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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843079/psn-pdf
    January 25, 2023 - Electronic health record use issues and diagnostic error: a scoping review and framework. January 25, 2023 Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/pts.0000000000001081. https://psn…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39387/psn-pdf
    July 23, 2014 - Medication errors involving oral chemotherapy. July 23, 2014 Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer. 2010;116(10):2455-2464. doi:10.1002/cncr.25027. https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy Widely publicized errors associated w…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35405/psn-pdf
    December 14, 2007 - Use of administrative data to find substandard care: validation of the complications screening program. December 14, 2007 Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care. 2003;38(8):796-806. doi:10.1097/00005650-200008000-00004. https://psnet.ahrq.gov/issue/u…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73312/psn-pdf
    May 26, 2021 - Healthcare professionals experience of psychological safety, voice, and silence. May 26, 2021 O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice, and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689. https://psnet.ahrq.gov/issue/healthcare-p…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50933/psn-pdf
    February 26, 2020 - Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. February 26, 2020 Parekh N, Ali K, Davies JG, et al. Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. BMJ Qual Saf. 2020;29(2)…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73067/psn-pdf
    March 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. March 24, 2021 LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44205/psn-pdf
    June 21, 2015 - Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. June 21, 2015 Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Qual Saf. 2015;24(7):458-67. doi:10.11…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60522/psn-pdf
    May 27, 2020 - Nursing turbulence in critical care: relationships with nursing workload and patient safety. May 27, 2020 Browne J, Braden CJ. Nursing turbulence in critical care: relationships with nursing workload and patient safety. Am J Crit Care. 2020;29(3):182-191. doi:10.4037/ajcc2020180. https://psnet.ahrq.gov/issue/nursi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47947/psn-pdf
    May 29, 2019 - Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability. May 29, 2019 Sowan AK, Vera A, Malshe A, et al. Transcription Errors of Blood Glucose Values and Insulin Errors in an Intensive Care Unit…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46979/psn-pdf
    January 01, 2021 - Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns. April 4, 2018 Ackerman SL, Gourley G, Le G, et al. Improving Patient Safety in Public Hospitals: Developing Standard Measures to Track Medical Errors and Process Breakdowns. J Patient Saf. 202…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850159/psn-pdf
    June 07, 2023 - Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. June 7, 2023 Sanghavi P, Chen Z. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. JAMA Netw Open. 2023;6(5):e231…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764394/psn-pdf
    March 02, 2022 - Assessing resident and attending error and adverse events in the emergency department. March 2, 2022 Adler JL, Gurley K, Rosen CL, et al. Assessing resident and attending error and adverse events in the emergency department. Am J Emerg Med. 2022;54:228-231. doi:10.1016/j.ajem.2022.01.015. https://psnet.ahrq.gov/is…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41646/psn-pdf
    September 05, 2012 - Interventions to increase clinical incident reporting in health care. September 5, 2012 Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2. https://psnet.ahrq.gov/issue/in…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50596/psn-pdf
    October 30, 2019 - Encouraging resident adverse event reporting: a qualitative study of suggestions from the front lines. October 30, 2019 Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3):e167. doi:10.1097/pq9.0000000…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864859/psn-pdf
    March 20, 2024 - Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging settings: a mixed-methods exploration. March 20, 2024 Schroeck H, Whitty MA, Hatton B, et al. Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging settings: a mixed…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851063/psn-pdf
    June 28, 2023 - Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences in healthcare-evidence from seminars on peer support. June 28, 2023 Schrøder K, Assing Hvidt E. Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences in health…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867235/psn-pdf
    December 04, 2024 - HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016- 2021. December 4, 2024 Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient Characteristics, 2016-2021. Rockville, MD: Agency for Healthcare Research and Qu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853440/psn-pdf
    September 13, 2023 - Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. September 13, 2023 Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Scand J Caring Sci. 2023;37(2):414-423…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46300/psn-pdf
    August 16, 2017 - Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. August 16, 2017 Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. J Glob Health. 2017;7(1):011001. doi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852796/psn-pdf
    August 23, 2023 - Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stroke centers. August 23, 2023 Tariq MB, Ali I, Salazar?Marioni S, et al. Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stroke centers. J Am Heart Assoc. 20…

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