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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60263/psn-pdf
    April 22, 2020 - Rationing protective gear means checking on coronavirus patients less often. This can be deadly. April 22, 2020 Kaplan J, Presser L, Miller M. ProPublica. April 10, 2020. https://psnet.ahrq.gov/issue/rationing-protective-gear-means-checking-coronavirus-patients-less-often-can- be-deadly Increased complexity and p…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72711/psn-pdf
    February 03, 2021 - Never Events Analysis of HSIB's National Investigations Report. February 3, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.   https://psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report Never events provide organizations with motivation to analyze a…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836920/psn-pdf
    April 13, 2022 - Family support role in hospital rapid response teams: a scoping review. April 13, 2022 Howlett O, Gleeson R, Jackson L, et al. Family support role in hospital rapid response teams: a scoping review. JBI Evid Synth. 2022;20(8):2001-2024. doi:10.11124/jbies-21-00189. https://psnet.ahrq.gov/issue/family-support-role-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47642/psn-pdf
    April 07, 2019 - Identification of warning signs during selection of surgical trainees. April 7, 2019 Hagelsteen K, Johansson B-M, Bergenfelz A, et al. Identification of Warning Signs During Selection of Surgical Trainees. J Surg Educ. 2019;76(3):684-693. doi:10.1016/j.jsurg.2018.12.002. https://psnet.ahrq.gov/issue/identification…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840492/psn-pdf
    November 30, 2022 - Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers. November 30, 2022 Eldeib D. ProPublica. November 13, 2022. https://psnet.ahrq.gov/issue/her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen- mothers Pregnancy is recognized as a high-risk condition …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34871/psn-pdf
    February 09, 2011 - Educational levels of hospital nurses and surgical patient mortality. February 9, 2011 Aiken LH, Clarke S, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290(12):1617-1623. https://psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-morta…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46080/psn-pdf
    August 28, 2017 - A growth mindset approach to preparing trainees for medical error. August 28, 2017 Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. https://psnet.ahrq.gov/issue/growth-mindset-approach-preparing…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47299/psn-pdf
    March 20, 2019 - Unintentionally retained guidewires: a descriptive study of 73 sentinel events. March 20, 2019 Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.003. https://psnet.ahrq.gov/issue/…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45135/psn-pdf
    September 27, 2017 - Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. September 27, 2017 Alemzadeh H, Raman J, Leveson N, et al. Adverse Events in Robotic Surgery: A Retrospective Study of 14 Years of FDA Data. PLoS One. 2016;11(4):e0151470. doi:10.1371/journal.pone.0151470. https://psnet.ahrq.gov/issu…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50940/psn-pdf
    February 26, 2020 - The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units. February 26, 2020 Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing students' performance in prevent…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865524/psn-pdf
    April 10, 2024 - Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. April 10, 2024 Patel K, Smith DJ, Huntley CC, et al. Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. PLoS ONE. 2024;19(3):e0298432. doi:10.1371/journal.pone.0298432. https://psnet.ahrq.gov/issue/expl…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47597/psn-pdf
    August 07, 2019 - Intentional rounding—an integrative literature review. August 7, 2019 Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897. https://psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review This review exam…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47534/psn-pdf
    November 21, 2018 - Resident hesitation in the operating room: does uncertainty equal incompetence? November 21, 2018 Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530. https://psnet.ahrq.gov/issue/resident-hesit…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48162/psn-pdf
    July 24, 2019 - Allowing failure for educational purposes in postgraduate clinical training: a narrative review. July 24, 2019 Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: A narrative review. Med Teach. 2019;41(11):1263-1269. doi:10.1080/0142159X.2019.1630728. https://psnet.a…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60972/psn-pdf
    January 30, 2003 - Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. January 30, 2003 Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Press: 2003. ISBN 9780309082655. https://psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-dis…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44670/psn-pdf
    January 23, 2017 - Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. January 23, 2017 Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923. https://psnet.ahrq.gov/issue/shift-shift-hand…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46534/psn-pdf
    January 31, 2018 - Safety considerations in learning new procedures: a survey of surgeons. January 31, 2018 Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058. https://psnet.ahrq.gov/issue/safety-considerations-learni…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60696/psn-pdf
    July 15, 2020 - Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. July 15, 2020 de Bienassisi K, Kristensenii S, Burtscheri M, et al for the Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2020. OECD Health Working Papers, No. 119. https://psnet.ahrq.gov/…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837703/psn-pdf
    July 20, 2022 - Family safety reporting in hospitalized children with medical complexity. July 20, 2022 Mercer AN, Mauskar S, Baird JD, et al. Family safety reporting in hospitalized children with medical complexity. Pediatrics. 2022;150(2):e2021055098. doi:10.1542/peds.2021-055098. https://psnet.ahrq.gov/issue/family-safety-repo…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838175/psn-pdf
    September 28, 2022 - Modes of failure in venous thromboembolism prophylaxis. September 28, 2022 Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724. https://psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis Hosp…
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