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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867594/psn-pdf
    January 22, 2025 - A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. January 22, 2025 Giebel C, Silva?Ribeiro W, Watson J, et al. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Int J Geriat Psychiatry. 2024;39(10):e615…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37241/psn-pdf
    December 16, 2011 - The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. December 16, 2011 Vogus TJ, Sutcliffe K. The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. Med Care. 2007;45(…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72820/psn-pdf
    March 10, 2021 - Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. March 10, 2021 Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry systems in hospitals and how they change over time: A narrative re…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60047/psn-pdf
    March 18, 2020 - A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour. March 18, 2020 O’Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73425/psn-pdf
    June 23, 2021 - A qualitative study of what care workers do to provide patient safety at home through telecare. June 23, 2021 Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at home through telecare. BMC Health Serv Res. 2021;21(1):553. doi:10.1186/s12913-021-06556-4. htt…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73188/psn-pdf
    April 28, 2021 - Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. April 28, 2021 Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):26. doi:10.1186/s12910-021-00593-8. ht…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48181/psn-pdf
    August 07, 2019 - Managing the risks of direct oral anticoagulants. August 7, 2019 Sentinel Event Alert. July 30, 2019;(61):1-5. https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants Anticoagulant medications are known to be high-risk for adverse drug events. Although direct oral anticoagulants (DOACs) require less…
  8. Title: (pdf file)

    hcup-us.ahrq.gov/datainnovations/MNAbstractFinal.pdf
    September 29, 2013 - Title: State: Minnesota Title: Using Clinically Enhanced Claims Data to Guide Treatment of Acute Heart Failure Principal Investigator: Mark Sonneborn Organization: Minnesota Hospital Association Project Dates: September 30, 2010, to September 29, 2013 Grant Number: R01 HS20043-01 The long-term objec…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61044/psn-pdf
    January 01, 2021 - Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. October 21, 2020 Liberati EG, Tarrant C, Willars J, et al. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. BMJ Qual Saf. 2021;3…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866902/psn-pdf
    October 09, 2024 - Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review. October 9, 2024 Aunger JA, Abrams R, Westbrook JI, et al. Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist r…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837595/psn-pdf
    June 29, 2022 - Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study. June 29, 2022 Gleeson LL, Ludlow A, Wallace E, et al. Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study. Explor Res Clin Soc…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45238/psn-pdf
    September 29, 2017 - Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. September 29, 2017 Fargen KM, Drolet BC, Philibert I. Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature With a Focus on Risk Factors, Tem…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855425/psn-pdf
    January 01, 2024 - Detection rates of mild cognitive impairment in primary care for the United States Medicare population. November 15, 2023 Liu Y, Jun H, Becker A, et al. Detection rates of mild cognitive impairment in primary care for the United States Medicare population. J Prev Alz Dis. 2024;11:7–12. doi:10.14283/jpad.2023.131. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74866/psn-pdf
    February 23, 2022 - Eliminating explicit and implicit biases in health care: evidence and research needs. February 23, 2022 Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/annurev-publhealth-052620- 10352…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864854/psn-pdf
    March 20, 2024 - Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population- based study. March 20, 2024 Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. Emerg Me…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851446/psn-pdf
    July 19, 2023 - Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. July 19, 2023 Aiken LH, Lasater KB, Sloane DM, et al. Physician and nurse well-being and preferred interventions to address burnout in hospital practi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37927/psn-pdf
    March 10, 2011 - A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. March 10, 2011 Matheny ME, Sequist TD, Seger AC, et al. A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. J Am Med Inform Assoc. 2008;15(4):424-9. doi:10.1197/jamia.M2602. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40254/psn-pdf
    September 19, 2016 - Medical error: the second victim. September 19, 2016 Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727. https://psnet.ahrq.gov/issue/medical-error-second-victim This editorial coined the term "second victim" to describe clinicians who commit error…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41587/psn-pdf
    September 19, 2016 - Supporting involved health care professionals (second victims) following an adverse health event: a literature review. September 19, 2016 Seys D, Scott SD, Wu AW, et al. Supporting involved health care professionals (second victims) following an adverse health event: a literature review. Int J Nurs Stud. 2013;50(5…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72544/psn-pdf
    December 09, 2020 - Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. December 9, 2020 Procaccini D, Rapaport R, Petty BG, et al. Design and Implementation of an analgesia, sedati…