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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849602/psn-pdf
    May 31, 2023 - Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication is related to patient safety threats and higher-quality care. May 31, 2023 Dietl JE, Derksen C, Keller FM, et al. Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal com…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46142/psn-pdf
    June 14, 2017 - Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. June 14, 2017 Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. https://psnet.ahrq.gov/issue/introducing-new-ju…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41132/psn-pdf
    March 13, 2012 - Spreading a medication administration intervention organizationwide in six hospitals. March 13, 2012 Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. https://psnet.ahrq.gov/issue/spreading-medi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47725/psn-pdf
    March 06, 2019 - Overcoming human barriers to safety event reporting in radiology. March 6, 2019 Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73114/psn-pdf
    April 07, 2021 - Clinical and financial implications of second-opinion surgical pathology review. April 7, 2021 Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa263. https://psnet.ahrq.gov/issue/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47327/psn-pdf
    August 22, 2018 - US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. August 22, 2018 Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Alignment of Graduate Medical Educa…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862131/psn-pdf
    February 07, 2024 - Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. February 7, 2024 Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved ou…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35392/psn-pdf
    June 16, 2011 - Measuring patient safety climate: a review of surveys. June 16, 2011 Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14(5):364-6. https://psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys This systematic review compares th…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45960/psn-pdf
    January 01, 2021 - Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care. March 15, 2017 Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3):e121-e127. doi:10.1097/PTS.000000…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44753/psn-pdf
    April 12, 2019 - Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups. April 12, 2019 Zwaan L, Monteiro SD, Sherbino J, et al. Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups. BMJ Qual Saf. 201…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846751/psn-pdf
    March 29, 2023 - High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. March 29, 2023 El Hussein MT, Hirst SP. High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. J Nurs Reg. 2023;13(4):54-65. doi:10.1016/s2155-8256(23)00028-5. https://psnet.ahrq.gov…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72790/psn-pdf
    March 03, 2021 - Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. March 3, 2021 Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high?income countries. BJOG. 2020;128(4):696-703. doi:10.11…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837796/psn-pdf
    August 10, 2022 - Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. August 10, 2022 Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. JAMA Pediatr. 2022;176(9):924-932. doi:10…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46372/psn-pdf
    September 13, 2017 - Impact of a successful speaking up program on health- care worker hand hygiene behavior. September 13, 2017 Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK. https://psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene- behavior Improving hand hygiene in health care f…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72804/psn-pdf
    March 03, 2021 - How to do no harm: empowering local leaders to make care safer in low-resource settings. March 3, 2021 Vincent CA, Mboga M, Gathara D, et al. How to do no harm: empowering local leaders to make care safer in low-resource settings. Arch Dis Child. 2021;106(4):333-337. doi:10.1136/archdischild-2020-320631. https://p…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42115/psn-pdf
    March 20, 2013 - Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. March 20, 2013 Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):397-403. doi:10.7326/0003-4…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37348/psn-pdf
    March 28, 2012 - Impact of duty hours restrictions on quality of care and clinical outcomes. March 28, 2012 Bhavsar J, Montgomery D, Li J, et al. Impact of duty hours restrictions on quality of care and clinical outcomes. Am J Med. 2007;120(11):968-74. https://psnet.ahrq.gov/issue/impact-duty-hours-restrictions-quality-care-and-cl…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845348/psn-pdf
    February 02, 2012 - Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. February 2, 2012 Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Am…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49656/psn-pdf
    June 01, 2012 - Comanagement: Who's in Charge? June 1, 2012 Cheng HQ. Comanagement: Who's in Charge? PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/comanagement-whos-charge The Case A 77-year-old man with a history of chronic obstructive pulmonary disease (COPD) was admitted with a left hip fracture to the orthopedic surg…

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