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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47487/psn-pdf
    November 07, 2018 - Comparative, cross-sectional study of the format, content and timing of medication safety letters issued in Canada, the USA and the UK. November 7, 2018 Bjerre LM, Parlow S, de Launay D, et al. Comparative, cross-sectional study of the format, content and timing of medication safety letters issued in Canada, the U…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853066/psn-pdf
    August 30, 2023 - Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. August 30, 2023 Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. doi:10.1002/jhm.13103. https://psn…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44216/psn-pdf
    April 25, 2016 - Improving medication safety during hospital-based transitions of care. April 25, 2016 Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care. Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025. https://psnet.ahrq.gov/issue/improving-medication-safety-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74838/psn-pdf
    February 16, 2022 - Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. February 16, 2022 Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;17(5):399-402. doi:10.1002/jhm.2768.…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34085/psn-pdf
    February 09, 2011 - Discussion of medical errors in morbidity and mortality conferences. February 9, 2011 Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842. https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-confer…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47907/psn-pdf
    July 19, 2019 - Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. July 19, 2019 Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual Saf. 2019;28(8):667-671. doi:10.1136/bmjqs-2018-009147. https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-bur…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41043/psn-pdf
    May 24, 2012 - Toward improving patient safety through voluntary peer- to-peer assessment. May 24, 2012 Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer- to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. https://psnet.ahrq.gov/issue/toward-impr…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50596/psn-pdf
    October 30, 2019 - Encouraging resident adverse event reporting: a qualitative study of suggestions from the front lines. October 30, 2019 Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3):e167. doi:10.1097/pq9.0000000…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43488/psn-pdf
    September 10, 2014 - The relationship between hospital systems load and patient harm. September 10, 2014 Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82. https://psnet.ahrq.gov/issue/relationship-between-hospi…

  10. Exhibit 2.14. Major Factors that Facilitated Lean Success at Central | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.14. Major Factors that Facilitated Lean Success at Central Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Hea…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73587/psn-pdf
    August 11, 2021 - Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. August 11, 2021 Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. J Patient Saf. 2021;17(5):e4…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866558/psn-pdf
    August 21, 2024 - Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. August 21, 2024 Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;299:136-142. doi:10.1016/j.ejogrb.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34690/psn-pdf
    February 10, 2011 - Systems analysis of adverse drug events. February 10, 2011 Leape L, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43. https://psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events The authors report a "systems analysis" of the adverse drug…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45399/psn-pdf
    November 01, 2017 - A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. November 1, 2017 Mathew R, Gundy S, Ulic D, et al. A Reduced Duty Hours Model for Senior Internal Medicine Residents: A Qualitative Analysis of Residents' Experiences and Perceptions…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50570/psn-pdf
    October 23, 2019 - Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice. October 23, 2019 Lewis KA, Ricks TN, Rowin A, et al. Does Simulation Training for Acute Care Nurses Improve Patient Safety Outcomes: A Systematic Review to Inform Evidence-Based Pr…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43878/psn-pdf
    February 04, 2015 - Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. February 4, 2015 Bismark MM, Morris JM, Clarke C. Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. Intern Med J. 2014;44(12a):1165-9. doi:10.1111/imj.12613. htt…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37448/psn-pdf
    January 06, 2017 - Patient safety rounds in a pediatric tertiary care center. January 6, 2017 Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt Comm J Qual Patient Saf. 2008;34(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center Executive walk…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50627/psn-pdf
    November 06, 2019 - Change?of?shift nursing handoff interruptions: implications for evidence?based practice. November 6, 2019 Rhudy LM, Johnson MR, Krecke CA, et al. Change-of-Shift Nursing Handoff Interruptions: Implications for Evidence-Based Practice. Worldviews Evid Based Nurs. 2019;16(5):362-370. doi:10.1111/wvn.12390. https://p…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74153/psn-pdf
    December 08, 2021 - The benefits and harms of open notes in mental health: a Delphi survey of international experts. December 8, 2021 Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi survey of international experts. PLoS ONE. 2021;16(10):e0258056. doi:10.1371/journal.pone.0258056.…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47776/psn-pdf
    August 20, 2021 - FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. August 20, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 20, 2021. https://psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical- devices-womens …
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