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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47880/psn-pdf
    June 18, 2019 - A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. June 18, 2019 Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety Principles. Jt Comm J Qual Patient…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39216/psn-pdf
    January 13, 2010 - How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? January 13, 2010 White RH, Sadeghi B, Tancredi DJ, et al. How Valid is the ICD-9-CM Based AHRQ Patient Safety Indicator for Postoperative Venous Thromboembolism? Med Care. 2009;47(12):1237-1243. doi:10.1097/mlr.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866157/psn-pdf
    June 19, 2024 - Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. June 19, 2024 Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized con…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72757/psn-pdf
    February 17, 2021 - Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. February 17, 2021 Zhou Y, Walter FM, Singh H, et al. Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and k…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836712/psn-pdf
    March 09, 2022 - Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study. March 9, 2022 Pérez Zapata AI, Rodríguez Cuéllar E, de la Fuente Bartolomé M, et al. Predictive power of the "Trigger Tool" for the detection of adverse events in general sur…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867446/psn-pdf
    January 08, 2025 - Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. January 8, 2025 Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. Jt Comm J Qual…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859302/psn-pdf
    December 20, 2023 - Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. December 20, 2023 Aunger JA, Maben J, Abrams R, et al. Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. BMC Health Serv Res. 2023;23(1):1326. doi:10.1186/s12913-023-10291-3. http…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867685/psn-pdf
    March 05, 2025 - Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. March 5, 2025 Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operative vaginal birth through multidis…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867687/psn-pdf
    March 05, 2025 - Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis. March 5, 2025 Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospe…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73281/psn-pdf
    May 19, 2021 - Measuring safety in older adult care homes: a scoping review of the international literature. May 19, 2021 Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmjopen-2020-043206. https://psnet.ahrq…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837800/psn-pdf
    August 10, 2022 - Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. August 10, 2022 Olazo K, Wang K, Sierra M, et al. Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. Jt Comm J Qual Patient Saf. 2022;48(10):539-548. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73424/psn-pdf
    June 23, 2021 - The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies. June 23, 2021 Shao Q, Wang Y, Hou K, et al. The psychological experiences of nurses after inpatient suicide: a meta? synthesis of qualitative research studies. J Adv Nurs. 2021;77(10):4005-4016. doi:10…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837594/psn-pdf
    June 29, 2022 - Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. June 29, 2022 Farrell C?JL, Giannoutsos J. Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood cou…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42954/psn-pdf
    December 04, 2016 - "Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals. December 4, 2016 Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a typical case of an error in pal…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61069/psn-pdf
    October 28, 2020 - Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, survey and interview data. October 28, 2020 O’Donovan R, McAuliffe E. Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, surve…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74151/psn-pdf
    January 01, 2022 - Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta- analysis. December 8, 2021 Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. J Pediatr Nurs. 2022;62:e13…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45537/psn-pdf
    July 27, 2018 - Patient Safety in Ambulatory Settings. July 27, 2018 Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Rockville, MD: Agency for Healthcare Research and Quality; October 2016. AHRQ Publication No. 16-EHC033-EF. https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings Most patient safety rese…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865525/psn-pdf
    April 10, 2024 - Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). April 10, 2024 Rosen AK, Beilstein-Wedel E, Chan J, et al. Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). Jt C…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60053/psn-pdf
    January 01, 2021 - A review of adverse event reports from emergency departments in the Veterans Health Administration. March 18, 2020 Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-e903. doi:10.1097/pts.0000000000000…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34651/psn-pdf
    March 04, 2011 - Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 4, 2011 Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. BMJ. 2000;320(7237):741-4. https://psnet.ahrq.g…

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