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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837300/psn-pdf
    June 01, 2022 - Surgery is in itself a risk factor for the patient. June 1, 2022 Aranaz-Ostáriz V, Gea-Velázquez De Castro MT, López-Rodríguez-Arias F, et al. Surgery is in itself a risk factor for the patient. Int J Environ Res Public Health. 2022;19(8):4761. doi:10.3390/ijerph19084761. https://psnet.ahrq.gov/issue/surgery-itself…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46936/psn-pdf
    April 11, 2018 - You've detailed your last wishes, but doctors may not see them. April 11, 2018 Lamas D. https://psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread. Reporting on a physician's experienc…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44425/psn-pdf
    February 24, 2016 - Dangerous doses. February 24, 2016 Roe S, King K. Chicago Tribune. February 10–13, 2016. https://psnet.ahrq.gov/issue/dangerous-doses Drug interactions can be hazardous to patients, particularly when combined with risk factors such as age and use of medications for chronic conditions. This series of news reports d…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37993/psn-pdf
    August 20, 2008 - Peer support: healthcare professionals supporting each other after adverse medical events. August 20, 2008 van Pelt F. Peer support: healthcare professionals supporting each other after adverse medical events. Qual Saf Health Care. 2008;17(4):249-52. doi:10.1136/qshc.2007.025536. https://psnet.ahrq.gov/issue/peer-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43620/psn-pdf
    October 29, 2014 - Error in intensive care: psychological repercussions and defense mechanisms among health professionals. October 29, 2014 Laurent A, Aubert L, Chahraoui K, et al. Error in intensive care: psychological repercussions and defense mechanisms among health professionals. Crit Care Med. 2014;42(11):2370-8. doi:10.1097/CC…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47843/psn-pdf
    March 06, 2019 - Structural iatrogenesis—a 43-year-old man with "opioid misuse." March 6, 2019 Stonington S, Coffa D. Structural Iatrogenesis - A 43-Year-Old Man with "Opioid Misuse". N Engl J Med. 2019;380(8):701-704. doi:10.1056/NEJMp1811473. https://psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse The…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34786/psn-pdf
    March 28, 2005 - Errors in drug computations during newborn intensive care. March 28, 2005 Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. https://psnet.ahrq.gov/issue/errors-drug-computatio…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44627/psn-pdf
    May 30, 2016 - Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews. May 30, 2016 Lloyd M, Watmough SD, O'Brien S, et al. Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: A qualitative case …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867749/psn-pdf
    March 12, 2025 - How unprofessional behaviours between healthcare staff threaten patient care and safety. March 12, 2025 Aunger J, Maben J, Westbrook JI. How unprofessional behaviours between healthcare staff threaten patient care and safety. Expert Rev Pharmacoecon Outcomes Res. 2025;Epub Jan 30. doi:10.1080/14737167.2025.2460518…
  10. psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
    July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD July 1, 2017  Also Read an Essay Citation Text: In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Hum…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863227/psn-pdf
    February 28, 2024 - What Do You Do If You Think You Have Been Harmed By Your Healthcare. February 28, 2024 Seattle, WA: Collaborative for Accountability and Improvement; 2023. https://psnet.ahrq.gov/issue/what-do-you-do-if-you-think-you-have-been-harmed-your-healthcare There is a need for patients and families to understand effective…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854386/psn-pdf
    January 01, 2024 - Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. October 11, 2023 Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele- palliative care: an integrative review. J Hosp Palliat Nurs. 2024;26(1):e1-e12. doi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47770/psn-pdf
    February 13, 2019 - Patient participation in patient safety—an exploration of promoting factors. February 13, 2019 Sahlström M, Partanen P, Azimirad M, et al. Patient participation in patient safety-An exploration of promoting factors. J Nurs Manag. 2019;27(1):84-92. doi:10.1111/jonm.12651. https://psnet.ahrq.gov/issue/patient-partic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44212/psn-pdf
    September 19, 2016 - Assessing the perceived level of institutional support for the second victim after a patient safety event. September 19, 2016 Joesten L, Cipparrone N, Okuno-Jones S, et al. Assessing the perceived level of institutional support for the second victim after a patient safety event. J Patient Saf. 2015;11(2):73-78. do…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44856/psn-pdf
    September 29, 2017 - Antibiotic Stewardship in Acute Care: A Practical Playbook. September 29, 2017 National Quality Partners. Washington, DC: National Quality Forum; 2016. https://psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook Antimicrobial stewardship has been promoted as a strategy to improve patient safe…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866083/psn-pdf
    June 05, 2024 - An invisible disability: communication, patient safety and dual sensory impairment in older persons. June 5, 2024 Dunsmore ME, Watharow A, Schneider J. An invisible disability: communication, patient safety and dual sensory impairment in older persons. J Adv Nurs. 2024;Epub Mar 22. doi:10.1111/jan.16159. https://p…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837739/psn-pdf
    July 27, 2022 - Support methods for healthcare professionals who are second victims: an integrative review. July 27, 2022 Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.  https://psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative- review Healthcare workers who ar…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34771/psn-pdf
    May 06, 2016 - Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. May 6, 2016 Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. ISBN-13: 9781118862414. https://psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition According to Weick and Sutcliffe, high…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841767/psn-pdf
    December 21, 2022 - Structural racism and adverse maternal health outcomes: a systematic review. December 21, 2022 Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923. https://psnet.ahrq.gov/issue/stru…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46328/psn-pdf
    August 09, 2017 - Critical incident stress debriefing after adverse patient safety events. August 9, 2017 Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312. https://psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events…

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