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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45725/psn-pdf
    December 21, 2016 - The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. December 21, 2016 O'Hara JK, Lawton R, Armitage G, et al. The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. BMC Health Serv Res. 2016;16(1):676. https://psnet.ahrq.gov…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838023/psn-pdf
    September 07, 2022 - Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. September 7, 2022 Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.1097/pts.0000000000000960. htt…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50802/psn-pdf
    January 15, 2020 - Use of error management theory to quantify and characterize residents' error recovery strategies. January 15, 2020 Pugh CM, Law KE, Cohen ER, et al. Use of error management theory to quantify and characterize residents’ error recovery strategies. Am J Surg. 2020;219(2):214-220. doi:10.1016/j.amjsurg.2019.11.013. h…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838181/psn-pdf
    September 28, 2022 - Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. September 28, 2022 Lipori JP, Tu E, Shireman TI, et al. Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. J Am Med Dir Assoc. 2022;23(9):1589.e1-1589.e10. doi:…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837977/psn-pdf
    August 31, 2022 - The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. August 31, 2022 Wallace W, Chan C, Chidambaram S, et al. The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. NPJ Digit Med. 2022;5(1). doi:10.1038/s41746-022-00667-w.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851925/psn-pdf
    August 02, 2023 - Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. August 2, 2023 Washington DC: Department of Veterans Affairs, Office of Inspector General; June 29, 2023. Report no. 22-01540-146. https://psnet.ahrq.gov/iss…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858170/psn-pdf
    December 13, 2023 - Unsafe care in residential settings for older adults. A content analysis of accreditation reports. December 13, 2023 Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int J Qual Health Care. 2023;35(4):mzad085. doi:10.1093/intqhc/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72473/psn-pdf
    January 01, 2021 - Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020 Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850170/psn-pdf
    June 07, 2023 - A scoping review of distributed cognition in acute care clinical decision-making. June 7, 2023 Wilson E, Daniel M, Rao A, et al. A scoping review of distributed cognition in acute care clinical decision- making. Diagnosis (Berl). 2023;10(2):68-88. doi:10.1515/dx-2022-0095. https://psnet.ahrq.gov/issue/scoping-revi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74240/psn-pdf
    January 01, 2024 - Use and impact of virtual primary care on quality and safety: the public's perspectives during the COVID-19 pandemic. January 12, 2022 Neves AL, van Dael J, O’Brien N, et al. Use and impact of virtual primary care on quality and safety: The public's perspectives during the COVID-19 pandemic. J Telemed Telecare. 20…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50866/psn-pdf
    February 05, 2020 - Effectiveness of acute care remote triage systems: a systematic review. February 5, 2020 Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4. https://psnet.ahrq.gov/issue/effectiveness-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43130/psn-pdf
    September 27, 2017 - Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital. September 27, 2017 Haw C, Stubbs J, Dickens GL. Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospita…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61067/psn-pdf
    January 01, 2021 - A program to provide clinicians with feedback on their diagnostic performance in a learning health system. October 28, 2020 Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J Qual Patient Saf. 2021;47(2):120…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74086/psn-pdf
    November 17, 2021 - Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. November 17, 2021 Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. J Patien…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864849/psn-pdf
    March 20, 2024 - Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety. March 20, 2024 Alsabri M, Eapen D, Sabesan V, et al. Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety. Pediatr …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73283/psn-pdf
    May 19, 2021 - Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. May 19, 2021 Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075. doi:10.1001/jamanetworkopen.2021.8075. htt…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845304/psn-pdf
    March 01, 2023 - For children admitted to hospital, what interventions improve medication safety on ward rounds? March 1, 2023 King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588. doi:10.1136/archdis…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73621/psn-pdf
    August 25, 2021 - Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. August 25, 2021 Agnoli A, Xing G, Tancredi DJ, et al. Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. JAMA. 2021;326(5):411-419. doi:10.100…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74062/psn-pdf
    January 01, 2022 - Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff. November 10, 2021 Silverglow A, Johansson L, Lidén E, et al. Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group inter…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866558/psn-pdf
    August 21, 2024 - Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. August 21, 2024 Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;299:136-142. doi:10.1016/j.ejogrb.…

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