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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46135/psn-pdf
    July 11, 2017 - Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. July 11, 2017 Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):1208-1215. doi:10.1097/CCM.0000000000…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47578/psn-pdf
    November 28, 2018 - Identifying electronic health record usability and safety challenges in pediatric settings. November 28, 2018 Ratwani RM, Savage E, Will A, et al. Identifying Electronic Health Record Usability And Safety Challenges In Pediatric Settings. Health Aff (Millwood). 2018;37(11):1752-1759. doi:10.1377/hlthaff.2018.0699. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46667/psn-pdf
    February 22, 2018 - Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care. February 22, 2018 Grant S, Guthrie B. Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary car…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867438/psn-pdf
    January 08, 2025 - Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training - a multi-arm randomized controlled equivalence trial. January 8, 2025 Schmidt M, Schauwinhold MT, Loeffler LAK, et al. Safety management within the scope of teaching practical clini…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47524/psn-pdf
    June 19, 2019 - Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. June 19, 2019 Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essential For Progress In Patient Safety. Health Aff (Millwood). 2018;37(11):1821-18…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47921/psn-pdf
    June 18, 2019 - Using incident reports to assess communication failures and patient outcomes. June 18, 2019 Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2019.02.006. https://psnet.ahrq.gov…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43664/psn-pdf
    September 01, 2016 - Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. September 1, 2016 Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive ob…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46074/psn-pdf
    December 22, 2017 - A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study. December 22, 2017 Gilmartin-Thomas JF-M, Smith F, Wolfe R, et al. A comparison of medication administration errors from original medication pa…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42342/psn-pdf
    December 31, 2014 - The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. December 31, 2014 Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors asso…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47602/psn-pdf
    January 27, 2019 - Association of nurse workload with missed nursing care in the neonatal intensive care unit. January 27, 2019 Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Unit. JAMA Pediatr. 2019;173(1):44-51. doi:10.1001/jamapediatrics.2018.3619. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41590/psn-pdf
    August 15, 2012 - Nurse staffing, burnout, and health care-associated infection. August 15, 2012 Cimiotti JP, Aiken LH, Sloane DM, et al. Nurse staffing, burnout, and health care-associated infection. Am J Infect Control. 2012;40(6):486-490. doi:10.1016/j.ajic.2012.02.029. https://psnet.ahrq.gov/issue/nurse-staffing-burnout-and-hea…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45541/psn-pdf
    September 28, 2016 - Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. September 28, 2016 Ruetters D, Keinki C, Schroth S, et al. Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. J Cancer Res Clin Oncol. 2016;142(7):1521…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48184/psn-pdf
    August 14, 2019 - Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. August 14, 2019 Brunsberg KA, Landrigan CP, Garcia BM, et al. Association of Pediatric Resident Physician Depression and Burnout With Harmful Medical Errors on Inpatient Services. Acad Med. 2019;94…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74230/psn-pdf
    January 12, 2022 - Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. January 12, 2022 Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors to improve patient safety when…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38983/psn-pdf
    February 10, 2015 - Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. February 10, 2015 Jha AK, Chan DC, Ridgway AB, et al. Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Health Aff (Millwood). 2009;28(5):1475-1484. doi:10.1377/hlthaff.28.5.1475. https://psnet.ahrq.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45405/psn-pdf
    November 18, 2016 - Relationship between operating room teamwork, contextual factors, and safety checklist performance. November 18, 2016 Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-580.e2. doi:10.1016/j.jamcollsu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47088/psn-pdf
    May 02, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report. May 2, 2018 Famolaro T, Yount N, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0030-EF. https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2018-user-dat…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46932/psn-pdf
    April 22, 2018 - Hospital Survey on Patient Safety Culture: 2018 User Database Report. April 22, 2018 Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2018. AHRQ Publication No. 18-0025-EF. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-re…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46323/psn-pdf
    October 29, 2017 - Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. October 29, 2017 O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A National Survey. Jt Comm J Qual Patie…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43074/psn-pdf
    December 18, 2014 - Graded autonomy in medical education—managing things that go bump in the night. December 18, 2014 Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. https://psnet.ahrq.gov/issue/graded-autonomy-medic…

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