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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843084/psn-pdf
    January 25, 2023 - A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. January 25, 2023 Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. Public Health. 202…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43383/psn-pdf
    August 13, 2014 - Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. August 13, 2014 Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(2):429-36. doi:10.1016/j.jss.2014…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60868/psn-pdf
    September 02, 2020 - Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. September 2, 2020 Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies in a statewide collaborative …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838009/psn-pdf
    September 07, 2022 - High-risk medication in home care nursing: a Delphi study. September 7, 2022 Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study. J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023. https://psnet.ahrq.gov/issue/high-risk-medication-home-care-nu…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861778/psn-pdf
    January 31, 2024 - Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. January 31, 2024 Washington, DC: The Veterans Affairs Inspector General; January 10, 2024. Report No. 23-00777-52. https://psnet.ahrq.gov/issue/care-deficiencies-and-l…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845073/psn-pdf
    February 22, 2023 - Nursing student errors and near misses: three years of data. February 22, 2023 Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ. 2023;62(1):12-19. doi:10.3928/01484834-20221109-05. https://psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844989/psn-pdf
    February 22, 2023 - Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. February 22, 2023 White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. Expert Opin D…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43266/psn-pdf
    June 18, 2014 - That's the way we do things around here! Your actions speak louder than words when it comes to patient safety. June 18, 2014 Grissinger M. That's the Way We Do Things Around Here!: Your Actions Speak Louder Than Words When It Comes To Patient Safety. P T. 2014;39(5):308-44. https://psnet.ahrq.gov/issue/thats-way-w…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47215/psn-pdf
    September 19, 2018 - The application of system dynamics modelling to system safety improvement: present use and future potential. September 19, 2018 Ibrahim M; Gyuchan S; Jun GT; Robinson S. Safety Sci. 2018;106:104-120. https://psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present- use-and-futur…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72477/psn-pdf
    January 01, 2021 - Inpatient patient safety events in vulnerable populations: a retrospective cohort study. November 18, 2020 Schulson LB, Novack V, Folcarelli PH, et al. Inpatient patient safety events in vulnerable populations: a retrospective cohort study. BMJ Qual Saf. 2021;30(5):372-379. doi:10.1136/bmjqs-2020-011920. https://p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864377/psn-pdf
    March 13, 2024 - Patients' experiences of dental diagnostic failures: a qualitative study using social media. March 13, 2024 Obadan-Udoh E, Howard R, Valmadrid LC, et al. Patients' experiences of dental diagnostic failures: a qualitative study using social media. J Patient Saf. 2024;20(3):177-185. doi:10.1097/pts.0000000000001198.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41954/psn-pdf
    November 26, 2014 - Decoding laboratory test names: a major challenge to appropriate patient care. November 26, 2014 Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8. https://psnet.ahrq.gov/issue…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47494/psn-pdf
    January 01, 2020 - Race differences in reported harmful patient safety events in healthcare system high reliability organizations. January 23, 2019 Thomas AD, Pandit C, Krevat SA. Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations. J Patient Saf. 2020;16(4):e235-e239. doi:1…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856634/psn-pdf
    January 01, 2024 - Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. November 29, 2023 Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Patient Saf. 2024;50(2):139-148. d…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36515/psn-pdf
    May 27, 2011 - Nurses' perceptions of causes of medication errors and barriers to reporting. May 27, 2011 Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33. https://psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-e…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847723/psn-pdf
    April 19, 2023 - Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. April 19, 2023 Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:393-400. doi:10.2147/rmhp.s399826. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837802/psn-pdf
    August 10, 2022 - Tipping the balance: a systematic review and meta- ethnography to unfold the complexity of surgical antimicrobial prescribing behavior in hospital settings. August 10, 2022 Parker H, Frost J, Day J, et al. Tipping the balance: a systematic review and meta-ethnography to unfold the complexity of surgical antimicrob…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47093/psn-pdf
    July 02, 2019 - Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review. July 2, 2019 Varghese J, Kleine M, Gessner SI, et al. Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review. J Am Med Info…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852451/psn-pdf
    August 16, 2023 - The impact of transition to a digital hospital on medication errors (TIME study). August 16, 2023 Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. https://psnet.ahrq.gov/issue/imp…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73485/psn-pdf
    July 14, 2021 - The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. July 14, 2021 Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;96(7):997-1001. doi:10.1097/acm.00…

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