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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37295/psn-pdf
    February 24, 2011 - Limited health literacy is a barrier to medication reconciliation in ambulatory care. February 24, 2011 Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6. https://psnet.ahrq.gov/issue/limited-health-li…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865526/psn-pdf
    April 10, 2024 - Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. April 10, 2024 Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback fro…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865661/psn-pdf
    April 24, 2024 - Pay-for-performance and patient safety in acute care: a systematic review. April 24, 2024 Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. https://psnet.ahrq.gov/issue/pay-pe…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41389/psn-pdf
    June 27, 2012 - Can we make postoperative patient handovers safer? A systematic review of the literature. June 27, 2012 Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115(1):102-15. doi:10.1213/ANE.0b013e318253af4b. https:/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860717/psn-pdf
    January 17, 2024 - A combined assessment tool of teamwork, communication, and workload in hospital procedural units. January 17, 2024 Weaver BW, Murphy DJ. A combined assessment tool of teamwork, communication, and workload in hospital procedural units. Jt Comm J Qual Patient Saf. 2024;50(3):219-227. doi:10.1016/j.jcjq.2023.10.014. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837806/psn-pdf
    August 10, 2022 - Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. August 10, 2022 Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. J Public Health Manag Pract. 2022;28(5):505-512. doi:…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42922/psn-pdf
    April 12, 2014 - Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. April 12, 2014 Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. Jt Comm J Qual Patient S…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60005/psn-pdf
    March 04, 2020 - What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. March 4, 2020 Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage Patients In Learning From Errors. Washin…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46420/psn-pdf
    September 20, 2017 - Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors. September 20, 2017 True G, Frasso R, Cullen SW, et al. Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and protective factors. Gen Hosp Psych…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36045/psn-pdf
    November 10, 2011 - IHI announces that hospitals participating in 100,000 Lives Campaign have saved an estimated 122,300 lives. November 10, 2011 https://psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved- estimated-122300-lives In December 2004, the Institute for Healthcare Improvement (IHI) …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73209/psn-pdf
    May 05, 2021 - Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study. May 5, 2021 Adie K, Fois RA, McLachlan AJ, et al. Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch stud…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837901/psn-pdf
    August 24, 2022 - Trial and error: learning from malpractice claims in childhood surgery. August 24, 2022 Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033. https://psnet.ahrq.gov/issue/trial-and-error-learning-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846708/psn-pdf
    March 29, 2023 - Anesthesiology patient handoff education interventions: a systematic review. March 29, 2023 Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.12.002. https://psnet.ahrq.gov/issu…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35418/psn-pdf
    June 14, 2011 - Anatomic pathology databases and patient safety. June 14, 2011 Raab SS, Grzybicki DM, Zarbo RJ, et al. Anatomic pathology databases and patient safety. Arch Pathol Lab Med. 2005;129(10):1246-1251. https://psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety This AHRQ-funded project describes the de…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45815/psn-pdf
    January 25, 2017 - Handoffs: transitions of care for children in the emergency department. January 25, 2017 American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association Pediatric Committee. Pediatrics. 2016;138:…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38330/psn-pdf
    September 24, 2010 - Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. September 24, 2010 Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. Jt Comm J Qu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50943/psn-pdf
    February 26, 2020 - Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. February 26, 2020 van Dael J, Reader TW, Gillespie A, et al. Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. BMJ Qual S…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866688/psn-pdf
    September 11, 2024 - Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. September 11, 2024 Benetti PJ, Kanse L, Fruhen LS, et al. Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. Safety Sci. 2024;…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864381/psn-pdf
    March 13, 2024 - Patient safety near misses – still missing opportunities to learn. March 13, 2024 Woodier N, Burnett C, Sampson P, et al. Patient safety near misses – still missing opportunities to learn. J Patient Saf Risk Manag. 2023;29(1):47-53. doi:10.1177/25160435231220430. https://psnet.ahrq.gov/issue/patient-safety-near-mi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47400/psn-pdf
    November 28, 2018 - Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. November 28, 2018 Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. doi:10.1136/bmjopen-2018-022202…

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