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6121. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43062/psn-pdf
      September 04, 2016 - The relationship between patient safety culture and patient outcomes: a systematic review. September 4, 2016 DiCuccio MH. The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic Review. J Patient Saf. 2015;11(3):135-42. doi:10.1097/PTS.0000000000000058. https://psnet.ahrq.gov/issue/relat…

6122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41480/psn-pdf
      November 05, 2013 - Hospital patients' reports of medical errors and undesirable events in their health care. November 5, 2013 Davis R, Sevdalis N, Neale G, et al. Hospital patients' reports of medical errors and undesirable events in their health care. J Eval Clin Pract. 2013;19(5):875-81. doi:10.1111/j.1365-2753.2012.01867.x. https…

6123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37409/psn-pdf
      March 28, 2012 - Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospital. March 28, 2012 Sari AB-A, Sheldon T, Cracknell A, et al. Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospital. Qual Saf Health Care…

6124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40457/psn-pdf
      May 18, 2011 - An in-depth analysis of medication errors in hospitalized patients with HIV. May 18, 2011 Snyder AM, Klinker K, Orrick JJ, et al. An in-depth analysis of medication errors in hospitalized patients with HIV. Ann Pharmacother. 2011;45(4):459-68. doi:10.1345/aph.1P599. https://psnet.ahrq.gov/issue/depth-analysis-medi…

6125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41227/psn-pdf
      March 21, 2012 - Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. March 21, 2012 Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN J Parenter Enteral Nutr. 2012;36(2 …

6126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46726/psn-pdf
      January 31, 2018 - Toolkit to Promote Safe Surgery. January 31, 2018 Rockville, MD: Agency for Healthcare Research and Quality; November 2017. https://psnet.ahrq.gov/issue/toolkit-promote-safe-surgery Preventing surgical complications including surgical site infections are a worldwide target for improvement. This toolkit builds on t…

6127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857059/psn-pdf
      November 29, 2023 - poorly tolerated and the CT scan was misread, and (2) the subsequent lack of consistent communication identifying

6128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73678/psn-pdf
      September 08, 2021 - A report of information technology and health deficiencies in U.S. nursing homes. September 8, 2021 Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. https://psnet.ahrq.gov/issue/report-i…

6129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74261/psn-pdf
      January 19, 2022 - Implicit bias in healthcare professionals: a systematic review. January 19, 2022 FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):19. doi:10.1186/s12910-017-0179-8. https://psnet.ahrq.gov/issue/implicit-bias-healthcare-professionals-systematic-review…

6130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837593/psn-pdf
      June 29, 2022 - Adverse event reporting priorities: an integrative review. June 29, 2022 Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. https://psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrat…

6131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863755/psn-pdf
      March 06, 2024 - Nurse leader attitudes and beliefs regarding medical errors. March 6, 2024 Prothero MM, Huefner K, Sorhus M. Nurse leader attitudes and beliefs regarding medical errors. J Nurs Adm. 2024;54(1):10-15. doi:10.1097/nna.0000000000001371. https://psnet.ahrq.gov/issue/nurse-leader-attitudes-and-beliefs-regarding-medical…

6132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837192/psn-pdf
      May 25, 2022 - Declaration to Advance Patient Safety. May 25, 2022 National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May 2022. https://psnet.ahrq.gov/issue/declaration-advance-patient-safety Leadership commitment is crucial to attaining sustainable improvement in patient safety. Th…

6133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73613/psn-pdf
      August 18, 2021 - Implementing universal suicide risk screening in a pediatric hospital. August 18, 2021 Sullivant SA, Brookstein D, Camerer M, et al. Implementing universal suicide risk screening in a pediatric hospital. Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001. https://psnet.ahrq.gov/issue/im…

6134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47324/psn-pdf
      November 07, 2018 - Engaging patients to improve quality of care: a systematic review. November 7, 2018 Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review. Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z. https://psnet.ahrq.gov/issue/engaging-patients-improve-quality-ca…

6135. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41203/psn-pdf
      December 18, 2014 - A multicenter collaborative approach to reducing pediatric codes outside the ICU. December 18, 2014 Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227. https://psnet.ahrq.gov/issue/mu…

6136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837847/psn-pdf
      August 17, 2022 - Defining and studying errors in surgical care: a systematic review. August 17, 2022 Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. https://psnet.ahrq.gov/issue/defining-and-studying-err…

6137. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42171/psn-pdf
      April 17, 2013 - Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. April 17, 2013 Bauer P, Hoffmann RG, Bragg D, et al. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Saf Sci. 2012;53. doi:10.1016/j.ssci.2012.09.009. http…

6138. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47332/psn-pdf
      November 02, 2018 - Interventions for postsurgical opioid prescribing: a systematic review. November 2, 2018 Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731. https://psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic…

6139. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47128/psn-pdf
      October 13, 2018 - Matt's story: learning from heartbreak. October 13, 2018 Miller K, Dastoli A. Matt's story: learning from heartbreak. Int J Qual Health Care. 2018;30(8):654-657. doi:10.1093/intqhc/mzy076. https://psnet.ahrq.gov/issue/matts-story-learning-heartbreak Medical error affects the lives of patients, families, and member…

6140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41835/psn-pdf
      May 19, 2015 - Interventions for reducing wrong-site surgery and invasive procedures. May 19, 2015 Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404.pub3. https://psnet.ahrq.gov/issue/…