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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43532/psn-pdf
    June 23, 2017 - The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. June 23, 2017 Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an organizational resource for asses…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43093/psn-pdf
    August 12, 2014 - Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. August 12, 2014 Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44186/psn-pdf
    November 10, 2015 - A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. November 10, 2015 Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. Crit…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45745/psn-pdf
    August 02, 2017 - Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. August 2, 2017 Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. Br J Gen Pract. 2017;67(65…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47012/psn-pdf
    August 01, 2018 - Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. August 1, 2018 Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on identifying potentially preventable ad…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44130/psn-pdf
    May 13, 2015 - Recent Evidence That Health IT Improves Patient Safety: Issue Brief. May 13, 2015 Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. https://psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief Rapid implementatio…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867046/psn-pdf
    October 30, 2024 - The future of safety and quality in radiation oncology. October 30, 2024 Talcott W, Covington E, Bazan J, et al. The future of safety and quality in radiation oncology. Semin Radiat Oncol. 2024;34(4):433-440. doi:10.1016/j.semradonc.2024.07.008. https://psnet.ahrq.gov/issue/future-safety-and-quality-radiation-oncol…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60353/psn-pdf
    May 20, 2020 - Adverse events after transition from ICU to hospital ward: a multicenter cohort study. May 20, 2020 Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.0000000000004327. https://psnet.ahrq.gov…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73568/psn-pdf
    August 04, 2021 - Coping strategies in health care providers as second victims: a systematic review. August 4, 2021 Kappes M, Romero?García M, Delgado?Hito P. Coping strategies in health care providers as second victims: a systematic review. Int Nurs Rev. 2021;68(4):471-481. doi:10.1111/inr.12694. https://psnet.ahrq.gov/issue/copin…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47638/psn-pdf
    February 06, 2019 - Decreasing surgical site infections by developing a high reliability culture. February 6, 2019 Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. https://psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-hi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44664/psn-pdf
    May 30, 2016 - Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. May 30, 2016 Pham JC, Williams TL, Sparnon EM, et al. Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems. Respir Care. 2016;61(5):621-31. doi:10.4187/respcare.04151. https://psnet…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43665/psn-pdf
    November 20, 2015 - Patient safety education to change medical students' attitudes and sense of responsibility. November 20, 2015 Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970988. https://psnet.ahrq.gov/is…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46047/psn-pdf
    May 17, 2017 - Medicare failed to investigate suspicious infection cases from 96 hospitals. May 17, 2017 Jewett C. Kaiser Health News. May 9, 2017. https://psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals The Centers for Medicare and Medicaid Services decision to withhold payment for certa…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60676/psn-pdf
    July 15, 2020 - Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand. July 15, 2020 Rockville, MD; Agency for Healthcare Research and Quality: 2020. https://psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator- and-ppe-1-30 The COVI…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866728/psn-pdf
    September 18, 2024 - ROI for a fall prevention intervention: invest a little, save a lot. September 18, 2024 Cooper AS. ROI for a fall prevention intervention: invest a little, save a lot. Nurs Adm Q. 2024;48(3):248- 252. doi:10.1097/naq.0000000000000647. https://psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41423/psn-pdf
    January 03, 2017 - Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors. January 3, 2017 Nair BG, Peterson GN, Newman S-F, et al. Improving documentation of a beta-blocker quality measure through an anesthesia information man…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73345/psn-pdf
    June 02, 2021 - An estimate of missed pediatric sepsis in the emergency department. June 2, 2021 Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023. https://psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42362/psn-pdf
    July 10, 2013 - How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. July 10, 2013 Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding and what role does the electronic p…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47924/psn-pdf
    June 05, 2019 - Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. June 5, 2019 Bowden A, Mullin S, Tak C, et al. Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. Am J…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45935/psn-pdf
    September 29, 2017 - Radiology research in quality and safety: current trends and future needs. September 29, 2017 Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021. https://psnet.ahrq.gov/issue/radiolog…

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