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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866203/psn-pdf
    June 26, 2024 - How a major public hospital is protecting doctors by silencing the patients who accuse them. June 26, 2024 Kamb L. NBC News. June 14, 2024, https://psnet.ahrq.gov/issue/how-major-public-hospital-protecting-doctors-silencing-patients-who-accuse- them Transparency is a primary element of an organizational safety cu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60676/psn-pdf
    July 15, 2020 - Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand. July 15, 2020 Rockville, MD; Agency for Healthcare Research and Quality: 2020. https://psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator- and-ppe-1-30 The COVI…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45504/psn-pdf
    January 01, 2018 - Hospital nurses' work environment characteristics and patient safety outcomes: a literature review. December 16, 2017 Lee SE, Scott LD. Hospital Nurses' Work Environment Characteristics and Patient Safety Outcomes: A Literature Review. West J Nurs Res. 2018;40(1):121-145. doi:10.1177/0193945916666071. https://psne…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47837/psn-pdf
    May 11, 2019 - Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers. May 11, 2019 Kang R, Kunkel ST, Columbo JA, et al. Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affairs Medical Centers. Am J Med. 2019;1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37859/psn-pdf
    June 25, 2008 - What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? June 25, 2008 Hogan H, Olsen S, Scobie S, et al. What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837306/psn-pdf
    June 01, 2022 - Mortality due to hospital-acquired infection after cardiac surgery. June 1, 2022 Massart N, Mansour A, Ross JT, et al. Mortality due to hospital-acquired infection after cardiac surgery. J Thorac Cardiovasc Surg. 2022;163(6):2131-2140.e3. doi:10.1016/j.jtcvs.2020.08.094. https://psnet.ahrq.gov/issue/mortality-due-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47394/psn-pdf
    January 27, 2019 - Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. January 27, 2019 Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge (RED) in Five Veterans Health Administration (VHA) Hospitals. Jt Co…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44926/psn-pdf
    January 23, 2017 - How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms. January 23, 2017 O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study o…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60003/psn-pdf
    January 01, 2021 - Systemic causes of in-hospital intravenous medication errors: a systematic review. March 4, 2020 Kuitunen S, Niittynen I, Airaksinen M, et al. Systemic causes of in-hospital intravenous medication errors: a systematic review. J Patient Saf. 2021;17(8):e1660-e1668. doi:10.1097/pts.0000000000000632. https://psnet.ah…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34761/psn-pdf
    November 15, 2016 - The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. November 15, 2016 Robins NS. New York NY: Delacorte Press; 1995. ISBN: 9780385308090.  https://psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden- hazards-hosp…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837976/psn-pdf
    August 31, 2022 - Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? August 31, 2022 Waldron J, Denisiuk M, Sharma R, et al. Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? Injury. 2022;53(6):2053-2059. doi:10.1016/j.injury…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46689/psn-pdf
    January 01, 2020 - Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale. February 28, 2018 Monaca C, Bestmann B, Kattein M, et al. Assessing Patients' Perceptions of Safety Culture in the Hospital Setting: Development and In…
  13. psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
    May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 3, 2021 Innovation…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46805/psn-pdf
    September 25, 2018 - Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. September 25, 2018 Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res. 2018;53(5):3855-3880. doi:10…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40232/psn-pdf
    February 23, 2011 - Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. February 23, 2011 Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. BMJ. 2011;342(feb03 1):d195. doi:1…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73258/psn-pdf
    May 12, 2021 - Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. May 12, 2021 Horberg MA, Nassery N, Rubenstein KB, et al. Rate of s…
  17. psnet.ahrq.gov/issue/2012-user-comparative-database-report-medical-office-survey-patient-safety-culture
    November 30, 2016 - Book/Report 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. Citation Text: 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healt…
  18. psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-medical-office-survey-2024-user-database-report
    January 14, 2024 - Book/Report Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report. Citation Text: Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report. Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthcare Research…
  19. psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
    September 23, 2020 - Commentary Using Kotter's change model for implementing bedside handoff: a quality improvement project. Citation Text: Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…
  20. psnet.ahrq.gov/issue/pursuit-quality-and-safety-8-year-study-clinical-peer-review-best-practices-us-hospitals
    April 13, 2017 - Study In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. Citation Text: Edwards MT. In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. Int J Qual Health Care. 2018;30(8):602-607.…

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