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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45674/psn-pdf
    September 29, 2017 - Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. September 29, 2017 Forstag EH; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse; Health and Medicine Division. Washington, DC: National Academy …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60614/psn-pdf
    June 24, 2020 - A systems approach to analyzing and preventing hospital adverse events. June 24, 2020 Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:10.1097/pts.0000000000000263. https://psnet.ahrq.gov/issue/systems-approach-an…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44804/psn-pdf
    November 18, 2016 - The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems. November 18, 2016 Flynn LC, McCulloch P, Morgan LJ, et al. The Safer Delivery of Surgical Services Program (S3): Explaining Its Differential Effective…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60159/psn-pdf
    March 25, 2020 - Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. March 25, 2020 Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement pro…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47151/psn-pdf
    July 11, 2018 - Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety. July 11, 2018 Giuliano KK. Intravenous Smart Pumps: Usability Issues, Intravenous Medication Administration Error, and Patient Safety. Crit Care Nurs Clin North Am. 2018;30(2):215-224. doi:10.1016/j.cnc.2018.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837208/psn-pdf
    May 25, 2022 - Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. May 25, 2022 Umoren R, Kim S, Gray MM, et al. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. BMJ Lead. 2022;6(1):15-19. doi:10.1136/leader-2020-000407. https://psne…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46230/psn-pdf
    September 24, 2017 - Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review. September 24, 2017 Henriksen K, Dymek C, Harrison MI, et al. Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60792/psn-pdf
    August 12, 2020 - Nurse workarounds in the electronic health record: an integrative review. August 12, 2020 Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050. https://psnet.ahrq.gov/issue/nurse-workaroun…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73291/psn-pdf
    May 19, 2021 - How can never event data be used to reflect or improve hospital safety performance? May 19, 2021 Olivarius?McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/anae.15476. https://psnet.ahrq.gov/i…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42300/psn-pdf
    May 29, 2013 - Effect of noise on auditory processing in the operating room. May 29, 2013 Way J, Long A, Weihing J, et al. Effect of noise on auditory processing in the operating room. J Am Coll Surg. 2013;216(5):933-8. doi:10.1016/j.jamcollsurg.2012.12.048. https://psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44092/psn-pdf
    November 16, 2015 - Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute. November 16, 2015 Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute. Eur J Oncol …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60689/psn-pdf
    July 15, 2020 - The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis. July 15, 2020 Luo M, Guo L, Yu M, et al. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public – a systema…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837025/psn-pdf
    May 04, 2022 - Central venous catheter guidewire retention: lessons from England's never event database. May 4, 2022 Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10.1097/pts.0000000000000826. https:/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47535/psn-pdf
    November 07, 2018 - Gosport War Memorial Hospital. The Report of the Gosport Independent Panel. November 7, 2018 Gosport Independent Panel. London, England: Crown Copyright; 2018. ISBN: 9781528604062. https://psnet.ahrq.gov/issue/gosport-war-memorial-hospital-report-gosport-independent-panel Organizational culture influences how comf…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37738/psn-pdf
    January 10, 2017 - Recruitment of hospitals for a safety climate study: facilitators and barriers. January 10, 2017 Rosen AK, Gaba DM, Meterko M, et al. Recruitment of hospitals for a safety climate study: facilitators and barriers. Jt Comm J Qual Patient Saf. 2008;34(5):275-84. https://psnet.ahrq.gov/issue/recruitment-hospitals-saf…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857581/psn-pdf
    January 01, 2025 - Medicare and Medicaid Programs and the Children’s Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long- Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes. Au…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37348/psn-pdf
    March 28, 2012 - Impact of duty hours restrictions on quality of care and clinical outcomes. March 28, 2012 Bhavsar J, Montgomery D, Li J, et al. Impact of duty hours restrictions on quality of care and clinical outcomes. Am J Med. 2007;120(11):968-74. https://psnet.ahrq.gov/issue/impact-duty-hours-restrictions-quality-care-and-cl…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60203/psn-pdf
    April 08, 2020 - Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge. April 8, 2020 Sanson G, Marino C, Valenti A, et al. Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73438/psn-pdf
    June 30, 2021 - Implementation of patient safety structures and processes in the patient-centered medical home. June 30, 2021 Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):324-339. doi:10.1097/jhq.000000000…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45534/psn-pdf
    October 12, 2016 - Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine. October 12, 2016 Skaugset M, Farrell S, Carney M, et al. Can You Multitask? Evidence and Limitations of Task Switching and Multitasking in Emergency Medicine. Ann Emerg Med. 2016;68(2):189-95. doi:10.1016/j.anneme…