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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42980/psn-pdf
    February 17, 2017 - Disclosing adverse events to patients: international norms and trends. February 17, 2017 Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107. https://psnet.ahrq.gov/issue/disclosing-adverse-event…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38572/psn-pdf
    April 22, 2009 - Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. April 22, 2009 de Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care. 2009;18(2):121-6. doi:10.1136/qshc.2008.027524. https://p…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47537/psn-pdf
    November 14, 2018 - Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. November 14, 2018 Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system: Insights from a qualitative …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41054/psn-pdf
    January 27, 2012 - The impact of nontechnical skills on technical performance in surgery: a systematic review. January 27, 2012 Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.1016/j.jamcollsurg.2011.10.016. ht…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34939/psn-pdf
    June 16, 2011 - The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. June 16, 2011 Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units[ISRCTN85147255] [corrected]. BMC Health Serv…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39297/psn-pdf
    January 22, 2017 - A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. January 22, 2017 Mills PD, Watts V, Miller S, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93. https://psnet.ahrq.gov/issue/checklist-identify-inpati…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73962/psn-pdf
    October 13, 2021 - Building a program of expanded peer support for the entire health care team: no one left behind. October 13, 2021 Klatt TE, Sachs JF, Huang C-C, et al. Building a program of expanded peer support for the entire health care team: no one left behind. Jt Comm J Qual Patient Saf. 2021;47(12):759-767. doi:10.1016/j.jcj…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37927/psn-pdf
    March 10, 2011 - A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. March 10, 2011 Matheny ME, Sequist TD, Seger AC, et al. A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. J Am Med Inform Assoc. 2008;15(4):424-9. doi:10.1197/jamia.M2602. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837203/psn-pdf
    May 25, 2022 - Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. May 25, 2022 Joseph K, Newman B, Manias E, et al. Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. Patient Educ Couns. 2022;105(8):2778-2784. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61093/psn-pdf
    November 04, 2020 - Impact of a nationwide prospective drug utilization review program to improve prescribing safety of potentially inappropriate medications in older adults: an interrupted time series with segmented regression analysis. November 4, 2020 Jang S, Jeong S, Kang E, et al. Impact of a nationwide prospective drug utilizat…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47838/psn-pdf
    June 02, 2019 - Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. June 2, 2019 Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections: A scoping review of one work syste…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40116/psn-pdf
    January 05, 2011 - Organisational culture: variation across hospitals and connection to patient safety climate. January 5, 2011 Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. doi:10.1136/qshc.2009.039511. https:…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854817/psn-pdf
    October 25, 2023 - Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. October 25, 2023 Foster M, MHA BS, Mazur L. Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. BMJ Open Qual. 2023;12(4):e002284. doi:10.1136/bmjoq-2023-002284. h…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73286/psn-pdf
    May 19, 2021 - Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. May 19, 2021 Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. Appl Er…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48051/psn-pdf
    June 05, 2019 - Estimating the attributable cost of physician burnout in the United States. June 5, 2019 Han S, Shanafelt TD, Sinsky CA, et al. Estimating the Attributable Cost of Physician Burnout in the United States. Ann Intern Med. 2019;170(11):784-790. doi:10.7326/M18-1422. https://psnet.ahrq.gov/issue/estimating-attributabl…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44355/psn-pdf
    September 02, 2015 - Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures. September 2, 2015 Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):414-420. https://psnet.ahrq.gov/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42351/psn-pdf
    June 19, 2013 - Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. June 19, 2013 Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Risk, Ambulatory Population. J Patient …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46543/psn-pdf
    July 11, 2018 - Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. July 11, 2018 Puaar SJ, Franklin BD. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. BMJ Qual S…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73090/psn-pdf
    March 31, 2021 - Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. March 31, 2021 Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a systematic review of learning tools that co…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61057/psn-pdf
    October 28, 2020 - Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report October 28, 2020 Washington DC; National Quality Forum: October 6, 2020. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error- measurement-considerations With input…

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