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6521. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837740/psn-pdf
      July 27, 2022 - Reducing near miss medication events using an evidence-based approach. July 27, 2022 Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630. https://psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-e…

6522. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45465/psn-pdf
      September 07, 2016 - Improving patient safety culture in primary care: a systematic review. September 7, 2016 Verbakel NJ, Langelaan M, Verheij TJM, et al. Improving Patient Safety Culture in Primary Care: A Systematic Review. J Patient Saf. 2016;12(3):152-8. doi:10.1097/PTS.0000000000000075. https://psnet.ahrq.gov/issue/improving-pat…

6523. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45212/psn-pdf
      November 23, 2016 - The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review. November 23, 2016 Gill FJ, Leslie GD, Marshall AP. The Impact of Implementation of Family-Initiated Escalation of Care for the Deteriorating Patient in Hospital: A Systematic Review. …

6524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846465/psn-pdf
      March 22, 2023 - Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. March 22, 2023 Pisciotta W, Arina P, Hofmaenner D, et al. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1111/anae.15897. https://psnet.ahrq.gov/iss…

6525. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44196/psn-pdf
      March 27, 2017 - Patient Safety in Ambulance Services: A Scoping Review. March 27, 2017 Patient Safety In Ambulance Services: A Scoping Review. https://psnet.ahrq.gov/issue/patient-safety-ambulance-services-scoping-review The safety of emergency medical care delivered in conjunction with ambulance services has not been studied in …

6526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866190/psn-pdf
      June 26, 2024 - What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. June 26, 2024 Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. doi:10.1515/dx-2024-0008. https://ps…

6527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852448/psn-pdf
      January 01, 2024 - A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. August 16, 2023 Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. J Interp…

6528. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44585/psn-pdf
      November 04, 2015 - Evaluation of near-miss wrong-patient events in radiology reports. November 4, 2015 Sadigh G, Loehfelm T, Applegate KE, et al. JOURNAL CLUB: Evaluation of Near-Miss Wrong-Patient Events in Radiology Reports. AJR Am J Roentgenol. 2015;205(2):337-43. doi:10.2214/AJR.14.13339. https://psnet.ahrq.gov/issue/evaluation-…

6529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45592/psn-pdf
      October 27, 2016 - Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project. October 27, 2016 Chicago, IL: Health Research & Educational Trust; October 2016. https://psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center- transforming-hea…

6530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50710/psn-pdf
      December 04, 2019 - Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 December 4, 2019 de Lima A, Osman BM, Shapiro FE. Safety in office-based anesthesia. Curr Opin Anaesthesiol. 2019;32(6):749-755. doi:10.1097/aco.0000000000000794. https://psnet.ahrq.gov/issue/safety-office-based-anesthesia-upd…

6531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45912/psn-pdf
      May 09, 2017 - Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. May 9, 2017 DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. Pediatr Cr…

6532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45609/psn-pdf
      November 16, 2016 - A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. November 16, 2016 Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000000536. https://psnet.ahrq.gov/…

6533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43024/psn-pdf
      March 05, 2014 - Speaking up for patient safety by hospital-based health care professionals: a literature review. March 5, 2014 Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.1186/1472-6963-14-61. https://psnet.…

6534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43092/psn-pdf
      April 02, 2014 - Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. April 2, 2014 Sears K, Bishop A, MacKinnon NJ. J Particip Med. 2014;6:e2. https://psnet.ahrq.gov/issue/do-you-hear-what-i-hear-communication-practices-about-medications- between-physic…

6535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43385/psn-pdf
      August 06, 2014 - Medicines management support to older people: understanding the context of systems failure. August 6, 2014 Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-005302. https://psnet.ahrq.gov/issu…

6536. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - Developing a more robust outpatient or home-based palliative team can improve continuity of care by identifying

6537. The Impact of Communication on Medication Errors | PSNet
      psnet.ahrq.gov/web-mm/impact-communication-medication-errors
      August 01, 2009 - to Reduce Medication Errors A complete, accurate, and current medication list is a critical tool for identifying

6538. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45579/psn-pdf
      November 01, 2017 - Factors influencing patient safety during postoperative handover. November 1, 2017 Rose M, Newman SD. AANA J. 2016;84:329-338. https://psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover Patient handoffs between care teams are vulnerable to error. This scoping review explored the …

6539. 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/…

6540. 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…