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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841150/psn-pdf
    December 07, 2022 - Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? December 7, 2022 Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. doi:10.1136/bmjqs-2021-014447. https:…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73449/psn-pdf
    June 30, 2021 - Adverse events and emergency department opioid prescriptions in adolescents. June 30, 2021 Worsham CM, Woo J, Jena AB, et al. Adverse events and emergency department opioid prescriptions in adolescents. Health Aff (Millwood). 2021;40(6):970-978. doi:10.1377/hlthaff.2020.01762. https://psnet.ahrq.gov/issue/adverse-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837023/psn-pdf
    May 04, 2022 - Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity. May 4, 2022 Davidson C, Denning S, Thorp K, et al. Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity. BMJ Qual Saf. 2022;31(9):670-678. doi:10.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867691/psn-pdf
    March 05, 2025 - Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. March 5, 2025 Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. J Am Coll Surg. 2025;240(2):…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73281/psn-pdf
    May 19, 2021 - Measuring safety in older adult care homes: a scoping review of the international literature. May 19, 2021 Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmjopen-2020-043206. https://psnet.ahrq…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34735/psn-pdf
    June 16, 2014 - An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. June 16, 2014 Donaldson L. London, UK: The Stationery Office, 2000. https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs- chaired-ch…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34651/psn-pdf
    March 04, 2011 - Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 4, 2011 Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. BMJ. 2000;320(7237):741-4. https://psnet.ahrq.g…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837859/psn-pdf
    August 17, 2022 - The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. August 17, 2022 van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e1075. doi:10.1097/pts.00000000000010…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46886/psn-pdf
    August 01, 2018 - Support strategies for health care professionals who are second victims. August 1, 2018 Hauk L. Support strategies for health care professionals who are second victims. AORN J. 2018;107(6):P7- P9. doi:10.1002/aorn.12291. https://psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36434/psn-pdf
    February 18, 2011 - Protocol-based computer reminders, the quality of care and the non-perfectability of man. February 18, 2011 McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5. https://psnet.ahrq.gov/issue/protocol-based-computer-reminders-qualit…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47883/psn-pdf
    May 29, 2019 - Patient Safety in Obstetrics and Gynecology. May 29, 2019 Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in this speci…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43496/psn-pdf
    November 01, 2016 - Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. November 1, 2016 Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0047-EF. https://psnet.ahrq.gov/issue/designing-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852799/psn-pdf
    June 11, 2019 - The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States. June 11, 2019 Vedam S, Stoll K, Taiwo TK, et al. The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States. Reprod Health. 2019;16(1):77. doi:10…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845636/psn-pdf
    March 08, 2023 - The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. March 8, 2023 Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. Health Care Manage Rev. 2023;48(2):…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46101/psn-pdf
    January 01, 2018 - Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review. December 19, 2017 Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration Technology That Contribute to Patient Safety: An Integrative Review…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837635/psn-pdf
    July 06, 2022 - Family safety reporting in medically complex children: parent, staff, and leader perspectives. July 6, 2022 Khan A, Baird JD, Kelly MM, et al. Family safety reporting in medically complex children: parent, staff, and leader perspectives. Pediatrics. 2022;149(6):e2021053913. doi:10.1542/peds.2021-053913. https://ps…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861767/psn-pdf
    January 31, 2024 - Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial. January 31, 2024 Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinica…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836990/psn-pdf
    April 27, 2022 - Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. April 27, 2022 Frisch NK, Gibson PC, Stowman AM, et al. Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. Am J Emerg Med. 2022;…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46118/psn-pdf
    December 20, 2017 - Predictors of in-hospital postoperative opioid overdose after major elective operations: a nationally representative cohort study. December 20, 2017 Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After Major Elective Operations: A Nationally Representative Cohort S…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72483/psn-pdf
    November 18, 2020 - ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. November 18, 2020 Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments: Pathway Leaders Patient Safety Collaborative. Chicago, IL: Accreditation Council for Graduate Medical Educatio…

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