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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851200/psn-pdfJuly 05, 2023 - Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. July 5, 2023 Washington DC: Department of Veterans Affairs, Office of Inspector General; May 10, 2023. Report no. 22-01116-110. https://psnet.ahrq.gov/issue/defi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47059/psn-pdfMay 16, 2018 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. May 16, 2018 Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844052/psn-pdfJuly 01, 2012 - Does responsibility affect the public's valuation of health care interventions? A relative valuation approach to health care safety. July 1, 2012 Singh J, Lord J, Longworth L, et al. Does responsibility affect the public's valuation of health care interventions? A relative valuation approach to health care safety.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74201/psn-pdfDecember 22, 2021 - Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. December 22, 2021 Wiig S, Haraldseid-Driftland C, Tvete Zachrisen R, et al. J Patient Saf. 2021;17(8):e1707- e1718. https://psnet.ahrq.gov/issue/next-kin-involvement-regulatory-inves… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838631/psn-pdfOctober 19, 2022 - An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. October 19, 2022 Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations: cultivating organization wide quali… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50427/psn-pdfSeptember 04, 2019 - Correlation between hospital finances and quality and safety of patient care. September 4, 2019 Akinleye DD, McNutt L-A, Lazariu V, et al. Correlation between hospital finances and quality and safety of patient care. PLoS One. 2019;14(8):e0219124. doi:10.1371/journal.pone.0219124. https://psnet.ahrq.gov/issue/corr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843414/psn-pdfFebruary 01, 2023 - Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. February 1, 2023 Tawfik DS, Adair KC, Palassof S, et al. Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. Jt Comm J Qual Patient Saf. 2023;49(3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38029/psn-pdfSeptember 03, 2008 - Minimizing surgical error by incorporating objective assessment into surgical education. September 3, 2008 Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsurg.2008.02.038. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45902/psn-pdfOctober 13, 2018 - Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. October 13, 2018 Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. doi:10.1093/jamia/ocw185. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44577/psn-pdfOctober 21, 2015 - Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. October 21, 2015 Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1001/jamaoncol.2015.0891. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866079/psn-pdfJune 05, 2024 - Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. June 5, 2024 Kuitunen S, Airaksinen M, Holmström A-R. Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45861/psn-pdfApril 05, 2017 - Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. April 5, 2017 Marsteller JA, Hsu Y-J, Chan KS, et al. Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. BMJ Qual Saf. 2017;26(4):288-295. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837761/psn-pdfAugust 03, 2022 - The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. August 3, 2022 Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review. Adv … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45701/psn-pdfDecember 21, 2016 - Clinical decision support for drug related events: moving towards better prevention. December 21, 2016 Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211. https://psnet.ahrq.gov/issue/clinical-deci… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74725/psn-pdfFebruary 02, 2022 - A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. February 2, 2022 Moore MR, Mitchell SJ, Weller JM, et al. A retrospective audit of postoperative days alive and out of hospital, including before and after implemen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50836/psn-pdfJanuary 29, 2020 - Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data. January 29, 2020 Weingart SN, Nelson J, Koethe B, et al. Developing a cancer?specific trigger tool to identify treatment? related adverse events using administrative data. Cancer Med. 2020;9(4):1462-14… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841151/psn-pdfDecember 07, 2022 - Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. December 7, 2022 Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med Inform Assoc. 2022;29(12):2101-21… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42832/psn-pdfSeptember 01, 2016 - Overrides of medication-related clinical decision support alerts in outpatients. September 1, 2016 Nanji KC, Slight SP, Seger DL, et al. Overrides of medication-related clinical decision support alerts in outpatients. J Am Med Inform Assoc. 2014;21(3):487-91. doi:10.1136/amiajnl-2013-001813. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47849/psn-pdfAugust 14, 2019 - The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. August 14, 2019 Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the National Health Service in England: A… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47022/psn-pdfJuly 19, 2018 - Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. July 19, 2018 Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. BMJ Qual Saf. 2018;27(8):583-586. d…
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