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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46293/psn-pdf
    January 01, 2021 - Development of the barriers to error disclosure assessment tool. September 27, 2017 Welsh D, Zephyr D, Pfeifle AL, et al. Development of the Barriers to Error Disclosure Assessment Tool. J Patient Saf. 2021;17(5):363-374. doi:10.1097/PTS.0000000000000331. https://psnet.ahrq.gov/issue/development-barriers-error-dis…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36260/psn-pdf
    May 27, 2011 - The effect of physicians' long-term use of CPOE on their test management work practices. May 27, 2011 Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test management work practices. J Am Med Inform Assoc. 2006;13(6):643-52. https://psnet.ahrq.gov/issue/effect-physic…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45265/psn-pdf
    July 13, 2016 - Tackling disrespectful, unprofessional provider behaviors. July 13, 2016 Tackling Disrespectful, Unprofessional Provider Behaviors. ED Manage. 2016;28(6):S1-S4. https://psnet.ahrq.gov/issue/tackling-disrespectful-unprofessional-provider-behaviors Disrespectful conduct among health care providers can hinder safe ca…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34992/psn-pdf
    September 29, 2017 - Lessons from the war on cancer: the need for basic research on safety. September 29, 2017 Cook RI. J Patient Saf. 2005.1(1):7-8 https://psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety The author examines parallels between President Nixon's "War on Cancer" and the work of patient safety today, p…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41666/psn-pdf
    September 12, 2012 - Medication errors, routines, and differences between perioperative and non-perioperative nurses. September 12, 2012 Treiber LA, Jones JH. Medication errors, routines, and differences between perioperative and non- perioperative nurses. AORN J. 2012;96(3):285-94. doi:10.1016/j.aorn.2012.06.013. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34783/psn-pdf
    March 28, 2005 - The organizational and intraorganizational development of disasters. March 28, 2005 Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. https://psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters This article…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34991/psn-pdf
    June 22, 2009 - Use of failure mode and effects analysis in improving the safety of i.v. drug administration. June 22, 2009 Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Am J Health Syst Pharm. 2005;62(9):917-20. https://psnet.ahrq.gov/issue/use-failure-mode-an…
  8. psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
    March 01, 2015 - improved through multidisciplinary efforts, and that determining who was involved is less important than identifying
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33580/psn-pdf
    April 01, 2022 - detecting errors and near misses, understanding care processes and weaknesses inherent in some systems, identifying
  10. psnet.ahrq.gov/issue/comparing-hospital-leadership-and-front-line-workers-perceptions-patient-safety-culture
    June 07, 2016 - Study Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. Citation Text: Forbes J, Arrieta A. Comparing hospital leadership and front-line workers’ perceptions of patient safety culture: an unbalanced panel study. BMJ Le…
  11. psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
    July 19, 2019 - Review Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. Citation Text: Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…
  12. psnet.ahrq.gov/issue/medication-errors-causes-analysis-home-care-setting-systematic-review
    August 17, 2022 - Review Medication errors' causes analysis in home care setting: a systematic review. Citation Text: Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037. Cop…
  13. psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
    April 13, 2022 - Study Classic Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. Citation Text: Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes …
  14. psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps-and-challenges
    November 18, 2020 - Review A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Citation Text: St Clair B, Jorgensen M, Nguyen A, et al. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Gerontol Geriatr Med. 20…
  15. psnet.ahrq.gov/issue/how-health-systems-decide-use-artificial-intelligence-clinical-decision-support
    March 30, 2022 - Study How health systems decide to use artificial intelligence for clinical decision support. Citation Text: Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:…
  16. psnet.ahrq.gov/issue/inappropriate-prescribing-opioids-patients-undergoing-surgery
    June 30, 2021 - Study Inappropriate prescribing of opioids for patients undergoing surgery. Citation Text: Varady NH, Worsham CM, Chen AF, et al. Inappropriate prescribing of opioids for patients undergoing surgery. Proc Natl Acad Sci USA. 2022;119(49):e2210226119. doi:10.1073/pnas.2210226119. Copy Ci…
  17. psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents
    August 23, 2023 - Study A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. Citation Text: Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety …
  18. psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
    October 25, 2017 - Study Failure to rescue female patients undergoing high-risk surgery. Citation Text: Wagner CM, Joynt Maddox KE, Ailawadi G, et al. Failure to rescue female patients undergoing high-risk surgery. JAMA Surg. 2024;160(1):29-36. doi:10.1001/jamasurg.2024.4574. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/call-action-next-steps-advance-diagnosis-education-health-professions
    November 25, 2020 - Commentary A call to action: next steps to advance diagnosis education in the health professions. Citation Text: Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.151…
  20. psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care
    May 12, 2021 - Study Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. Citation Text: Giardina TD, Shahid U, Mushtaq U, et al. Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care…

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