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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44767/psn-pdf
    January 20, 2016 - "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. January 20, 2016 Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare settings. J Med Ethics. 2015;41(11):880-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38470/psn-pdf
    March 11, 2009 - Quality and strength of patient safety climate on medical–surgical units. March 11, 2009 Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. https://psnet.ahrq.gov/issue/quality-and-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867229/psn-pdf
    January 01, 2025 - Feasibility of prospective error reporting in home palliative care: a mixed methods study. December 4, 2024 Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692163241288774. https://psnet.ahr…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47059/psn-pdf
    May 16, 2018 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. May 16, 2018 Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208. do…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40994/psn-pdf
    December 18, 2014 - Implementing medication reconciliation in outpatient pediatrics. December 18, 2014 Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. https://psnet.ahrq.gov/issue/implementing-medication-reconciliat…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47022/psn-pdf
    July 19, 2018 - Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. July 19, 2018 Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. BMJ Qual Saf. 2018;27(8):583-586. d…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836984/psn-pdf
    April 27, 2022 - A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. April 27, 2022 Beed M, Hussain S, Woodier N, et al. A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. J Pat…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46794/psn-pdf
    May 17, 2018 - Implementation of diagnostic pauses in the ambulatory setting. May 17, 2018 Huang GC, Kriegel G, Wheaton C, et al. Implementation of diagnostic pauses in the ambulatory setting. BMJ Qual Saf. 2018;27(6):492-497. doi:10.1136/bmjqs-2017-007192. https://psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858164/psn-pdf
    December 13, 2023 - Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. December 13, 2023 Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:10.1001/jamasurg.2023.3673. htt…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861768/psn-pdf
    January 31, 2024 - "We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. January 31, 2024 Mastalerz KA, Jordan SR, Townsley N. “We're all truly pulling in the exact same direction”: a qualitative study of attending a…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866556/psn-pdf
    August 21, 2024 - Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. August 21, 2024 Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. J Med Internet Res. 2024…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37334/psn-pdf
    February 01, 2011 - A framework for health care organizations to develop and evaluate a safety scorecard. February 1, 2011 Pronovost P, Berenholtz SM, Needham DM. A framework for health care organizations to develop and evaluate a safety scorecard. JAMA. 2007;298(17):2063-5. https://psnet.ahrq.gov/issue/framework-health-care-organiza…
  13. 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 …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47962/psn-pdf
    May 01, 2019 - Understanding the clinical implications of resident involvement in uncommon operations. May 1, 2019 Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j.jsurg.2019.03.011. https://psnet.a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45964/psn-pdf
    March 22, 2017 - What is known: examining the empirical literature in resident work hours using 30 influential articles. March 22, 2017 Philibert I. What Is Known: Examining the Empirical Literature in Resident Work Hours Using 30 Influential Articles. J Grad Med Educ. 2016;8(5):795-805. doi:10.4300/JGME-D-16-00642.1. https://psne…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866636/psn-pdf
    January 01, 2025 - Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. September 4, 2024 Campione Russo A, Tilly J?L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13485. https://psnet.ahrq.gov/is…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47867/psn-pdf
    June 19, 2019 - Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. June 19, 2019 Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. Paediatr Anaesth. 2019;29(3):258-2…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867596/psn-pdf
    January 22, 2025 - Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. January 22, 2025 Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm,…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40394/psn-pdf
    January 01, 2019 - Partnership for Patients. October 6, 2016 Washington, DC: US Department of Health and Human Services. https://psnet.ahrq.gov/issue/partnership-patients Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to decrease preventable harm in United States hospitals.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72748/psn-pdf
    February 17, 2021 - The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. February 17, 2021 De Brún A, Anjara S, Cunningham U, et al. The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. Int J Environ Res Public Heal…

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