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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73887/psn-pdf
    September 29, 2021 - Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. September 29, 2021 Kim S, Goelz L, Münn F, et al. Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. BMC Musculoskelet Disord. 2021;22(1):589. doi:10.1186/s12891-021-04425-z. htt…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47325/psn-pdf
    January 01, 2020 - What can apologies in the electronic health record tell us about health care quality, processes, and safety? August 29, 2018 Matulis JC, North F. What Can Apologies in the Electronic Health Record Tell Us About Health Care Quality, Processes, and Safety? J Patient Saf. 2020;16(3):e187-e193. doi:10.1097/pts.00000000…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866808/psn-pdf
    September 25, 2024 - What is safety leadership? A systematic review of definitions. September 25, 2024 Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. https://psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-defini…
  4. 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861763/psn-pdf
    January 31, 2024 - The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis. January 31, 2024 Haylor H, Sparkes T, Armitage G, et al. The process and perspective of serious incident investigations in adult community mental health services: integrative …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867381/psn-pdf
    December 18, 2024 - Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. December 18, 2024 Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Br J Clin Pharm…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850351/psn-pdf
    June 14, 2023 - A novel approach for assessing bias during team-based clinical decision-making. June 14, 2023 Pool N, Hebdon M, de Groot E, et al. A novel approach for assessing bias during team-based clinical decision-making. Front in Public Health. 2023;11:1014773. doi:10.3389/fpubh.2023.1014773. https://psnet.ahrq.gov/issue/no…
  8. 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…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45214/psn-pdf
    July 13, 2016 - Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. July 13, 2016 Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in Academic Promotion in Departments of Medici…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864853/psn-pdf
    March 20, 2024 - Question answering systems for health professionals at the point of care - a systematic review. March 20, 2024 Kell G, Roberts A, Umansky S, et al. Question answering systems for health professionals at the point of care—a systematic review. J Am Med Inform Assoc. 2024;31(4):1009-1024. doi:10.1093/jamia/ocae015. h…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837316/psn-pdf
    June 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items. June 1, 2022 Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2022. AHRQ Publication No. 22-0027. https://psnet.ahrq.gov/issue/2022-updated-results-a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44818/psn-pdf
    February 24, 2018 - Economic evaluation of interventions for prevention of hospital acquired infections: a systematic review. February 24, 2018 Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381. doi:10.1371/jour…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50376/psn-pdf
    September 25, 2019 - Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. September 25, 2019 DeLaurentis P, Walroth TA, Fritschle AC, et al. Stakeholder perceptions of smart infusion pumps and drug library updates: A multisite, interdisciplinary study. Am J Health Syst Pharm. 2…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73323/psn-pdf
    May 26, 2021 - Associations between healthcare environment design and adverse events in intensive care unit. May 26, 2021 Sundberg F, Fridh I, Lindahl B, et al. Associations between healthcare environment design and adverse events in intensive care unit. Nurs Crit Care. 2020;26(2):86-93. doi:10.1111/nicc.12513. https://psnet.ahr…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74861/psn-pdf
    February 23, 2022 - A concept analysis of psychological safety: further understanding for application to health care. February 23, 2022 Ito A, Sato K, Yumoto Y, et al. A concept analysis of psychological safety: further understanding for application to health care. Nurs Open. 2021;9(1):467-489. doi:10.1002/nop2.1086. https://psnet.ah…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47482/psn-pdf
    December 05, 2018 - Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. December 5, 2018 Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. J Interprof…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50913/psn-pdf
    February 19, 2020 - "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. February 19, 2020 Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective observational study of triggers and effects of…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848813/psn-pdf
    May 10, 2023 - Blood and blood products transfusion errors: what can we do to improve patient safety. May 10, 2023 Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326. https://psnet.ahrq.gov/issue/blood-and-blood-p…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74054/psn-pdf
    November 10, 2021 - Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. November 10, 2021 Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. ATS Sch. 2021;2(3):…

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