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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850175/psn-pdf
    June 07, 2023 - Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections. June 7, 2023 Carter RG, Lake S. Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections. Pediatrics. 2023;151(5). doi:10.1542/peds.2023-061585. https://psnet.ahrq.gov/issue/explicitly-addressi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836986/psn-pdf
    April 27, 2022 - Habit and automaticity in medical alert override: cohort study. April 27, 2022 Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med Internet Res. 2022;24(2):e23355. doi:10.2196/23355. https://psnet.ahrq.gov/issue/habit-and-automaticity-medical-alert-override-cohort-s…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865702/psn-pdf
    May 01, 2024 - Judgment errors in surgical care. May 1, 2024 Marsh KM, Turrentine FE, Jin R, et al. Judgment errors in surgical care. J Am Coll Surg. 2024;238(5):874- 879. doi:10.1097/xcs.0000000000001011. https://psnet.ahrq.gov/issue/judgment-errors-surgical-care Knowing when judgment errors are more likely to occur can increas…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45886/psn-pdf
    July 05, 2017 - Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. July 5, 2017 Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid Response Teams. Jt Comm J Qual Patient Saf. 2017;43(6…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45485/psn-pdf
    July 01, 2017 - Psychological responses, coping and supporting needs of healthcare professionals as second victims. July 1, 2017 Chan ST, Khong PCB, Wang W. Psychological responses, coping and supporting needs of healthcare professionals as second victims. Intern Nurs Rev. 2017;64(2):242-262. doi:10.1111/inr.12317. https://psnet.…
  6. www.ahrq.gov/npsd/data/dashboard/medication.html
    September 01, 2025 - Medication or Other Substance Dashboard Learn more about how the dashboards are set up . This dashboard presents information on medication or other substance-related patient safety concerns, which span incidents, near misses, and unsafe conditions. At-a-glance information on description of safety concerns, ori…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863210/psn-pdf
    February 28, 2024 - Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. February 28, 2024 Parikh K, Hall M, Tieder JS, et al. Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. Pediatrics. 2024;153(3):e2023063714. doi:10.1542/peds.2023-063714. https://…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44924/psn-pdf
    April 15, 2016 - Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. April 15, 2016 Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(5):567-75…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44235/psn-pdf
    January 22, 2016 - Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta- analysis. January 22, 2016 Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic review and meta-analysis. Int J…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60828/psn-pdf
    August 19, 2020 - When COVID-19 hit, many elderly were left to die. August 19, 2020 Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8. https://psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die Residential care facilities have been challenged by C…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50417/psn-pdf
    September 04, 2019 - Communicating uncertainty: a narrative review and framework for future research. September 4, 2019 Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8. https://psnet.ahrq.gov/issue/communi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866073/psn-pdf
    June 05, 2024 - Improving communication of diagnostic uncertainty to families of hospitalized children. June 5, 2024 Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088. https://psnet.ahrq.gov/iss…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38070/psn-pdf
    March 10, 2011 - Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. March 10, 2011 Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. J Am Med Inform Assoc. 20…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44252/psn-pdf
    January 01, 2016 - Associations between safety culture and employee engagement over time: a retrospective analysis. December 16, 2015 Biddison ELD, Paine LA, Murakami P, et al. Associations between safety culture and employee engagement over time: a retrospective analysis. BMJ Qual Saf. 2016;25(1):31-7. doi:10.1136/bmjqs-2014- 00391…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839324/psn-pdf
    November 02, 2022 - The impact of COVID-19 workflow changes on radiation oncology incident reporting. November 2, 2022 Volpini ME, Lekx?Toniolo K, Mahon R, et al. The impact of COVID?19 workflow changes on radiation oncology incident reporting. J Appl Clin Med Phys. 2022;23(11):e13742. doi:10.1002/acm2.13742. https://psnet.ahrq.gov/i…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44772/psn-pdf
    January 13, 2016 - Post event debriefs: a commitment to learning how to better care for patients and staff. January 13, 2016 Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47. https://psnet.ahrq.gov/issue/post-eve…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39261/psn-pdf
    February 03, 2010 - Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? February 3, 2010 Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Burn Care Res. 2010;31(1):125-9. do…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47424/psn-pdf
    November 21, 2018 - Creating a culture of accountability promotes safe medical care. November 21, 2018 Canadian Medical Protective Association; CMPA. https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38727/psn-pdf
    November 25, 2009 - FMEA team performance in health care: a qualitative analysis of team member perceptions. November 25, 2009 Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be. https://psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42784/psn-pdf
    January 15, 2014 - A multi-disciplinary approach to medication safety and the implication for nursing education and practice. January 15, 2014 Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ Today. 2014;34(2):185-90. doi:10.101…