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9701. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73303/psn-pdf
      May 26, 2021 - Safety Culture in EMS May 26, 2021 Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/safety-culture-ems Defining a Just Culture A Just Culture is one that supports transparent and honest error reporting with the goal of fostering an environmen…

9702. Reporting Patient Safety Events | PSNet
      psnet.ahrq.gov/primer/reporting-patient-safety-events
      March 30, 2022 - Reporting Patient Safety Events Citation Text: Reporting Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

9703. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33872/psn-pdf
      January 01, 2018 - Update: Patient Engagement in Safety January 1, 2018 Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/update-patient-engagement-safety Annual Perspective 2018 Background Patient engagement has become a cornerstone of patient safety. A Patient Saf…

9704. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46478/psn-pdf
      March 27, 2018 - Promote a culture of safety with good catch reports. March 27, 2018 Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14. https://psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports Near misses or good catches present organizations with learning opportunities. Using data compariso…

9705. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73569/psn-pdf
      August 04, 2021 - Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021 Morris AH, Stagg B, Lanspa M, et al. Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.…

9706. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846164/psn-pdf
      March 15, 2023 - Crowding in the Emergency Department: Challenges for the Care of Children. March 15, 2023 Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10.1542/peds.2022-060971. https://psnet.ahrq.gov/issue/crowdin…

9707. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47344/psn-pdf
      September 11, 2018 - Quality and Safety Between Ward and Board: a Biography of Artefacts Study. September 11, 2018 Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2018. https://psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study The …

9708. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45564/psn-pdf
      October 03, 2017 - Fostering transparency in outcomes, quality, safety, and costs. October 3, 2017 Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs. JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039. https://psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-a…

9709. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48141/psn-pdf
      July 24, 2019 - Evidence Brief: Implementation of High Reliability Organization Principles. July 24, 2019 Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019. https://psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles This brief evalu…

9710. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34691/psn-pdf
      May 18, 2016 - Error in medicine. May 18, 2016 Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857. https://psnet.ahrq.gov/issue/error-medicine Leape discusses how traditional methods of error reduction in medicine have focused on individual performance rather than on the systems in which individuals operate. With reference…

9711. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72695/psn-pdf
      February 03, 2021 - Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery. February 3, 2021 Arshad SA, Ferguson DM, Garcia EI, et al. Implementation of a Parent-centered Approach to the Preinduction Checklist in Pediatric Surgery. J Surg Res. 2021;257:455-461. doi:10.1016/j.jss.2020.08.026. h…

9712. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45358/psn-pdf
      August 24, 2016 - Healthcare staff wellbeing, burnout, and patient safety: a systematic review. August 24, 2016 Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016;11(7):e0159015. doi:10.1371/journal.pone.0159015. https://psnet.ahrq.gov/issue/healthcare-sta…

9713. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43704/psn-pdf
      November 26, 2014 - Magnet in Support of Patient Safety. November 26, 2014 Lewis L, ed. J Nurs Adm. 2014;44(suppl 10):S1-S53. https://psnet.ahrq.gov/issue/magnet-support-patient-safety The Magnet Hospital Program recognizes hospitals with a track record of maintaining an excellent work environment for nurses. Articles in this special…

9714. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73075/psn-pdf
      March 24, 2021 - Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. March 24, 2021 ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(5):1-6. https://psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety- challenges Skin patches are a conveni…

9715. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46271/psn-pdf
      January 30, 2018 - Debiasing health-related judgments and decision making: a systematic review. January 30, 2018 Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672. https://psnet.ahrq.gov/issue/debiasing-health-related-jud…

9716. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46901/psn-pdf
      May 30, 2018 - Physician resiliency and wellness for transforming a health system. May 30, 2018 Armato CS, Jenike TE. NEJM Catalyst. May 2, 2018. https://psnet.ahrq.gov/issue/physician-resiliency-and-wellness-transforming-health-system Physician burnout can contribute to medical errors. This article discusses an organizational e…

9717. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46479/psn-pdf
      October 04, 2017 - Managing the Costs of Clinical Negligence in Trusts. October 4, 2017 Comptroller and Auditor General, Department of Health; London, UK: National Audit Office; 2017. ISBN: 9781786041395. https://psnet.ahrq.gov/issue/managing-costs-clinical-negligence-trusts Applying evidence generated from complaints submitted to h…

9718. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855437/psn-pdf
      November 15, 2023 - Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. November 15, 2023 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2023. ISBN: 9780309711937. https://psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-h…

9719. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48133/psn-pdf
      November 01, 2024 - The NHS Patient Safety Strategy. November 1, 2024 NHS England https://psnet.ahrq.gov/issue/nhs-patient-safety-strategy The United Kingdom National Health Service (NHS) has been at the forefront of patient safety innovation. This strategy seeks to further implement approaches that explore and optimize the intersect…

9720. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46517/psn-pdf
      November 01, 2017 - Joy in medical practice: clinician satisfaction in the Healthy Work Place trial. November 1, 2017 Linzer M, Sinsky CA, Poplau S, et al. Joy In Medical Practice: Clinician Satisfaction In The Healthy Work Place Trial. Health Aff (Millwood). 2017;36(10):1808-1814. doi:10.1377/hlthaff.2017.0790. https://psnet.ahrq.go…