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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60552/psn-pdf
    June 03, 2020 - Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. June 3, 2020 Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthc…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50369/psn-pdf
    January 01, 2020 - Association of registered nurse and nursing support staffing with inpatient hospital mortality. September 25, 2019 Needleman J, Liu J, Shang J, et al. Association of registered nurse and nursing support staffing with inpatient hospital mortality. BMJ Qual Saf. 2020;29(1):10-18. doi:10.1136/bmjqs-2018-009219. https…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37254/psn-pdf
    January 02, 2017 - Creating a fair and just culture: one institution's path toward organizational change. January 2, 2017 Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24. https://psnet.ahrq.gov/issue/creating-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47088/psn-pdf
    May 02, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report. May 2, 2018 Famolaro T, Yount N, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0030-EF. https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2018-user-dat…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844801/psn-pdf
    January 01, 2021 - A mixed-methods study of challenges experienced by clinical teams in measuring improvement. September 11, 2019 Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.1136/bmjqs-2018-009048. https:/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48095/psn-pdf
    June 26, 2019 - Exposure to incivility hinders clinical performance in a simulated operative crisis. June 26, 2019 Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;28(9):750-757. doi:10.1136/bmjqs-2019-009598. https://psnet.ahrq.gov/issue/ex…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38616/psn-pdf
    June 08, 2009 - Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.   June 8, 2009 Payette M, Chatterjee A, Weeks WB. Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions. Am J Surg. 2009;197(6):820-5; discussion 826-7. doi:1…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38077/psn-pdf
    January 31, 2011 - Building physician work hour regulations from first principles and best evidence. January 31, 2011 Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence. JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197. https://psnet.ahrq.gov/issue/building-physician-work-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39951/psn-pdf
    October 27, 2010 - Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. October 27, 2010 Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation patient centered, clinically relevant and…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37484/psn-pdf
    April 01, 2010 - Using patient safety indicators to estimate the impact of potential adverse events on outcomes. April 1, 2010 Rivard PE, Luther SL, Christiansen CL, et al. Using Patient Safety Indicators to Estimate the Impact of Potential Adverse Events on Outcomes. Med Care Res Rev. 2008;65(1):67-87. doi:10.1177/107755870730961…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39142/psn-pdf
    December 02, 2009 - Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical center. December 2, 2009 Sarani B, Sonnad SS, Bergey MR, et al. Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical c…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47058/psn-pdf
    August 20, 2018 - The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. August 20, 2018 Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice Competencies Indicates Major Deficit…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37908/psn-pdf
    June 10, 2010 - Incidence and characteristics of potential and actual retained foreign object events in surgical patients. June 10, 2010 Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg. 2008;207(1):80-7. doi:10.1016/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41455/psn-pdf
    June 13, 2012 - Medication errors during medical emergencies in a large, tertiary care, academic medical center. June 13, 2012 Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large, tertiary care, academic medical center. Resuscitation. 2012;83(4):482-7. doi:10.1016/j.resuscitation.2011…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42103/psn-pdf
    January 07, 2015 - Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). January 7, 2015 Galanter W, Falck S, Burns M, et al. Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). J Am Med Inform Assoc. 2013;20(3…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37462/psn-pdf
    January 06, 2017 - Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. January 6, 2017 Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf. 2016;34(1):46-56. doi:10.1016/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42653/psn-pdf
    January 07, 2015 - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. January 7, 2015 Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record implementation. J Am Med Inform Assoc. 2014;21(e1):e28-e34. doi:10.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45356/psn-pdf
    May 09, 2017 - Screening for medication errors using an outlier detection system. May 9, 2017 Schiff G, Volk LA, Volodarskaya M, et al. Screening for medication errors using an outlier detection system. J Am Med Inform Assoc. 2017;24(2):281-287. doi:10.1093/jamia/ocw171. https://psnet.ahrq.gov/issue/screening-medication-errors-u…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847718/psn-pdf
    April 19, 2023 - Effect of a Veterans Health Administration mandate to case review patients with opioid prescriptions on mortality among patients with opioid use disorder: a secondary analysis of the STORM randomized control trial. April 19, 2023 Auty SG, Barr KD, Frakt AB, et al. Effect of a Veterans Health Administration mandat…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865531/psn-pdf
    April 10, 2024 - Implicit bias and patient care: mitigating bias, preventing harm. April 10, 2024 Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm. MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343. https://psnet.ahrq.gov/innovation/implicit-bias-and-patient-c…

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