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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867683/psn-pdf
    March 05, 2025 - Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. March 5, 2025 Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine- related malpractice cases from 2011 to 2021. J Patient Saf. 2025;21(2):111-117. doi:10…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847722/psn-pdf
    April 19, 2023 - Factors associated with diagnostic error: an analysis of closed medical malpractice claims. April 19, 2023 Grenon V, Szymonifka J, Adler-Milstein J, et al. Factors associated with diagnostic error: an analysis of closed medical malpractice claims. J Patient Saf. 2023;19(3):211-215. doi:10.1097/pts.0000000000001105…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47553/psn-pdf
    July 10, 2019 - Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. July 10, 2019 Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisational resilience. Safety Sci. 2019;117:490-500. doi:10.1016/j.ssci.2016.10.019. h…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837856/psn-pdf
    August 17, 2022 - Nurse well-being: a concept analysis. August 17, 2022 Patrician PA, Bakerjian D, Billings R, et al. Nurse well-being: a concept analysis. Nurs Outlook. 2022;70(4):639-650. doi:10.1016/j.outlook.2022.03.014. https://psnet.ahrq.gov/issue/nurse-well-being-concept-analysis Clinician well-being has important implicatio…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72570/psn-pdf
    January 01, 2021 - Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. December 16, 2020 Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. Int J Qual …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853974/psn-pdf
    January 01, 2024 - Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. September 27, 2023 Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. J Adv Nu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848085/psn-pdf
    April 26, 2023 - Understanding complexity in a safety critical setting: a systems approach to medication administration. April 26, 2023 Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems approach to medication administration. Appl Ergon. 2023;110:104000. doi:10.1016/j.apergo.2023.1…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46802/psn-pdf
    March 21, 2018 - The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. March 21, 2018 Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review. J Am Board Fam Med. 2018;31(1):113-125. doi:10.31…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841770/psn-pdf
    December 21, 2022 - A recent two-fold increase in medical adverse event deaths among US inpatients. December 21, 2022 Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935. https://psnet.ahrq.gov/issue/recent-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60256/psn-pdf
    April 22, 2020 - A critical review: moral injury in nurses in the aftermath of a patient safety incident. April 22, 2020 Stovall M, Hansen L, van Ryn M. A critical review: moral injury in nurses in the aftermath of a patient safety incident. J Nurs Scholarsh. 2020;52(3):320-328. doi:10.1111/jnu.12551. https://psnet.ahrq.gov/issue/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43792/psn-pdf
    January 07, 2015 - Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. January 7, 2015 Guise V, Anderson JE, Wiig S. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Serv Res. 2014;14:588. doi:10.1186/s129…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837330/psn-pdf
    June 08, 2022 - A call to action: next steps to advance diagnosis education in the health professions. June 8, 2022 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:10.1515/dx-2021-0103. https://psnet.ahrq.gov/i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867530/psn-pdf
    January 15, 2025 - Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. January 15, 2025 Lee E, De Gagne J C, Randall P S, et al. Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. J Adv Nurs. 2024;Epub Nov 4. doi:10.1111/jan.16592. https://psnet.ahrq.gov/issue/ex…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73416/psn-pdf
    June 23, 2021 - An observational study of postoperative handoff standardization failures. June 23, 2021 Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458. https://psnet.ahrq.gov/issue/observational-study…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43342/psn-pdf
    July 16, 2014 - Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. July 16, 2014 Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK- hospitalised children detected by the Paediatric Trigger Tool. BMJ Open. 2014;4…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60559/psn-pdf
    June 03, 2020 - Omissions of care in nursing home settings: a narrative review. June 3, 2020 Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. https://psnet.ahrq.gov/issue/omissions-care-nursing-home-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837201/psn-pdf
    May 25, 2022 - Near miss research in the healthcare system: a scoping review. May 25, 2022 Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124. https://psnet.ahrq.gov/issue/near-miss-research-healthcare-system-sco…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46740/psn-pdf
    January 01, 2021 - High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool. March 28, 2018 Washburn NC, Dossett HA, Fritschle AC, et al. High-Alert Medication Stratification Tool-Revised: An Exploratory Study of an Objective, Standardized Medication Safety Tool. J …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46792/psn-pdf
    February 14, 2018 - Emerging trends in perinatal quality and risk with recommendations for patient safety. February 14, 2018 Simpson KR. Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. J Perinat Neonatal Nurs. 2018;32(1). doi:10.1097/jpn.0000000000000294. https://psnet.ahrq.gov/issue/emerging-tr…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46420/psn-pdf
    September 20, 2017 - Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors. September 20, 2017 True G, Frasso R, Cullen SW, et al. Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and protective factors. Gen Hosp Psych…

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