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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37546/psn-pdf
    June 14, 2011 - Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. June 14, 2011 Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Qual Saf Health Care. …
  2. www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3-slides.html
    February 01, 2023 - Module 3: Conversations Around Device Necessity Preventing CAUTI in the ICU Setting Slide Presentation Slide 1 AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Module 3: Conversations Around Device Necessity AHRQ Pub No. 15-0073-4-EF September 2015 Slide 2 …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45944/psn-pdf
    August 15, 2018 - Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. August 15, 2018 Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. J Am Med Inform Assoc. 2017;24(5):9…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36201/psn-pdf
    July 10, 2008 - US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. July 10, 2008 Gallagher TH, Waterman AD, Garbutt J, et al. US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. Arch Intern Med. 2006;166(15):1605-11. https://psnet.ahrq.gov/issu…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39315/psn-pdf
    March 21, 2017 - Risk managers, physicians, and disclosure of harmful medical errors. March 21, 2017 Loren DJ, Garbutt J, Dunagan C, et al. Risk managers, physicians, and disclosure of harmful medical errors. Jt Comm J Qual Patient Saf. 2010;36(3):101-8. https://psnet.ahrq.gov/issue/risk-managers-physicians-and-disclosure-harmful-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40252/psn-pdf
    March 02, 2011 - Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. March 2, 2011 Hastings SN, Barrett A, Weinberger M, et al. Older Patients' Understanding of Emergency Department Discharge Information and Its Relationship With Adverse Outcomes. J Patient Saf. 2…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61114/psn-pdf
    November 11, 2020 - A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. November 11, 2020 Gibson R, MacLeod N, Donaldson LJ, et al. A mixed?methods analysis of patient safety incidents involving opioid substitution …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47787/psn-pdf
    February 20, 2019 - How to be a very safe maternity unit: an ethnographic study. February 20, 2019 Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01.035. https://psnet.ahrq.gov/issue/how-be-very-safe-maternity-unit-ethnog…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35572/psn-pdf
    February 03, 2011 - The long road to patient safety: a status report on patient safety systems. February 3, 2011 Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44336/psn-pdf
    November 03, 2015 - Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis. November 3, 2015 Szymczak JE, Smathers S, Hoegg C, et al. Reasons Why Physicians and Advanced Practice Clinicians Work While Sick: A Mixed-Methods Analysis. JAMA Pediatr. 2015;169(9):815-821. doi:10.1001/jamapediatri…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837807/psn-pdf
    August 10, 2022 - Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. August 10, 2022 Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral guidelines in patients presenting …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43474/psn-pdf
    August 28, 2017 - Racial and ethnic disparities in patient safety. August 28, 2017 Okoroh JS, Uribe EF, Weingart SN. Racial and Ethnic Disparities in Patient Safety. J Patient Saf. 2017;13(3):153-161. doi:10.1097/PTS.0000000000000133. https://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety Prior studies have raise…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38173/psn-pdf
    October 29, 2008 - The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. October 29, 2008 Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational charac…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847716/psn-pdf
    April 19, 2023 - Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. April 19, 2023 Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47496/psn-pdf
    June 15, 2019 - Fatal flaws in clinical decision making. June 15, 2019 Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955. https://psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making Clinical decision-making is a complex process affected…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36586/psn-pdf
    July 08, 2008 - House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. July 8, 2008 Ong M, Bostrom A, Vidyarthi A, et al. House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. Ar…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840153/psn-pdf
    November 16, 2022 - Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. November 16, 2022 Welch-Horan TB, Mullan PC, Momin Z, et al. Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-w…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867087/psn-pdf
    January 01, 2025 - The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. November 6, 2024 Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechanisms as second victims. Am J Obs…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43447/psn-pdf
    November 20, 2015 - Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. November 20, 2015 Richter J, McAlearney AS, Pennell ML. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Am J Med Qual. 2015;30(6):550-8. doi:…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849329/psn-pdf
    May 24, 2023 - Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. May 24, 2023 Hyvämäki P, Sneck S, Meriläinen M, et al. Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. …