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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73858/psn-pdf
    September 22, 2021 - Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. September 22, 2021 D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. Surgery. 2021;170(2):440-44…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34868/psn-pdf
    February 03, 2011 - Role of computerized physician order entry systems in facilitating medication errors. February 3, 2011 Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):1197-203. https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45161/psn-pdf
    September 19, 2016 - Design of an evidence-based "second victim" curriculum for nurse anesthetists. September 19, 2016 Daniels RG, McCorkle R. Design of an Evidence-Based "Second Victim" Curriculum for Nurse Anesthetists. AANA J. 2016;84(2):107-113. https://psnet.ahrq.gov/issue/design-evidence-based-second-victim-curriculum-nurse-anes…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42934/psn-pdf
    February 21, 2015 - Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta- analysis. February 21, 2015 Ahmed AH, Giri J, Kashyap R, et al. Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Am J Med Qual. 2015;30(1):23-30. do…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862993/psn-pdf
    February 21, 2024 - Disparities in diagnostic timeliness and outcomes of pediatric appendicitis. February 21, 2024 Michelson KA, Bachur RG, Rangel SJ, et al. Disparities in diagnostic timeliness and outcomes of pediatric appendicitis. JAMA Netw Open. 2024;7(1):e2353667. doi:10.1001/jamanetworkopen.2023.53667. https://psnet.ahrq.gov/i…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837041/psn-pdf
    May 04, 2022 - APSF endorsed statement on revising recommendations for patient monitoring during anesthesia. May 4, 2022 The APSF Committee on Technology. APSF Newsletter. 2022;37(1):7–8. https://psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during- anesthesia Variation across sta…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43187/psn-pdf
    May 28, 2014 - Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. May 28, 2014 Bismark M, Studdert DM. Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. BMJ Qual Saf. 2014;23(6):474-82. doi:10.1136/bmjqs-2013-002193. https://psnet.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863754/psn-pdf
    March 06, 2024 - The effect of visitation restrictions on ED error. March 6, 2024 Marks CM, Wolfe RE, Grossman SA. The effect of visitation restrictions on ED error. Intern Emerg Med. 2024;19(5):1425-1430. doi:10.1007/s11739-024-03537-3. https://psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error At the beginning of the C…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838016/psn-pdf
    January 02, 2021 - Racism as a Root Cause approach: a new framework. January 2, 2021 Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics. 2021;147(1):e2020015602. doi:10.1542/peds.2020-015602. https://psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework Structural racism, which manife…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41466/psn-pdf
    June 20, 2012 - Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. June 20, 2012 Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longit…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47771/psn-pdf
    April 24, 2019 - The impact of errors on healthcare professionals in the critical care setting. April 24, 2019 Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001. https://psnet.ahrq.gov/issue/impact-err…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836858/psn-pdf
    April 06, 2022 - Psychological safety during the test of new work processes in an emergency department. April 6, 2022 Dieckmann P, Tulloch S, Dalgaard AE, et al. Psychological safety during the test of new work processes in an emergency department. BMC Health Serv Res. 2022;22(1):307. doi:10.1186/s12913-022-07687-y. https://psnet.…
  13. 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.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841155/psn-pdf
    February 02, 2020 - Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. February 2, 2020 Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73596/psn-pdf
    August 11, 2021 - Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety. August 11, 2021 Rimondini M, Busch IM, eds. Int J Environ Res Public Health. 2021;18. https://psnet.ahrq.gov/issue/empowering-patients-and-supporting-health-care-providers-new-avenues-high- quality-care-and…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43294/psn-pdf
    April 25, 2016 - The right and wrong way to talk to patients about adverse events. April 25, 2016 Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics. 2014;91(11):52-5. https://psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events Apology laws have been explor…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43412/psn-pdf
    May 28, 2015 - An observational study of how patients are identified before medication administrations in medical and surgical wards. May 28, 2015 Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before medication administrations in medical and surgical wards. Nurs Health Sci. 2015;1…
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/primer-intro.pdf
    January 19, 2022 - Understanding CAHPS® Surveys: A Primer for New Users Webcast Understanding CAHPS® Surveys: A Primer for New Users A Webcast Presented by the AHRQ CAHPS User Network January 19, 2022 1:00 – 2:00 pm ET 2 Need Help? • No sound from computer speakers? • Trouble with your connection or slides not moving? ► Log…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837866/psn-pdf
    August 17, 2022 - A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. August 17, 2022 US Senate Finance Committee. 117th Cong (2021-2022). August 3, 2022. https://psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ- procurement…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866446/psn-pdf
    August 07, 2024 - FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. August 7, 2024 FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products.July 26, 2024; https://psnet…