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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47806/psn-pdf
    January 01, 2021 - Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. February 27, 2019 Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health Care Delivery Research: An Ongoing …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37471/psn-pdf
    February 17, 2011 - Delayed time to defibrillation after in-hospital cardiac arrest. February 17, 2011 Chan PS, Krumholz HM, Nichol G, et al. Delayed time to defibrillation after in-hospital cardiac arrest. N Engl J Med. 2008;358(1):9-17. doi:10.1056/NEJMoa0706467. https://psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospit…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838242/psn-pdf
    January 01, 2023 - Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. October 5, 2022 Clayton DA, Eguchi MM, Kerr KF, et al. Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Med Decis Making. 2023;43(2):164-17…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35872/psn-pdf
    September 07, 2011 - Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. September 7, 2011 Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. J Am Med Inform Assoc. 2006;13(2):17…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37153/psn-pdf
    October 06, 2011 - The effect of a rapid response team on major clinical outcome measures in a community hospital. October 6, 2011 Dacey MJ, Mirza ER, Wilcox V, et al. The effect of a rapid response team on major clinical outcome measures in a community hospital. Crit Care Med. 2007;35(9):2076-82. https://psnet.ahrq.gov/issue/effect…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844769/psn-pdf
    January 01, 2020 - Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? September 18, 2019 Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? BMJ Qual Saf. 2020;29(2):103-112. doi:10.1136/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858162/psn-pdf
    January 01, 2024 - Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. December 13, 2023 Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic, and health resource utilizatio…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34671/psn-pdf
    June 15, 2011 - Confidential clinician-reported surveillance of adverse events among medical inpatients. June 15, 2011 Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2003;15(7). doi:10.1046/j.1525-1497.2000.06269.x. https://psnet.ahrq.go…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851200/psn-pdf
    July 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47059/psn-pdf
    May 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37837/psn-pdf
    June 11, 2008 - Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. June 11, 2008 Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and consequences reported from family medicin…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844052/psn-pdf
    July 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.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74201/psn-pdf
    December 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838631/psn-pdf
    October 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843414/psn-pdf
    February 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840148/psn-pdf
    November 16, 2022 - Safety culture and the positive association of being a primary care training practice during COVID-19: the results of the multi-country European PRICOV-19 Study. November 16, 2022 Silva B, Ožva?i? Adži? Z, Vanden Bussche P, et al. Safety culture and the positive association of being a primary care training practic…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45902/psn-pdf
    October 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:…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44577/psn-pdf
    October 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36407/psn-pdf
    April 19, 2011 - Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit. April 19, 2011 Gillman L, Leslie G, Williams T, et al. Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866564/psn-pdf
    August 21, 2024 - Care quality and safety in long-term aged care settings: a systematic review and narrative analysis of missed care measurements. August 21, 2024 Wang X, Rihari?Thomas J, Bail K, et al. Care quality and safety in long?term aged care settings: a systematic review and narrative analysis of missed care measurements. J…

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