss audits: a systematic review and a call to action. January 10, 2024 Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. https://psnet.ahrq.gov/issue/neonatal-near-miss-audits-sys…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840144/psn-pdf
    November 16, 2022 - Dedicated teams to optimize quality and safety of surgery: a systematic review. November 16, 2022 Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078. doi:10.1093/intqhc/mzac078. ht…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44458/psn-pdf
    September 09, 2015 - Utilizing pharmacy students in transitions-of-care services. September 9, 2015 L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561. https://psnet.ahrq.gov/issue/utilizing-pharmacy-students-tran…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42536/psn-pdf
    August 13, 2014 - Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning in a single cohort over a 5 year curriculum. August 13, 2014 Ambrose LJ, Ker J. Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning i…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42892/psn-pdf
    February 06, 2014 - Assessing medical students' perceptions of patient safety: The Medical Student Safety Attitudes and Professionalism Survey. February 6, 2014 Liao JM, Etchegaray J, Williams T, et al. Assessing medical students' perceptions of patient safety: the medical student safety attitudes and professionalism survey. Acad Med…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45246/psn-pdf
    August 15, 2016 - Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. August 15, 2016 Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality Before and After Implementation of a Resident Handoff Bundle. Acad Pediat…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72735/psn-pdf
    February 10, 2021 - Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. February 10, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 5, 2021. Report No. 20-01521-48. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43143/psn-pdf
    April 25, 2016 - Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. April 25, 2016 West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. Jt Comm J Qual Patient…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858175/psn-pdf
    December 13, 2023 - Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. December 13, 2023 Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. BMC Complementary Medici…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43849/psn-pdf
    January 28, 2015 - Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. January 28, 2015 Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf. 2015;24(2):103-110. doi:10.1136/bmjqs-2014-003675. https://psnet.ahrq.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47154/psn-pdf
    May 23, 2018 - Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. May 23, 2018 Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JAMA Surg. 2018;153(4):367-375. doi:1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41393/psn-pdf
    June 06, 2012 - Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. June 6, 2012 Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of prescribing: A multi-method, in situ investigat…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44791/psn-pdf
    January 13, 2016 - FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. January 13, 2016 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…

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