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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838146/psn-pdf
    September 21, 2022 - HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. September 21, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; 2022. https://psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary- highlights-themes-and Thi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46496/psn-pdf
    October 11, 2017 - Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. October 11, 2017 Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organization…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837060/psn-pdf
    May 11, 2022 - Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. May 11, 2022 Brady KJS, Barlam TF, Trockel MT, et al. Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. J…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44156/psn-pdf
    November 10, 2015 - Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. November 10, 2015 Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J Commun Healthc. 2015;8(1):76-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74169/psn-pdf
    December 08, 2021 - Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. December 8, 2021 Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021. https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution- bl…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47837/psn-pdf
    May 11, 2019 - Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers. May 11, 2019 Kang R, Kunkel ST, Columbo JA, et al. Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affairs Medical Centers. Am J Med. 2019;1…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37077/psn-pdf
    October 03, 2011 - Sensemaking, safety, and cooperative work in the intensive care unit. October 3, 2011 Albolino S, Cook RI, O’Connor M. Sensemaking, safety, and cooperative work in the intensive care unit. Cog Tech Work. 2006;9(3):131-137. doi:10.1007/s10111-006-0057-5. https://psnet.ahrq.gov/issue/sensemaking-safety-and-cooperati…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48094/psn-pdf
    June 19, 2019 - New persistent opioid use after postoperative intensive care in US veterans. June 19, 2019 Karamchandani K, Pyati S, Bryan W, et al. New Persistent Opioid Use After Postoperative Intensive Care in US Veterans. JAMA Surg. 2019;154(8):778-780. doi:10.1001/jamasurg.2019.0899. https://psnet.ahrq.gov/issue/new-persiste…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837306/psn-pdf
    June 01, 2022 - Mortality due to hospital-acquired infection after cardiac surgery. June 1, 2022 Massart N, Mansour A, Ross JT, et al. Mortality due to hospital-acquired infection after cardiac surgery. J Thorac Cardiovasc Surg. 2022;163(6):2131-2140.e3. doi:10.1016/j.jtcvs.2020.08.094. https://psnet.ahrq.gov/issue/mortality-due-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44536/psn-pdf
    November 11, 2015 - Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change. November 11, 2015 Lenander C, Bondesson Å, Midlöv P, et al. Healthcare system intervention for safer…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49729/psn-pdf
    April 01, 2015 - Dissecting the Presentation April 1, 2015 Suat-Ooi SB. Dissecting the Presentation. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/dissecting-presentation Case Objectives Define aortic dissection. Describe the epidemiology of acute aortic dissection. State the common and uncommon presentation of acute aor…
  13. psnet.ahrq.gov/curated-library/organizational-learning
    August 11, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Organizational Learning  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…
  14. psnet.ahrq.gov/primer/simulation-training
    September 15, 2024 - Simulation Training Citation Text: Edward JJ, Nichols A, Bakerjian D. Simulation Training. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…
  15. psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
    November 13, 2024 - SPOTLIGHT CASE Abdominal Pain in Early Pregnancy Citation Text: Kilpatrick CC. Abdominal Pain in Early Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibT…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44902/psn-pdf
    February 24, 2016 - Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. February 24, 2016 Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned behavior. J Manag Organ. 2015;22(1):1-18. doi:10.1017/jmo.2…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45678/psn-pdf
    October 11, 2017 - Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. October 11, 2017 Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. Health Expect. 2017…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867397/psn-pdf
    December 18, 2024 - Overview of Methicillin-Resistant Staphylococcus aureus (MRSA)-Related Adult Inpatient Stays, 2016–2021. HCUP Statistical Brief #315. December 18, 2024 Miller MA, Owens P, Kim J, et al. Overview Of Methicillin-Resistant Staphylococcus Aureus (Mrsa)-Related Adult Inpatient Stays, 2016–2021. Agency for Healthcare Re…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60846/psn-pdf
    January 01, 2021 - Safety climate associated with adverse events in nursing homes: a national VA study. August 26, 2020 Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.2020.05.028. https://psnet.ahrq.go…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837758/psn-pdf
    August 03, 2022 - Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. August 3, 2022 Burns ML, Saager L, Cassidy RB, et al. Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. JAMA Surg. 2022;157(9):807-815. doi:10.1001/jamasurg.2022.2804. https://p…

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