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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47397/psn-pdf
    January 09, 2019 - Using patient safety reporting systems to understand the clinical learning environment: a content analysis. January 9, 2019 Sellers MM, Berger I, Myers JS, et al. Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis. J Surg Educ. 2018;75(6):e168-e177. doi:10.10…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838325/psn-pdf
    October 12, 2022 - Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. October 12, 2022 Washington, DC: VA Office of the Inspector General; September 15, 2022. Report no. 22-00815-232. https://psnet.ahrq.gov/issue/comprehensive-healthcare…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50884/psn-pdf
    February 12, 2020 - Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. February 12, 2020 Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC Heart Fail. 2019;8(1):25-34. do…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861778/psn-pdf
    January 31, 2024 - Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. January 31, 2024 Washington, DC: The Veterans Affairs Inspector General; January 10, 2024. Report No. 23-00777-52. https://psnet.ahrq.gov/issue/care-deficiencies-and-l…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845073/psn-pdf
    February 22, 2023 - Nursing student errors and near misses: three years of data. February 22, 2023 Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ. 2023;62(1):12-19. doi:10.3928/01484834-20221109-05. https://psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34921/psn-pdf
    February 27, 2009 - A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. February 27, 2009 Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Crit Care Med. 2005;33(3):533-540. https://psnet.ahrq.go…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47215/psn-pdf
    September 19, 2018 - The application of system dynamics modelling to system safety improvement: present use and future potential. September 19, 2018 Ibrahim M; Gyuchan S; Jun GT; Robinson S. Safety Sci. 2018;106:104-120. https://psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present- use-and-futur…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44742/psn-pdf
    January 06, 2016 - A piece of my mind. From shame to guilt to love. January 6, 2016 Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507- 2508. doi:10.1001/jama.2015.11521. https://psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love While numerous studies have examined the psychological i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42662/psn-pdf
    October 16, 2013 - Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. October 16, 2013 de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35210/psn-pdf
    June 24, 2009 - Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. June 24, 2009 Mycyk MB, McDaniel MR, Fotis MA, et al. Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Am J Health Syst Pharm. 2005;62(15):1592-5. https:/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864863/psn-pdf
    March 20, 2024 - All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. March 20, 2024 New York, NY: Harper Wave; 2024. ISBN: 9780063293014. https://psnet.ahrq.gov/issue/all-her-head-truth-and-lies-early-medicine-taught-us-about-womens-bodies- and-why-it-matters Gender bias is …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45768/psn-pdf
    July 02, 2017 - What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. July 2, 2017 Mattarozzi K, Sfrisi F, Caniglia F, et al. What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative resea…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50706/psn-pdf
    December 04, 2019 - Improving end-of-rotation transitions of care among ICU patients December 4, 2019 Denson JL, Knoeckel J, Kjerengtroen S, et al. Improving end-of-rotation transitions of care among ICU patients. BMJ Qual Saf. 2019;29(3):250-259. doi:10.1136/bmjqs-2019-009867. https://psnet.ahrq.gov/issue/improving-end-rotation-tran…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853073/psn-pdf
    August 30, 2023 - Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. August 30, 2023 Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197. https://psnet.ahrq.gov/issue/mind-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60019/psn-pdf
    March 04, 2020 - Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. March 4, 2020 Owen-Smith A, Stewart C, Sesay MM, et al. Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. BMC Psych. 2020;20(1):40. doi:10.1186/s12888-020-2456-1. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50630/psn-pdf
    November 06, 2019 - Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care. November 6, 2019 Hazen ACM, Zwart DLM, Poldervaart JM, et al. Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary car…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43774/psn-pdf
    March 06, 2015 - A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. March 6, 2015 Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency d…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72482/psn-pdf
    November 18, 2020 - Real-time debriefing after critical events: exploring the gap between principle and reality. November 18, 2020 Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. Anesthesiol Clin. 2020;38(4):801-820. doi:10.1016/j.anclin.2020.08.003. ht…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34957/psn-pdf
    February 28, 2011 - Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. February 28, 2011 Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005;142(8):700-708. https://psnet.ah…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45821/psn-pdf
    May 09, 2017 - Putting knowledge into practice: does information on adverse drug interactions influence people's dosing behaviour? May 9, 2017 Dohle S, Dawson IGJ. Putting knowledge into practice: Does information on adverse drug interactions influence people's dosing behaviour? Br J Health Psychol. 2017;22(2):330-344. doi:10.11…

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