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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42933/psn-pdf
    July 03, 2014 - Critical events during land-based interfacility transport. July 3, 2014 Singh JM, MacDonald RD, Ahghari M. Critical events during land-based interfacility transport. Ann Emerg Med. 2014;64(1):9-15.e2. doi:10.1016/j.annemergmed.2013.12.009. https://psnet.ahrq.gov/issue/critical-events-during-land-based-interfacility…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45277/psn-pdf
    July 01, 2017 - Cultural transformation after implementation of crew resource management: is it really possible? July 1, 2017 Hefner JL, Hilligoss B, Knupp A, et al. Cultural Transformation After Implementation of Crew Resource Management: Is It Really Possible? Am J Med Qual. 2017;32(4):384-390. doi:10.1177/1062860616655424. htt…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43072/psn-pdf
    November 21, 2016 - Physician attitudes toward family-activated medical emergency teams for hospitalized children. November 21, 2016 Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;40(4):187-192. https://psnet.a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852444/psn-pdf
    August 16, 2023 - Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. August 16, 2023 Hibbert PD, Molloy CJ, Schultz TJ, et al. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. Int J Qual Health Care. 202…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47900/psn-pdf
    January 01, 2021 - Is physician mentorship associated with the occurrence of adverse patient safety events? April 10, 2019 Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097/PTS.0000000000000592. https://p…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41611/psn-pdf
    November 23, 2012 - Self-reported uptake of recommendations after dissemination of medication incident alerts. November 23, 2012 Cheung K-C, Wensing M, Bouvy ML, et al. Self-reported uptake of recommendations after dissemination of medication incident alerts. BMJ Qual Saf. 2012;21(12):1009-18. doi:10.1136/bmjqs-2012-000828. https://p…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855097/psn-pdf
    November 08, 2023 - Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation. November 8, 2023 Pelikan M, Finney RE, Jacob A. AANA J. 2023;91(5):…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47550/psn-pdf
    November 21, 2018 - Nurses' and patients' appraisals show patient safety in hospitals remains a concern. November 21, 2018 Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals Remains A Concern. Health Aff (Millwood). 2018;37(11):1744-1751. doi:10.1377/hlthaff.2018.0711. https://psne…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48173/psn-pdf
    August 28, 2019 - Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. August 28, 2019 Koo A,…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44699/psn-pdf
    December 16, 2015 - Suicide attempts after emergency room visits: the effect of patient safety goals. December 16, 2015 Robst J. Suicide Attempts After Emergency Room Visits: The Effect of Patient Safety Goals. Psych Q. 2015;86(4):497-504. doi:10.1007/s11126-015-9345-7. https://psnet.ahrq.gov/issue/suicide-attempts-after-emergency-ro…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41847/psn-pdf
    November 28, 2012 - Improving organizational climate for quality and quality of care: does membership in a collaborative help? November 28, 2012 Nembhard IM, Northrup V, Shaller D, et al. Improving organizational climate for quality and quality of care: does membership in a collaborative help? Med Care. 2012;50 Suppl:S74-82. doi:10.1…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48057/psn-pdf
    June 26, 2019 - Multicenter study to evaluate the benefits of technology- assisted workflow on i.v. room efficiency, costs, and safety. June 26, 2019 Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. Am J Health-Syst Pharm. 2…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37792/psn-pdf
    February 15, 2011 - Exploring organizational context and structure as predictors of medication errors and patient falls. February 15, 2011 Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e3181695671.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34714/psn-pdf
    February 18, 2011 - Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. February 18, 2011 Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to Negligence. New England Journal of Medicine. 2010;325(4). doi:10.1…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73140/psn-pdf
    April 14, 2021 - Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. April 14, 2021 Gray BM, Vandergrift JL, McCoy RG, et al. Association between pr…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38891/psn-pdf
    January 04, 2010 - Do calculation errors by nurses cause medication errors in clinical practice? A literature review. January 4, 2010 Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2009.06.009. https://psnet.ahrq.gov/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37453/psn-pdf
    March 03, 2011 - Managing the prevention of retained surgical instruments: what is the value of counting? March 3, 2011 Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. 2008;247(1):13-8. https://psnet.ahrq.gov/issue/managing-prevention-ret…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60185/psn-pdf
    April 01, 2020 - Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. April 1, 2020 Oliva EM, Bowe T, Manhapra A, et al. Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suici…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45585/psn-pdf
    June 29, 2017 - Impact of Medicare's nonpayment program on hospital- acquired conditions. June 29, 2017 Thirukumaran CP, Glance LG, Temkin-Greener H, et al. Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions. Med Care. 2017;55(5):447-455. doi:10.1097/MLR.0000000000000680. https://psnet.ahrq.gov/issue/impact-m…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47113/psn-pdf
    July 11, 2018 - The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials. July 11, 2018 Cheema E, Alhomoud FK, Kinsara ASA-D, et al. The impact of pharmacists-led medicines reconciliation on healthcare outcomes in seconda…