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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35139/psn-pdf
    February 24, 2011 - Sins of omission. Getting too little medical care may be the greatest threat to patient safety. February 24, 2011 Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91. https://psnet.ahrq.gov/issue/s…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35476/psn-pdf
    February 22, 2010 - Taking the pulse of health care systems: experiences of patients with health problems in six countries. February 22, 2010 Schoen C, Osborn R, Huynh PT, et al. Taking The Pulse Of Health Care Systems: Experiences Of Patients With Health Problems In Six Countries. doi:10.1377/hlthaff.w5.509. https://psnet.ahrq.gov/i…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47566/psn-pdf
    January 30, 2019 - Important factors for effective patient safety governance auditing: a questionnaire survey. January 30, 2019 van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. doi:10.1186/s12913-018-3577-9. h…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43944/psn-pdf
    December 04, 2015 - Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. December 4, 2015 van Sluisveld N, Hesselink G, van der Hoeven JG, et al. Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839321/psn-pdf
    November 02, 2022 - What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review. November 2, 2022 Punj E, Collins A, Agravedi N, et al. What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39013/psn-pdf
    October 14, 2009 - The nature and causes of unintended events reported at ten emergency departments. October 14, 2009 Smits M, Groenewegen PP, Timmermans D, et al. The nature and causes of unintended events reported at ten emergency departments. BMC Emerg Med. 2009;9:16. doi:10.1186/1471-227X-9-16. https://psnet.ahrq.gov/issue/natur…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60521/psn-pdf
    May 27, 2020 - Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. May 27, 2020 Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Open. 2020;3(4). doi:10.1001/jamanetwo…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44207/psn-pdf
    August 21, 2018 - U.S. compounding pharmacy-related outbreaks, 2001-- 2013: public health and patient safety lessons learned. August 21, 2018 Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf. 2018;14(3):164-173. doi:10.1097…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864846/psn-pdf
    March 20, 2024 - The association between nurse staffing and quality of care in emergency departments: a systematic review. March 20, 2024 Drennan J, Murphy A, McCarthy VJC, et al. The association between nurse staffing and quality of care in emergency departments: a systematic review. Int J Nurs Stud. 2024;153:104706. doi:10.1016/…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836915/psn-pdf
    April 13, 2022 - Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. April 13, 2022 Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical Electronic Health Record workaround…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837735/psn-pdf
    July 27, 2022 - A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. July 27, 2022 Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to improve compliance. Int J Qual Health Care. 2022;34(3). doi:10.1093/intqhc…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863749/psn-pdf
    March 06, 2024 - Improving situation awareness to advance patient outcomes: a systematic literature review. March 6, 2024 Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a systematic literature review. Comput Inform Nurs. 2024;42(4):277-288. doi:10.1097/cin.0000000000001112. …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47509/psn-pdf
    December 21, 2018 - Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. December 21, 2018 Gopalan A, Mishra P, Alexeeff SE, et al. Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. Diabet Med. 2018;35(12):1655-1662. doi:10.1111/…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39856/psn-pdf
    December 21, 2014 - Patient perceptions of mistakes in ambulatory care. December 21, 2014 Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. https://psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care Pat…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837730/psn-pdf
    January 01, 2023 - Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. July 28, 2022 Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. Prehosp Emerg Care. 2023;27(5):669-…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44451/psn-pdf
    October 14, 2015 - Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. October 14, 2015 Sanfey H, Fromson J, Mellinger JD, et al. Surgeons in Difficulty: An Exploration of Differences in Assistance-Seeking Behaviors between Male and Female Surgeons. J Am Coll Surg. …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866695/psn-pdf
    September 11, 2024 - Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. September 11, 2024 Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line?associated bloodstream infections: a family?centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. doi:10.1002/pbc.31064. https:…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36102/psn-pdf
    March 04, 2011 - Struggling to invent high-reliability organizations in health care settings: insights from the field. March 4, 2011 Dixon NM, Shofer M. Struggling to invent high-reliability organizations in health care settings: Insights from the field. Health Serv Res. 2006;41(4 Pt 2):1618-32. https://psnet.ahrq.gov/issue/strugg…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43040/psn-pdf
    March 05, 2014 - Framework for analysing risk and safety in clinical medicine. March 5, 2014 Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157. https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0 This commentary outli…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866165/psn-pdf
    June 19, 2024 - Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study. June 19, 2024 Van der Voorden M, Franx A, Ahaus K. Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study. BMC Health Serv Res. 2024;24(1):700. doi:10.118…
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