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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844038/psn-pdf
    January 01, 2024 - The effectiveness of tele-triage during the COVID-19 pandemic: a systematic review and narrative synthesis. February 8, 2023 Farzandipour M, Nabovati E, Sharif R. The effectiveness of tele-triage during the COVID-19 pandemic: a systematic review and narrative synthesis. J Telemed Telecare. 2024;30(9):1367-1375. do…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73141/psn-pdf
    April 14, 2021 - Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. April 14, 2021 Øyri SF, Braut GS, Macrae C, et al. Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of Resilience. J Patient Saf. 2021;17…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73119/psn-pdf
    April 07, 2021 - Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. April 7, 2021 Srinivasamurthy SK, Ashokkumar R, Kodidela S, et al. Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a s…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73441/psn-pdf
    June 30, 2021 - Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. June 30, 2021 Green AR, Aschmann H, Boyd CM, et al. Assessment of patient-preferred language to achieve goal- aligned deprescribing in older adults. JAMA Netw Open. 2021;4(4):e212633. doi:10.1001/jamanetworkopen.2021.26…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60836/psn-pdf
    August 26, 2020 - Factors associated with workarounds in barcode-assisted medication administration in hospitals. August 26, 2020 Veen W, Taxis K, Wouters H, et al. Factors associated with workarounds in barcode?assisted medication administration in hospitals. J Clin Nurs. 2020;29(13-14):2239-2250. doi:10.1111/jocn.15217. https://p…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46092/psn-pdf
    July 11, 2017 - Development of a research agenda to identify evidence- based strategies to improve physician wellness and reduce burnout. July 11, 2017 Dyrbye LN, Trockel M, Frank E, et al. Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness and Reduce Burnout. Ann Intern Med. 2017…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47034/psn-pdf
    May 16, 2018 - Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. May 16, 2018 John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13(3):210-212. doi:10.12788/jhm.2945. htt…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72639/psn-pdf
    January 13, 2021 - Assessment of physician sleep and wellness, burnout, and clinically significant medical errors. January 13, 2021 Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors. JAMA Netw Open. 2020;3(12):e2028111. doi:10.1001/jamanetworkopen.202…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60050/psn-pdf
    March 18, 2020 - Zero harm in health care. March 18, 2020 Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2). doi:10.1056/cat.19.1137. https://psnet.ahrq.gov/issue/zero-harm-health-care Health systems are encouraged to strive for zero preventable harm, but achieving this goal require…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38697/psn-pdf
    June 10, 2009 - A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. June 10, 2009 Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50732/psn-pdf
    December 11, 2019 - Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis December 11, 2019 Pereira-Lima K, Mata DA, Loureiro SR, et al. Association Between Physician Depressive Symptoms and Medical Errors: A Systematic Review and Meta-analysis. JAMA Netw Open. 2019;2(11):e1916097.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867390/psn-pdf
    December 18, 2024 - Quality of care and quality of life: balancing patient safety and physician burnout. December 18, 2024 Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000000000005681. https://psnet.ahrq.go…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39872/psn-pdf
    February 25, 2013 - The Essential Guide for Patient Safety Officers, Second Edition. February 25, 2013 Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute for Healthcare Improvement; 2013. ISBN: 9781599407036. https://psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-se…
  14. www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide6.html
    August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement Conclusion Previous Page Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement Using This Guide 1. Background and Introduction …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44150/psn-pdf
    August 21, 2015 - Reflection on adverse event disclosure in the postsurgical hospital context. August 21, 2015 Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016. https://psnet.ahrq.gov/issue/reflection…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866314/psn-pdf
    July 17, 2024 - Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. July 17, 2024 Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. Am J Clin Pathol.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45683/psn-pdf
    January 23, 2017 - Consensus bundle on prevention of surgical site infections after major gynecologic surgery. January 23, 2017 Pellegrini JE, Toledo P, Soper DE, et al. Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery. Obstet Gynecol. 2017;129(1):50-61. doi:10.1097/AOG.0000000000001751. htt…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36784/psn-pdf
    February 24, 2011 - The many faces of error disclosure: a common set of elements and a definition. February 24, 2011 Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):755-761. https://psnet.ahrq.gov/issue/many-faces-error-disclosure-co…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-i.docx
    June 02, 2025 - AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix I. Catheter Care Pocket Card Interventions To Prevent CAUTI in Patients Who Have a Documented Medical Need for Indwelling Urinary Catheter Prevention strategies must focus on clear indications for the insertion of a urinary catheter and prompt removal w…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852271/psn-pdf
    August 09, 2023 - Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. August 9, 2023 Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes Manag. 2023;30(3):67-70. doi:10.12788/j…