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8641. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34993/psn-pdf
      June 22, 2009 - Five system barriers to achieving ultrasafe health care. June 22, 2009 Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. https://psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care This commentary builds on the…

8642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44360/psn-pdf
      July 29, 2015 - Maximizing smart pump technology to enhance patient safety. July 29, 2015 Makic MBF. Maximizing smart pump technology to enhance patient safety. Clin Nurs Spec. 2015;29(4):195-197. doi:10.1097/NUR.0000000000000139. https://psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety Smart pumps ar…

8643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46146/psn-pdf
      June 07, 2017 - Increasing patient safety event reporting in an emergency medicine residency. June 7, 2017 Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716. https://psnet.ahrq.gov/issue/increasing-p…

8644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867018/psn-pdf
      October 23, 2024 - Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods systematic review. October 23, 2024 Witkowska MI, Janhunen K, Sak?Dankosky N, et al. Parents' perceptions of patient safety in paediatric hospital care—a mixed?methods systematic review. J Adv Nurs. 2024;Epub Aug 9. doi:10.1111/jan.1…

8645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45772/psn-pdf
      January 11, 2017 - Technical Series on Safer Primary Care. January 11, 2017 Geneva, Switzerland: World Health Organization; 2016. https://psnet.ahrq.gov/issue/technical-series-safer-primary-care Much of patient safety research has focused on the hospital setting, but a majority of health care is delivered in the ambulatory setting. …

8646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865337/psn-pdf
      March 27, 2024 - Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. March 27, 2024 Chong RIH, Yaow CYL, Chong NZ-Y, et al. Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. Am J Surg. 2024;229:5-…

8647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47756/psn-pdf
      February 06, 2019 - Meltdown: Why Our Systems Fail and What We Can Do About It. February 6, 2019 Clearfield C, Tilcsik A. New York, NY: Penguin Press; 2018. ISBN: 978-0735222632. https://psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it Complex systems are prone to failure. This book provides a multi-indu…

8648. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861279/psn-pdf
      January 24, 2024 - Mistreatment in health care among women in Appalachia. January 24, 2024 Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547. https://psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appala…

8649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43521/psn-pdf
      November 05, 2014 - From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. November 5, 2014 Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(suppl 10):S189-S296. https://psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons This companion…

8650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45924/psn-pdf
      March 15, 2017 - Patient safety incidents are common in primary care: a national prospective active incident reporting survey. March 15, 2017 Michel P, Brami J, Chanelière M, et al. Patient safety incidents are common in primary care: A national prospective active incident reporting survey. PLoS One. 2017;12(2):e0165455. doi:10.13…

8651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44028/psn-pdf
      April 01, 2015 - Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. April 1, 2015 Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. BMJ Qual Saf. 2015;24(…

8652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60603/psn-pdf
      June 17, 2020 - Promoting psychosocial well-being of health care staff during crisis. June 17, 2020 Promoting psychosocial well-being of health care staff during crisis. https://psnet.ahrq.gov/issue/promoting-psychosocial-well-being-health-care-staff-during-crisis Effective practice in times of crisis is reliant on a workforce th…

8653. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73708/psn-pdf
      September 15, 2021 - Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. September 15, 2021 Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 2021;47(10):673-676. doi:10.1016/j.jc…

8654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42840/psn-pdf
      January 08, 2014 - A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. January 8, 2014 O'Cathain A, Knowles E, Maheswaran R, et al. A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. BMJ Qual Saf…

8655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50429/psn-pdf
      September 04, 2019 - Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. September 4, 2019 Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Single Academic Medical Center. …

8656. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34055/psn-pdf
      March 07, 2005 - What is driving hospitals' patient-safety efforts? March 7, 2005 Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15. https://psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts This study evaluated the role professionalism, regulati…

8657. Network of Patient Safety Databases (NPSD) Dashboards | PSO
      pso.ahrq.gov/common-formats/npsd-dashboards
      November 01, 2024 - SHARE: More topics in this section Data Common Formats Network of Patient Safety Databases (NPSD) Dashboards Network of Patient Safety Databases (NPSD) Chartbooks Network of Patient Safety Databases (NPSD) Data Spotlights About …

8658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867093/psn-pdf
      November 06, 2024 - Identifying resilience: a system safety review of trauma and orthopaedic theatres. November 6, 2024 Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930. https://psnet.ahrq.gov/issue/identifying-resilience-system…

8659. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73607/psn-pdf
      August 18, 2021 - Victims of severe intimate partner violence are left without advocacy intervention in primary care emergency rooms: a prospective observational study. August 18, 2021 Hackenberg EAM, Sallinen V, Handolin L, et al. Victims of severe intimate partner violence are left without advocacy intervention in primary care em…

8660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836859/psn-pdf
      April 06, 2022 - Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. April 6, 2022 Furlan L, Francesco PD, Costantino G, et al. Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. J Intern Med. 2022;291(4):397-407. doi:10.1111/joim.13472. https://psnet…