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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50854/psn-pdf
    January 29, 2020 - Association of state opioid duration limits with postoperative opioid prescribing. January 29, 2020 Agarwal S, Bryan JD, Hu HM, et al. Association of State Opioid Duration Limits With Postoperative Opioid Prescribing. JAMA Netw Open. 2019;2(12):e1918361. doi:10.1001/jamanetworkopen.2019.18361. https://psnet.ahrq.g…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838309/psn-pdf
    October 12, 2022 - Duplicate medication order errors: safety gaps and recommendations for improvement. October 12, 2022 Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6. https://psnet.ahrq.gov/issue/duplic…
  3. 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…
  4. 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 …
  5. 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/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839316/psn-pdf
    January 01, 2023 - Patient voices in hospital safety during the COVID-19 pandemic. November 2, 2022 Groves PS, Bunch JL, Hanrahan KM, et al. Patient voices in hospital safety during the COVID-19 pandemic. Clin Nurs Res. 2023;32(1):105-114. doi:10.1177/10547738221129711. https://psnet.ahrq.gov/issue/patient-voices-hospital-safety-dur…
  7. 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…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47405/psn-pdf
    January 27, 2019 - Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. January 27, 2019 Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatie…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47992/psn-pdf
    January 01, 2020 - Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. May 8, 2019 Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Delivery Units: Using Design Thinking …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34687/psn-pdf
    February 10, 2011 - The costs of adverse drug events in hospitalized patients. February 10, 2011 Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA. 1997;277(4):307-11. https://psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patie…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45691/psn-pdf
    January 11, 2017 - Qualitative study about the experiences of colleagues of health professionals involved in an adverse event. January 11, 2017 Ferrús L, Silvestre C, Olivera G, et al. Qualitative Study About the Experiences of Colleagues of Health Professionals Involved in an Adverse Event. J Patient Saf. 2016;17(1):36-43. doi:10.1…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47450/psn-pdf
    March 27, 2019 - A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. March 27, 2019 Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and…
  14. 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…
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47541/psn-pdf
    March 04, 2019 - Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. March 4, 2019 Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in Nursing Homes: A Systematic Review and Meta-analysis. J Amer Med Direct Asso…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845347/psn-pdf
    March 01, 2023 - Race differences in a malpractice event database in a large healthcare system. March 1, 2023 Thomas AD, Pandit C, Krevat S. Race differences in a malpractice event database in a large healthcare system. J Patient Saf. 2023;19(2):67-70. doi:10.1097/pts.0000000000001090. https://psnet.ahrq.gov/issue/race-differences…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47688/psn-pdf
    March 19, 2019 - Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. March 19, 2019 Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in tho…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45733/psn-pdf
    December 07, 2016 - Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high- income countries. December 7, 2016 group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth. 2016;117(5):601-609. doi:10.109…
  20. 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…

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