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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42916/psn-pdf
    February 05, 2014 - Are autopsy findings still relevant to the management of critically ill patients in the modern era? February 5, 2014 Fröhlich S, Ryan O, Murphy N, et al. Are autopsy findings still relevant to the management of critically ill patients in the modern era? Crit Care Med. 2014;42(2):336-43. doi:10.1097/CCM.0b013e3182a2…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73501/psn-pdf
    July 14, 2021 - Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. July 14, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. June 24, 2021. Report No. 19-09808-171. https://psnet.ahrq.gov/issue/deficiencie…
  3. 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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47823/psn-pdf
    March 13, 2019 - Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. March 13, 2019 Washington, DC: United States Government Accountability Office; February 2019. Publication GAO-19-6. https://psnet.ahrq.gov/issue/greater-focus-credentialing-needed-prevent-disqualified-providers-del…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72643/psn-pdf
    January 13, 2021 - Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust. January 13, 2021 London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.   https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50833/psn-pdf
    January 29, 2020 - Linking transformational leadership, patient safety culture and work engagement in home care services. January 29, 2020 Ree E, Wiig S. Linking transformational leadership, patient safety culture and work engagement in home care services. Nurs Open. 2020;7(1):256-264. doi:10.1002/nop2.386. https://psnet.ahrq.gov/is…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47761/psn-pdf
    May 22, 2019 - Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. May 22, 2019 Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualitative study. Palliat Med. 2019;33(4…
  8. 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:/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50375/psn-pdf
    September 25, 2019 - Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. September 25, 2019 Byju AS, Mayo K. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. J Med Ethics. 2019;45(12):821-823. doi:10.1136/medethics-2019-10…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863208/psn-pdf
    February 28, 2024 - Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. February 28, 2024 Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. J Gen Intern Med. 2024;39(8):1386-1392. doi:10.1007/s11606-0…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60957/psn-pdf
    September 30, 2020 - A narrative review of strategies to increase patient safety event reporting by residents. September 30, 2020 Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19-00649.1. https://psnet.ahrq.g…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46428/psn-pdf
    November 01, 2017 - Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial. November 1, 2017 Pannick S, Athanasiou T, Long SJ, et al. Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised …
  15. 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 …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863746/psn-pdf
    March 06, 2024 - What's going well: a qualitative analysis of positive patient and family feedback in the context of the diagnostic process. March 6, 2024 Liu SK, Bourgeois FC, Dong J, et al. What’s going well: a qualitative analysis of positive patient and family feedback in the context of the diagnostic process. Diagnosis (Berl)…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48033/psn-pdf
    July 17, 2019 - Doctors' perceived working conditions and the quality of patient care: a systematic review. July 17, 2019 Teoh K, Hassard J, Cox T. Doctors’ perceived working conditions and the quality of patient care: a systematic review. Work Stress. 2019;33(4):385-413. doi:10.1080/02678373.2019.1598514. https://psnet.ahrq.gov/…
  18. 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864847/psn-pdf
    March 20, 2024 - Inter-hospital transfer is an independent risk factor for hospital-associated infection. March 20, 2024 Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital- associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:10.1089/sur.2023.077. https://ps…
  20. 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…

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