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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37975/psn-pdf
    February 15, 2011 - A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. February 15, 2011 Phillips DP, Barker GEC, Eguchi MM. A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. Arch Intern Med. 2008;168(14):1561-6. doi:10.1001/archinte.168.14.1561. h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46782/psn-pdf
    January 24, 2019 - Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. January 24, 2019 Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic uncertainty: An experimental vignette study. Int J Qual Health Care. 2018;30(1):2-8. doi:10.1…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46450/psn-pdf
    August 20, 2018 - Improving Diagnostic Quality and Safety Final Report. August 20, 2018 Washington, DC: National Quality Forum. September 19, 2017. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report Although diagnostic error is a well-recognized source of preventable patient harm, measuring and mitiga…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866587/psn-pdf
    January 01, 2025 - Professionalising patient safety? Findings from a mixed- methods formative evaluation of the patient safety specialist role in the English National Health Service. August 28, 2024 Martin G, Pralat R, Waring J, et al. Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patien…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40250/psn-pdf
    July 09, 2012 - Patient involvement in patient safety: how willing are patients to participate? July 9, 2012 Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to participate? BMJ Qual Saf. 2011;20(1):108-114. doi:10.1136/bmjqs.2010.041871. https://psnet.ahrq.gov/issue/patient-involvem…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39802/psn-pdf
    November 16, 2010 - "Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. November 16, 2010 Waring J, Bishop S. "Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. J Health Organ Manag. 2010;24(4):325-42. https://psnet.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42038/psn-pdf
    June 03, 2013 - A systematic review of simulation for multidisciplinary team training in operating rooms. June 3, 2013 Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/SIH.0b013e31827e2f4c. https://psnet.ahr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37572/psn-pdf
    June 16, 2011 - Organizational factors associated with high performance in quality and safety in academic medical centers. June 16, 2011 Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in academic medical centers. Acad Med. 2007;82(12):1178-86. https://psne…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50886/psn-pdf
    February 12, 2020 - Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. February 12, 2020 Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of in…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38205/psn-pdf
    November 12, 2008 - Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. November 12, 2008 Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatri…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74139/psn-pdf
    December 01, 2021 - Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. December 1, 2021 Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associated with patient deterioration: a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36208/psn-pdf
    January 05, 2017 - Implementing computerized provider order entry with an existing clinical information system. January 5, 2017 Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-16. https://psnet.ahrq.gov/issue…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42789/psn-pdf
    December 04, 2013 - Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. December 4, 2013 Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. J Patient Saf. 2013…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857453/psn-pdf
    December 06, 2023 - Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. December 6, 2023 Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. J Am M…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45037/psn-pdf
    February 15, 2017 - Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. February 15, 2017 Maguire EM, Bokhour BG, Asch SM, et al. Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. Public Health. 2016;135:75-82. doi:10…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46197/psn-pdf
    September 24, 2017 - Implementation and evaluation of a prototype consumer reporting system for patient safety events. September 24, 2017 Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer reporting system for patient safety events. Int J Qual Health Care. 2017;29(4):521-526. doi:10.1093/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840170/psn-pdf
    November 16, 2022 - Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). November 16, 2022 Ashour A, Phipps DL, Ashcroft DM. PLoS ONE. 2022;17(1):e0261672. https://psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46892/psn-pdf
    June 13, 2018 - AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016. June 13, 2018 Rockville, MD: Agency for Healthcare Research and Quality; June 2018. https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates- and-prelim…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45554/psn-pdf
    October 19, 2016 - Injuries before and after diagnosis of cancer: nationwide register based study. October 19, 2016 Shen Q, Lu D, Schelin MEC, et al. Injuries before and after diagnosis of cancer: nationwide register based study. BMJ. 2016;354:i4218. doi:10.1136/bmj.i4218. https://psnet.ahrq.gov/issue/injuries-and-after-diagnosis-ca…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73483/psn-pdf
    July 14, 2021 - Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. July 14, 2021 Melnyk BM, Tan A, Hsieh AP, et al. Critical Care Nurses’ Physical and Mental Health, Worksite Wellness Support, and Medical Errors. Am J Crit Care. 2021;30(3):176-184. doi:10.4037/ajcc2021301. https://psn…