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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50820/psn-pdf
    January 22, 2020 - Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression. January 22, 2020 Rehder KJ, Adair KC, Hadley A, et al. Associations Between a New Disruptive Behaviors Scale and Teamwork, Patient Safety, Work-Life Balance, Burnout, and Depression. Jt C…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841472/psn-pdf
    December 14, 2022 - Reducing potential errors associated with insulin administration: an integrative review. December 14, 2022 Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668. https://psnet.ahrq.gov/issue/reducing-pote…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840481/psn-pdf
    November 30, 2022 - Psychosocial factors and safety in high-risk industries: a systematic literature review. November 30, 2022 Derdowski LA, Mathisen GE. Psychosocial factors and safety in high-risk industries: a systematic literature review. Safety Sci. 2022;157:105948. doi:10.1016/j.ssci.2022.105948. https://psnet.ahrq.gov/issue/ps…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46772/psn-pdf
    March 04, 2019 - Case: a second victim support program in pediatrics: successes and challenges to implementation. March 4, 2019 Dukhanin V, Edrees HH, Connors CA, et al. Case: A Second Victim Support Program in Pediatrics: Successes and Challenges to Implementation. J Pediatr Nurs. 2018;41:54-59. doi:10.1016/j.pedn.2018.01.011. h…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44245/psn-pdf
    July 15, 2015 - Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. July 15, 2015 Payne VL, Singh H, Meyer AND, et al. Patient-Initiated Second Opinions: Systematic Review of Characteristics and Impact on Diagnosis, Treatment, and Satisfaction. Mayo Clinic …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38347/psn-pdf
    May 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. May 24, 2015 Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF. https://psnet.ahrq.gov/issue/usin…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60981/psn-pdf
    October 07, 2020 - Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, October 7, 2020 Bartholomew AJ, Zeymo A, Chan KS, et al. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,. Ann Surg. 2020;272(4):612-619. doi:10.109…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861277/psn-pdf
    January 24, 2024 - Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. January 24, 2024 Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out?of ?hospital context: a scoping review. J Clin Nurs. 2024;33(3):874-889. doi:10.1111/joc…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46858/psn-pdf
    May 11, 2019 - Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.  May 11, 2019 Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Healthcare Research and Quality Safety …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36025/psn-pdf
    March 28, 2011 - Understanding diagnostic errors in medicine: a lesson from aviation. March 28, 2011 Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64. https://psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation T…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47015/psn-pdf
    May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal error. May 9, 2018 Porter S. HealthLeaders Media. April 26, 2018. https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45733/psn-pdf
    December 07, 2016 - Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high- income countries. December 7, 2016 group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth. 2016;117(5):601-609. doi:10.109…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43780/psn-pdf
    September 09, 2015 - Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors. September 9, 2015 Kitto S, Marshall SD, McMillan SE, et al. Rapid response systems and collective (in)competence: An exploratory analysis of intraprofessional and interprofes…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39638/psn-pdf
    July 02, 2014 - Teaching quality improvement and patient safety to trainees: a systematic review. July 2, 2014 Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. doi:10.1097/ACM.0b013e3181e2d0c6. https://psnet.ahrq.gov/issue/teaching…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73675/psn-pdf
    September 08, 2021 - A system-wide hospital child maltreatment patient safety program. September 8, 2021 Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. https://psnet.ahrq.gov/issue/system-wide-hospital-child-ma…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866447/psn-pdf
    August 07, 2024 - Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. August 7, 2024 Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; https://psnet.ahrq.gov/issue/older-adults-are-often-misdiagnos…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36583/psn-pdf
    January 14, 2011 - The effect of workload on infection risk in critically ill patients. January 14, 2011 Hugonnet S, Chevrolet J-C, Pittet D. The effect of workload on infection risk in critically ill patients. Crit Care Med. 2007;35(1):76-81. https://psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients Lower…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854635/psn-pdf
    January 01, 2024 - CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. October 18, 2023 Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136/bmjqs-2023-016030. https://psn…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46844/psn-pdf
    March 07, 2018 - Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. March 7, 2018 Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience. Health Aff (Millwood). 2018;37(2):205-212. doi:10.1377/hlthaff.2017.1144. https…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866273/psn-pdf
    July 10, 2024 - Clinical impact of medication review and deprescribing in older inpatients: a systematic review and meta-analysis. July 10, 2024 Carollo M, Crisafulli S, Vitturi G, et al. Clinical impact of medication review and deprescribing in older inpatients: a systematic review and meta?analysis. J Am Geriatr Soc. 2024;72(10)…

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