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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47331/psn-pdf
    October 17, 2018 - Description and factors associated with missed nursing care in an acute care community hospital. October 17, 2018 Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J Nurs Adm. 2018;48(7-8):361-367. doi:10.1097/NNA.0000000000000630. https:/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39135/psn-pdf
    October 03, 2017 - Hidden mistakes in hospitals. October 3, 2017 Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1. https://psnet.ahrq.gov/issue/hidden-mistakes-hospitals This newspaper article reports that a Connecticut law intended to make hospital errors more transparent has had the opposite effect by makin…
  3. psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
    September 01, 2012 - In Conversation With… Jack Needleman, PhD September 1, 2012  Also Read an Essay Citation Text: In Conversation With… Jack Needleman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34987/psn-pdf
    May 11, 2005 - Hospital errors jeopardize Angola virus battle. May 11, 2005 Grady D. New York Times. April 30, 2005. https://psnet.ahrq.gov/issue/hospital-errors-jeopardize-angola-virus-battle The author reports on incidents in an Angolan hospital where doctors and patients were exposed to a deadly virus when hospital staff viol…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40244/psn-pdf
    March 16, 2011 - Hospitals leery of reporting serious errors. March 16, 2011 Bernhard B; Kohler J. https://psnet.ahrq.gov/issue/hospitals-leery-reporting-serious-errors This article describes problems with public reporting of hospital errors in Missouri and reveals which states have successful reporting programs. https://psnet.ah…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35831/psn-pdf
    April 14, 2011 - Consumer perceptions of safety in hospitals. April 14, 2011 Evans S, Berry JG, Smith B, et al. Consumer perceptions of safety in hospitals. BMC Public Health. 2006;6:41. https://psnet.ahrq.gov/issue/consumer-perceptions-safety-hospitals The investigators surveyed more than 2000 people in southern Australia and fou…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42325/psn-pdf
    March 02, 2023 - Hospital discharge and readmission. March 2, 2023 Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023. https://psnet.ahrq.gov/issue/hospital-discharge-and-readmission This review examines hospital discharge, details elements of the process that can increase risk of readmission, and reveals interventions …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40139/psn-pdf
    January 22, 2017 - Standardizing hospital discharge planning at the Mayo Clinic. January 22, 2017 Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual Patient Saf. 2011;37(1):29-36. https://psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic Implementation of a s…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35937/psn-pdf
    June 19, 2007 - Ounce of prevention: to reduce errors, hospitals prescribe innovative designs. June 19, 2007 Naik G. Wall Street Journal. May 8, 2006; A1. https://psnet.ahrq.gov/issue/ounce-prevention-reduce-errors-hospitals-prescribe-innovative-designs This article reports on innovations implemented at a Wisconsin hospital to im…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37371/psn-pdf
    March 28, 2012 - The architecture of safety: hospital design. March 28, 2012 Joseph A, Rashid M. The architecture of safety: hospital design. Curr Opin Crit Care. 2007;13(6):714-9. https://psnet.ahrq.gov/issue/architecture-safety-hospital-design This review analyzes the literature linking patient safety to hospital design elements,…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40552/psn-pdf
    June 22, 2011 - Don't come back, hospitals say. June 22, 2011 Landro L. https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say This newspaper article describes government-funded and hospital-based efforts to improve discharge and reduce preventable readmissions. https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say https:…
  12. psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
    September 01, 2011 - Incident Reporting: More Attention to the Safety Action Feedback Loop, Please Teryl K. Nuckols, MD, MSHS | September 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Nuckols TK. Incident Reporting: More Attention to the …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867690/psn-pdf
    March 05, 2025 - Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. March 5, 2025 Hooftman J, Zwaan L, Sikkens JJ, et al. Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. Diagnosis (Berl…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867694/psn-pdf
    March 05, 2025 - Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. March 5, 2025 Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses - a thick description on the appeal and deadlock of incident rep…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851354/psn-pdf
    July 12, 2023 - Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. July 12, 2023 Cho H, Steege LM, Arsenault Knudsen ÉN. Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. Res Nurs Health. 2023;46(4):445-453. doi:10.1002/nu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839313/psn-pdf
    November 02, 2022 - The impact of meaningful use and electronic health records on hospital patient safety. November 2, 2022 Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi:10.3390/ijerph191912525. https…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50628/psn-pdf
    November 06, 2019 - Speaking up about patient safety in psychiatric hospitals - a cross-sectional survey study among healthcare staff. November 6, 2019 Schwappach DLB, Niederhauser A. Speaking up about patient safety in psychiatric hospitals - a cross- sectional survey study among healthcare staff.  Int J Ment Health Nurs. 2019;28(6):…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865703/psn-pdf
    May 01, 2024 - Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. May 1, 2024 McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. In…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45199/psn-pdf
    June 15, 2016 - Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. June 15, 2016 Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to- Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j.jpainsymman.2016.01.012. https://psn…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862131/psn-pdf
    February 07, 2024 - Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. February 7, 2024 Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved ou…

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