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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837070/psn-pdf
    May 11, 2022 - Patient falls in the operating room setting: an analysis of reported safety events. May 11, 2022 Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503. https://psnet.ahrq.gov/issue/pati…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45718/psn-pdf
    August 03, 2017 - PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. August 3, 2017 De Brún A, Heavey E, Waring J, et al. PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Health Expect. 2017;20(4):771-778. doi:10.1111/hex.12516.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847049/psn-pdf
    April 05, 2023 - Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. April 5, 2023 Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA Pediatr. 2023;177(5):459-460. doi:10.10…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46002/psn-pdf
    October 13, 2018 - Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. October 13, 2018 Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative Study to Understand an Increasing…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60724/psn-pdf
    July 29, 2020 - The safety of health care for ethnic minority patients: a systematic review. July 29, 2020 Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic review. Int J Equity Health. 2020;19(1):118. doi:10.1186/s12939-020-01223-2. https://psnet.ahrq.gov/issue/safety-heal…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74856/psn-pdf
    February 23, 2022 - The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. February 23, 2022 Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. Ph…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60600/psn-pdf
    June 17, 2020 - Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study. June 17, 2020 Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45822/psn-pdf
    April 24, 2018 - Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. April 24, 2018 Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. J Am Med Inform Assoc. 2017…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837068/psn-pdf
    May 11, 2022 - Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey. May 11, 2022 Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross?sectional survey. J Adv Nurs. 2022;7…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43731/psn-pdf
    December 03, 2014 - Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. December 3, 2014 Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. J Trauma Nurs. 201…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74130/psn-pdf
    December 01, 2021 - Malpractice cases in breast surgery: an assessment of litigation involving surgeons. December 1, 2021 Fan B, Pardo J, Yu-Moe CW, et al. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. Ann Surg Oncol. 2021;28(13):8109-8115. doi:10.1245/s10434-021-10236-2. https://psnet.ahrq.gov/…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34670/psn-pdf
    January 01, 2006 - Hindsight ? foresight: the effect of outcome knowledge on judgment under uncertainty. March 7, 2005 Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psychology: Human Perception and Performance. 2006;1(3). doi:10.1037/0096-1523…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43005/psn-pdf
    March 05, 2014 - "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. March 5, 2014 Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. J Patien…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73164/psn-pdf
    April 21, 2021 - Effectiveness of communication interventions in obstetrics--a systematic review. April 21, 2021 Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616. https://psnet.ahrq.go…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844768/psn-pdf
    September 11, 2019 - Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? September 11, 2019 Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47013/psn-pdf
    April 07, 2019 - An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. April 7, 2019 Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co- prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448. doi:…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47869/psn-pdf
    April 17, 2019 - Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. April 17, 2019 Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;239:309-319. doi:10.1016/j.jss.20…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47257/psn-pdf
    September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. September 26, 2018 Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in Reporting Adverse Events. J Pa…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45464/psn-pdf
    September 07, 2016 - Measuring adverse events in hospitalized patients: an administrative method for measuring harm. September 7, 2016 Martin J, Benjamin EM, Craver C, et al. Measuring Adverse Events in Hospitalized Patients: An Administrative Method for Measuring Harm. J Patient Saf. 2016;12(3):125-31. doi:10.1097/PTS.000000000000007…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60577/psn-pdf
    June 10, 2020 - Assuring safe patient care in a level III NICU in anticipation of hospital closure. June 10, 2020 Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7. https://psnet.ahrq.gov/issue/assuring-safe-patien…

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