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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38143/psn-pdf
    February 18, 2011 - A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. February 18, 2011 Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. J Gen Intern Med. 2008;23(12):2053-7. doi:10.1007/s116…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42363/psn-pdf
    September 19, 2013 - e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach. September 19, 2013 Odukoya OK, Chui MA. e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach. BMJ Qual Saf. 2013;22(10):816…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866411/psn-pdf
    July 31, 2024 - Simulation to Improve Patient Safety: Getting Started. July 31, 2024 Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. Publication No. 24-0055. https://psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-start…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60034/psn-pdf
    March 11, 2020 - Responding to unprofessional behavior by trainees - a "just culture" framework. March 11, 2020 Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms1912591. https://psnet.ahrq.gov/issue/resp…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838623/psn-pdf
    October 19, 2022 - Resident and nurse perspectives on the use of secure text messaging systems. October 19, 2022 Aziz S, Barber J, Singh A, et al. Resident and nurse perspectives on the use of secure text messaging systems. J Hosp Med. 2022;17(11):880-887. doi:10.1002/jhm.12953. https://psnet.ahrq.gov/issue/resident-and-nurse-perspe…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44888/psn-pdf
    April 06, 2016 - Transforming the morbidity and mortality conference to promote safety and quality in a PICU. April 6, 2016 Cifra CL, Bembea MM, Fackler JC, et al. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Crit Care Med. 2016;17(1):58-66. doi:10.1097/PCC.0000000000000539. https://…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35253/psn-pdf
    April 06, 2011 - Real time patient safety audits: improving safety every day. April 6, 2011 Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care. 2005;14(4):284-289. doi:10.1136/qshc.2004.012542. https://psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day This p…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851199/psn-pdf
    July 05, 2023 - Understanding the root cause analysis process to increase safety event reporting. July 5, 2023 Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. https://psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-inc…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46909/psn-pdf
    August 01, 2018 - Guidance on Safe Medical Staffing: Report of a Working Party. August 1, 2018 London, UK: Royal College of Physicians; 2018. ISBN: 9781860167270. https://psnet.ahrq.gov/issue/guidance-safe-medical-staffing-report-working-party Lack of appropriate staffing can diminish the safety and effectiveness of medical service…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44807/psn-pdf
    September 29, 2017 - Legal and policy interventions to improve patient safety. September 29, 2017 Kachalia A, Mello MM, Nallamothu BK, et al. Legal and Policy Interventions to Improve Patient Safety. Circulation. 2016;133(7):661-71. doi:10.1161/CIRCULATIONAHA.115.015880. https://psnet.ahrq.gov/issue/legal-and-policy-interventions-impro…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61123/psn-pdf
    November 11, 2020 - Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. November 11, 2020 Sinsky CA, Biddison LD, Mallick A, et al. NAM Perspectives. Washington DC: National Academy of Medicine; 2020. https://psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improvin…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44062/psn-pdf
    September 09, 2015 - How to make medication error reporting systems work—factors associated with their successful development and implementation. September 9, 2015 Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work-- Factors associated with their successful development and implementation. Hea…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43138/psn-pdf
    April 23, 2014 - The quest for safe surgical care: are we missing the obvious? April 23, 2014 Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg. 2014;99(2):42-5. https://psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious Many studies have examined how checklists impact …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37120/psn-pdf
    March 24, 2011 - Patient safety culture in primary care: developing a theoretical framework for practical use. March 24, 2011 Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical framework for practical use. Qual Saf Health Care. 2007;16(4):313-20. https://psnet.ahrq.gov/issue/patie…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44918/psn-pdf
    April 13, 2016 - National Reporting and Learning System Research and Development. April 13, 2016 Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development Incident reporting has a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73365/psn-pdf
    June 09, 2021 - Enhancing psychological safety in mental health services. June 9, 2021 Hunt DF, Bailey J, Lennox BR, et al. Enhancing psychological safety in mental health services. Int J Ment Health Syst. 2021;15(1):33. doi:10.1186/s13033-021-00439-1. https://psnet.ahrq.gov/issue/enhancing-psychological-safety-mental-health-servi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867754/psn-pdf
    March 12, 2025 - Decision fatigue in hospital settings: a scoping review. March 12, 2025 Perry K, Jones S, Stumpff JC, et al. Decision fatigue in hospital settings: a scoping review. J Hosp Med. 2024;Epub Nov 11. doi:10.1002/jhm.13550. https://psnet.ahrq.gov/issue/decision-fatigue-hospital-settings-scoping-review Production pressu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38781/psn-pdf
    July 15, 2009 - Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi. July 15, 2009 Kumar S, Chaudhary S. Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi. J Emerg Trauma Shock. 2…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39614/psn-pdf
    June 18, 2021 - Preventing violence in the health care setting. June 18, 2021 Preventing violence in the health care setting. Sentinel Event Alert. 2010;(45):1-3. https://psnet.ahrq.gov/issue/preventing-violence-health-care-setting Revised June 2021. The Joint Commission issues sentinel event alerts to highlight areas of high risk…
  20. www.ahrq.gov/funding/process/grant-app-basics/peerprob.html
    October 01, 2014 - Common Problems Identified During Peer Review Below is a list of many common problems that result in non-competitively scored applications. Uncertainty whether research will produce significant information. Scientific basis not fully developed. No apparent translatability of research into practice or po…