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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44148/psn-pdf
    November 06, 2015 - Role of cognition in generating and mitigating clinical errors. November 6, 2015 Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482. https://psnet.ahrq.gov/issue/role-cognition-generating-and-miti…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47941/psn-pdf
    January 01, 2020 - Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. May 22, 2019 Holden RJ, Campbell NL, Abebe E, et al. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. Res Social Adm Pharm. 2020;16(1):54-61. doi:10.1016/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74192/psn-pdf
    January 01, 2022 - Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. December 15, 2021 Wallis KA, Elley CR, Moyes SA, et al. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. BJGP Open. 2022;6(1):BJGPO.2021.0129. doi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34673/psn-pdf
    December 23, 2008 - Relationship between medication errors and adverse drug events. December 23, 2008 Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995;10(4):199-205. https://psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44778/psn-pdf
    July 18, 2016 - How safe is primary care? A systematic review. July 18, 2016 Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178. https://psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review Patient safety in ambulato…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44592/psn-pdf
    December 02, 2015 - Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. December 2, 2015 Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866252/psn-pdf
    January 01, 2025 - Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. July 10, 2024 Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. BMJ Qual Saf. 2025;34(1):18-27. doi:10.1136/b…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866115/psn-pdf
    June 12, 2024 - Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. June 12, 2024 Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. BMJ Open. 2024;14(5):e0…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845652/psn-pdf
    March 14, 2023 - Controlled substance drug diversion by healthcare workers as a threat to patient safety. March 14, 2023 ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4):1-4; March 9, 2023:28(5):1-4. https://psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety D…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34874/psn-pdf
    February 25, 2009 - Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. February 25, 2009 Pronovost PJ, Dang D, Dorman T, et al. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Eff Clin Pract. 2001;4(5):199-206. https://psnet.ahrq.gov/issu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44134/psn-pdf
    November 06, 2015 - Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. November 6, 2015 Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Br J Cancer. 2015;112 Suppl 1:S…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46737/psn-pdf
    February 07, 2018 - The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England. February 7, 2018 Lee R, Baeza JI, Fulop NJ. The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England. BMJ Qual Saf. 2018;27(2):103-109. doi:10.11…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854827/psn-pdf
    October 25, 2023 - Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. October 25, 2023 Ramjaun A, Hammond Mobilio M, Wright N, et al. Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. Ann Surg. 2023;278…
  14. 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46207/psn-pdf
    July 19, 2017 - Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. July 19, 2017 Dyrbye LN, Shanafelt TD, Sinsky CA, et al. Washington, DC: National Academy of Medicine; July 5, 2017. https://psnet.ahrq.gov/issue/burnout-among-health-care-professionals-ca…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60198/psn-pdf
    April 08, 2020 - Hierarchy and medical error: speaking up when witnessing an error. April 8, 2020 Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648. https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-wh…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33923/psn-pdf
    June 12, 2018 - The collapse of sensemaking in organizations: the Mann Gulch disaster. June 12, 2018 Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. https://psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster This artic…
  18. 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45308/psn-pdf
    September 28, 2016 - Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. September 28, 2016 Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with r…
  20. psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
    September 16, 2015 - SPOTLIGHT CASE Which Line: Ordering Provider or Proceduralist? Citation Text: Blackmore CC. Which Line: Ordering Provider or Proceduralist?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …

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