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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837674/psn-pdf
    July 13, 2022 - Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice. July 13, 2022 Madigan C, Way KA, Johnstone K, et al. Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice. J Safety Res. 2022…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43426/psn-pdf
    July 03, 2016 - Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence. July 3, 2016 Dankoski ME, Bickel J, Gusic ME. Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence. Acad Med. 2014;89(12):1610-3. doi:…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836836/psn-pdf
    March 30, 2022 - Deficiencies after the New Electronic Health Record Go- Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. March 30, 2022 Washington, DC: VA Office of Inspector General; March 17, 2022. https://psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va- medical-cent…
  4. www.ahrq.gov/topics/long-term-care.html
    Topic: Long-Term Care AHRQ has toolkits, recommendations, and other resources for long-term care facilities, such as nursing homes and rehabilitation centers, to improve quality, reduce errors, and increase patient safety. AHRQ Research Findings Support Effort to Reduce Pre…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866586/psn-pdf
    August 28, 2024 - Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. August 28, 2024 Jin Q, Chen F, Zhou Y, et al. Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. NPJ Dig Med. 2024;7(1):190. doi:10.1038/s41746-024-01185-7. https://psnet.ahrq.gov/issue/hidden-flaws-beh…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47030/psn-pdf
    June 06, 2018 - Creating a safer operating room: groups, team dynamics and crew resource management principles. June 6, 2018 Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008. https://p…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844995/psn-pdf
    February 22, 2023 - Diagnostic delays among COVID-19 patients with a second concurrent diagnosis. February 22, 2023 Freund O, Azolai L, Sror N, et al. Diagnostic delays among COVID?19 patients with a second concurrent diagnosis. J Hosp Med. 2023;18(4):321-328. doi:10.1002/jhm.13063. https://psnet.ahrq.gov/issue/diagnostic-delays-amon…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47263/psn-pdf
    January 01, 2021 - Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. November 28, 2018 Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resiliency, Reliability, and Patient Safety…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61101/psn-pdf
    November 04, 2020 - Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. November 4, 2020 Farnborough, UK; Healthcare Safety Investigation Branch. October 2020 https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following- thrombol…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837421/psn-pdf
    June 15, 2022 - Are personal health records (PHRs) facilitating patient safety? A scoping review. June 15, 2022 Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/shti220516. https://psnet.ahrq.gov/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860718/psn-pdf
    January 17, 2024 - Impact of hospital accreditation on quality improvement in healthcare: a systematic review. January 17, 2024 Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.1371/journal.pone.0294180. https://…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860732/psn-pdf
    April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. April 16, 2024 Dorset, UK: Health Services Safety Investigations Body; April 2024. https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs- serious-incident …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44037/psn-pdf
    March 14, 2018 - Pediatric medication safety in the emergency department. March 14, 2018 Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013. https://psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-departmen…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45943/psn-pdf
    March 15, 2017 - Identifying and reducing complications after emergency room discharge. March 15, 2017 Hofmann PB, Bagian JP. Patient Saf Qual Healthc. February 20, 2017. https://psnet.ahrq.gov/issue/identifying-and-reducing-complications-after-emergency-room-discharge Emergency departments are complex environments that harbor fac…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861277/psn-pdf
    January 24, 2024 - Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. January 24, 2024 Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out?of ?hospital context: a scoping review. J Clin Nurs. 2024;33(3):874-889. doi:10.1111/joc…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856637/psn-pdf
    November 29, 2023 - Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow- Up Care at the Phoenix VA Health Care System in Arizona. November 29, 2023 Washington DC; VA Office of the Inspector General; October 31, 2023; Report no. 22-03599-07. https://psnet.ahrq.gov/issue/deficiencies-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36583/psn-pdf
    January 14, 2011 - The effect of workload on infection risk in critically ill patients. January 14, 2011 Hugonnet S, Chevrolet J-C, Pittet D. The effect of workload on infection risk in critically ill patients. Crit Care Med. 2007;35(1):76-81. https://psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients Lower…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45304/psn-pdf
    June 28, 2017 - Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. June 28, 2017 Armstrong GE, Dietrich M, Norman L, et al. Nurses? Perceived Skills and Attitudes About Updated Safety Concepts. J Nurs Care Qual. 2016;32(3):226-233. doi:10.1097/ncq.000000…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861778/psn-pdf
    January 31, 2024 - Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. January 31, 2024 Washington, DC: The Veterans Affairs Inspector General; January 10, 2024. Report No. 23-00777-52. https://psnet.ahrq.gov/issue/care-deficiencies-and-l…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845073/psn-pdf
    February 22, 2023 - Nursing student errors and near misses: three years of data. February 22, 2023 Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ. 2023;62(1):12-19. doi:10.3928/01484834-20221109-05. https://psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data…