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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34661/psn-pdf
    March 07, 2005 - Teaching smart people how to learn. March 7, 2005 Argyris C. Harvard Business Review. 1991:69(May-June):99+. https://psnet.ahrq.gov/issue/teaching-smart-people-learn Argyris, a Harvard Business School professor, theorizes that companies and organizations must learn in order to continually improve and succeed, but …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46272/psn-pdf
    January 01, 2019 - Deployment of a second victim peer support program: a replication study. September 24, 2017 Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031. https://psnet.ahrq.gov/issue/deployment-second-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42727/psn-pdf
    November 13, 2013 - Impact of electronic health record systems on information integrity: quality and safety implications. November 13, 2013 Bowman S. Impact of electronic health record systems on information integrity: quality and safety implications. Perspect Health Inf Manag. 2013;10:1c. https://psnet.ahrq.gov/issue/impact-electron…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44339/psn-pdf
    July 29, 2015 - Rapid response systems: a systematic review and meta- analysis. July 29, 2015 Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y. https://psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38385/psn-pdf
    February 04, 2009 - Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. February 4, 2009 Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. Int J Med Inform. 2008…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40716/psn-pdf
    March 22, 2017 - Promoting Safety and Quality Through Human Resource Practices: Executive Summary. March 22, 2017 McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. AHRQ Publication No. 11-0080-EF. https://psnet.ahrq.gov/issue/promoting-safety-and-quality-th…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838929/psn-pdf
    October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care. October 26, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43018/psn-pdf
    March 19, 2014 - Improved obstetric safety through programmatic collaboration. March 19, 2014 Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131. https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35375/psn-pdf
    January 02, 2017 - Integrating the intensive care unit safety reporting system with existing incident reporting systems. January 2, 2017 Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual Patient Saf. 2005;31(10):585-93.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50734/psn-pdf
    December 11, 2019 - The evolution of patient safety procedures in an oral surgery department December 11, 2019 Graham C, Reid S, Lord TC, et al. The evolution of patient safety procedures in an oral surgery department. Br Dent J. 2019;226(1):32-38. doi:10.1038/sj.bdj.2019.5. https://psnet.ahrq.gov/issue/evolution-patient-safety-proce…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40980/psn-pdf
    December 31, 2014 - Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. December 31, 2014 Grossman JM, Cross DA, Boukus ER, et al. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. J Am Med Inform Assoc. 2012;19(3):353-9. doi:1…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35966/psn-pdf
    January 02, 2017 - Assessing and monitoring override medications in automated dispensing devices. January 2, 2017 Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17. https://psnet.ahrq.gov/issue/assessing-and-monitoring…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45497/psn-pdf
    October 12, 2016 - Detection of adverse drug events using an electronic trigger tool. October 12, 2016 Lim D, Melucci J, Rizer MK, et al. Detection of adverse drug events using an electronic trigger tool. Am J Health Syst Pharm. 2016;73(17 Suppl 4):S112-20. doi:10.2146/ajhp150481. https://psnet.ahrq.gov/issue/detection-adverse-drug-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44018/psn-pdf
    November 16, 2015 - Targeted communication intervention using nursing crew resource management principles. November 16, 2015 Tschannen D, McClish D, Aebersold M, et al. Targeted communication intervention using nursing crew resource management principles. J Nurs Care Qual. 2015;30(1):7-11. doi:10.1097/NCQ.0000000000000073. https://p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35636/psn-pdf
    June 24, 2010 - Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. June 24, 2010 Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Am J Obstet Gynecol. 2006;194(1). doi:10.101…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37802/psn-pdf
    November 14, 2011 - Differences in day and night shift clinical performance in anesthesiology. November 14, 2011 Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in anesthesiology. Hum Factors. 2008;50(2):276-90. https://psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-perfor…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38925/psn-pdf
    September 16, 2009 - A literature review of the individual and systems factors that contribute to medication errors in nursing practice. September 16, 2009 Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice. J Nurs Manag. 2009;17(6):679-97…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45003/psn-pdf
    July 18, 2016 - Effect of surgical safety checklists on pediatric surgical complications in Ontario. July 18, 2016 O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333. https://psnet.ahrq.gov/issue/effect…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60192/psn-pdf
    April 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic Health Records. April 1, 2020 Philadelphia, PA: Pew Charitable Trusts; March 2020. https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records Electronic health records both enhance and challenge the safety of care proce…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48182/psn-pdf
    August 21, 2019 - Organizational learning in hospitals: a realist review. August 21, 2019 Lyman B, Jacobs JD, Hammond EL, et al. Organizational learning in hospitals: A realist review. J Adv Nurs. 2019;75(11):2352-2377. doi:10.1111/jan.14091. https://psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review Organization…

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