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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47009/psn-pdf
    December 21, 2018 - Perceptions of rounding checklists in the intensive care unit: a qualitative study. December 21, 2018 Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218. https://psnet.ahrq.gov/issue/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837811/psn-pdf
    August 10, 2022 - Examining the Status of VA’s Electronic Health Record Modernization Program. August 10, 2022 US Senate Committee on Veterans Affairs. 117th Cong (2021-2022). (July 20, 2022). https://psnet.ahrq.gov/issue/examining-status-vas-electronic-health-record-modernization-program Large-scale electronic health record (EHR) …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45270/psn-pdf
    June 29, 2016 - Using contemporary leadership skills in medication safety programs. June 29, 2016 Hertig JB, Hultgren KE, Weber RJ. Using Contemporary Leadership Skills in Medication Safety Programs. Hosp Pharm. 2016;51(4):338-44. doi:10.1310/hpj5104-338. https://psnet.ahrq.gov/issue/using-contemporary-leadership-skills-medicatio…
  4. 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42382/psn-pdf
    July 16, 2014 - Huddling for high reliability and situation awareness. July 16, 2014 Goldenhar LM, Brady PW, Sutcliffe K, et al. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906. doi:10.1136/bmjqs-2012-001467. https://psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness Se…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43647/psn-pdf
    November 12, 2014 - Mid Staffordshire NHS Foundation Trust Quality Report. November 12, 2014 Newcastle Upon Tyne, UK: Care Quality Commission; October 9, 2014. https://psnet.ahrq.gov/issue/mid-staffordshire-nhs-foundation-trust-quality-report The Mid Staffordshire Trust has been under much scrutiny in recent years. This report highlig…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836932/psn-pdf
    April 13, 2022 - Nurses: Guilty verdict for dosing mistake could cost lives. April 13, 2022 Loller T. Associated Press. March 30, 2022. https://psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives Reporting medical errors, learning from them, and improving systems is a cornerstone of improving patien…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48147/psn-pdf
    July 24, 2019 - Patient Safety Ethics: How Vigilance, Mindfulness, Compliance, and Humility can Make Healthcare Safer. July 24, 2019 Banja JD. Baltimore, MD: Johns Hopkins University Press; 2019. ISBN: 9781421429083. https://psnet.ahrq.gov/issue/patient-safety-ethics-how-vigilance-mindfulness-compliance-and-humility-can- make-hea…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46138/psn-pdf
    May 31, 2017 - An innovative collaborative model of care for undiagnosed complex medical conditions. May 31, 2017 Nageswaran S, Donoghue N, Mitchell A, et al. An Innovative Collaborative Model of Care for Undiagnosed Complex Medical Conditions. Pediatrics. 2017;139(5):e20163373. doi:10.1542/peds.2016-3373. https://psnet.ahrq.gov…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44749/psn-pdf
    December 27, 2018 - Southern Baptist Hospital of Florida v. Charles. December 27, 2018 Fla Ct App, 1st Dist. October 28, 2015. https://psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles The Patient Safety and Quality Improvement Act (PSQIA) provides federal protection of adverse event reports voluntarily submitted to pa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72813/psn-pdf
    March 10, 2021 - Racial/ethnic inequities in pregnancy-related morbidity and mortality. March 10, 2021 Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and mortality. Obstet Gynecol Clin North Am. 2021;48(1):31-51. doi:10.1016/j.ogc.2020.11.005. https://psnet.ahrq.gov/issue/racialet…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47076/psn-pdf
    August 15, 2018 - Incident learning in radiation oncology: a review. August 15, 2018 Ford E, Evans SB. Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. doi:10.1002/mp.12800. https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review Learning from adverse events is a core component of …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60669/psn-pdf
    July 08, 2020 - Participation in a system-thinking simulation experience changes adverse event reporting. July 8, 2020 Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473. https://psnet.ahrq.gov/issue/parti…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45181/psn-pdf
    June 22, 2016 - Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. June 22, 2016 Kristensen S, Christensen KB, Jaquet A, et al. Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. BMJ Open…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42274/psn-pdf
    May 22, 2013 - Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships? May 22, 2013 Philibert I, Nasca TJ, Brigham T, et al. Duty-hour limits and patient care and resident outcomes: can high- quality studies offer insight into complex relationships? Annu Rev Med…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60878/psn-pdf
    January 01, 2021 - Intervention study for the reduction of medication errors in elderly trauma patients. September 2, 2020 Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(1):160-166. doi:10.1111/jep.134…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74693/psn-pdf
    January 26, 2022 - Including the reason for use on prescriptions sent to pharmacists: scoping review. January 26, 2022 Mercer K, Carter C, Burns C, et al. Including the reason for use on prescriptions sent to pharmacists: scoping review. JMIR Hum Factors. 2021;8(4):e22325. doi:10.2196/22325. https://psnet.ahrq.gov/issue/including-re…
  19. 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842759/psn-pdf
    January 18, 2023 - Cognitive aids in the management of clinical emergencies: a systematic review. January 18, 2023 Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939. https://psnet.ahrq.gov/issue/cognitive-aids…

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