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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35060/psn-pdf
    November 04, 2015 - Risk factors for adverse drug events: a 10-year analysis. November 4, 2015 Evans S, Lloyd JF, Stoddard GJ, et al. Risk factors for adverse drug events: a 10-year analysis. Ann Pharmacother. 2005;39(7-8):1161-8. https://psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis Many medications remain a…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34989/psn-pdf
    February 24, 2011 - Laboratory safety monitoring of chronic medications in ambulatory care settings. February 24, 2011 Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525-1497.2005.40182.x. https://psne…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866311/psn-pdf
    January 01, 2025 - Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. July 17, 2024 Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. J Adv Nurs. …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44798/psn-pdf
    November 02, 2016 - From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. November 2, 2016 Bardach N, Lyndon A, Asteria-Peñaloza R, et al. From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. BMJ Qual Saf. 2016;25(11):889-897. doi:…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47020/psn-pdf
    January 16, 2019 - Unintended harm associated with the Hospital Readmissions Reduction Program. January 16, 2019 Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. https://psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmiss…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47874/psn-pdf
    April 10, 2019 - Evaluating the effect of data standardization and validation on patient matching accuracy. April 10, 2019 Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1093/jamia/ocy191. https://psnet.a…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851649/psn-pdf
    July 26, 2023 - Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety. July 26, 2023 Dietl JE, Derksen C, Keller FM, et al. Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication an…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47470/psn-pdf
    April 07, 2019 - Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty. April 7, 2019 Tseng YW, Vedula S, Malpani A, et al. Association Between Surgical Trainee Daytime Sleepiness and Intraoperative Technical Skill When Performing Septoplasty. JAMA Facial Plast Surg.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846708/psn-pdf
    March 29, 2023 - Anesthesiology patient handoff education interventions: a systematic review. March 29, 2023 Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.12.002. https://psnet.ahrq.gov/issu…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47258/psn-pdf
    January 09, 2019 - The effect of cognitive load and task complexity on automation bias in electronic prescribing. January 9, 2019 Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/0018720818781224. https://psnet.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47929/psn-pdf
    June 26, 2019 - Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. June 26, 2019 Sturrock J. Edinburgh, Scotland: The Scottish Government; May 2019. ISBN: 9781787817760. https://psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866557/psn-pdf
    August 21, 2024 - Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review. August 21, 2024 Abo-Zahhad M, El-Malek AHA, Sayed MS, et al. Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review. BioData Min. 2024;17…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46511/psn-pdf
    December 19, 2017 - Professional, structural and organisational interventions in primary care for reducing medication errors. December 19, 2017 Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary care for reducing medication errors. Cochrane Database Syst Rev. 2017;10:CD003942. d…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46992/psn-pdf
    March 20, 2019 - Views of children, parents, and health-care providers on pediatric disclosure of medical errors. March 20, 2019 Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1367493518765220. https://psnet.ah…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47713/psn-pdf
    June 14, 2019 - Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. June 14, 2019 Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. doi:10.1111/jgs.15798. https://psne…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837342/psn-pdf
    June 08, 2022 - Assessment of perioperative outcomes among surgeons who operated the night before. June 8, 2022 Sun EC, Mello MM, Vaughn MT, et al. Assessment of perioperative outcomes among surgeons who operated the night before. JAMA Intern Med. 2022;182(7):720-728. doi:10.1001/jamainternmed.2022.1563. https://psnet.ahrq.gov/is…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47773/psn-pdf
    April 17, 2019 - People, systems and safety: resilience and excellence in healthcare practice. April 17, 2019 Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/anae.14519. https://psnet.ahrq.gov/issue/people-systems-and-safety-resilience…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38189/psn-pdf
    November 14, 2011 - Errors, near misses and adverse events in the emergency department: what can patients tell us? November 14, 2011 Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events in the emergency department: what can patients tell us? CJEM. 2008;10(5):421-427. https://psnet.ahrq.gov/issue/errors-near-m…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853975/psn-pdf
    September 27, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. September 27, 2023 Amin D, Cosby K. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. Publication No. 23-0040-6-EF. https://psnet.ahrq.gov/issue/strategies-improving-clinician-psychologica…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43532/psn-pdf
    June 23, 2017 - The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. June 23, 2017 Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an organizational resource for asses…
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