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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843054/psn-pdf
    January 25, 2023 - Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. January 25, 2023 Nilsson L, Lindblad M, Johansson N, et al. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. Int J Nurs Stud. 2022;138:1044…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850917/psn-pdf
    June 21, 2023 - Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. June 21, 2023 Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Safety Sci. 2023;165:106200. doi:10.1016/j.ssci.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72568/psn-pdf
    January 01, 2021 - Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. December 16, 2020 Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptio…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854991/psn-pdf
    November 01, 2023 - Assessing biases in medical decisions via clinician and AI chatbot responses to patient vignettes. November 1, 2023 Kim J, Cai ZR, Chen ML, et al. Assessing biases in medical decisions via clinician and AI chatbot responses to patient vignettes. JAMA Netw Open. 2023;6(10):e2338050. doi:10.1001/jamanetworkopen.2023…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837200/psn-pdf
    May 25, 2022 - Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. May 25, 2022 Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause ana…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41352/psn-pdf
    May 09, 2012 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. May 9, 2012 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration—2011. American Journal of Health-System Pharmacy. 2012;69(9). doi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837589/psn-pdf
    June 29, 2022 - Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. June 29, 2022 Isaksson S, Schwarz A, Rusner M, et al. Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. J Patient Saf. 2022;18(4):325-3…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35486/psn-pdf
    December 06, 2011 - The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? December 6, 2011 Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Cornell Law Rev. 2005;90(4):893-993.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73917/psn-pdf
    October 06, 2021 - Reporting of health information technology system- related patient safety incidents: the effects of organizational justice. October 6, 2021 Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. Safety…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866312/psn-pdf
    July 17, 2024 - Development of patient safety measures to identify inappropriate diagnosis of common infections. July 17, 2024 White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-1411. doi:10.1093/cid/ciae044. https…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866556/psn-pdf
    August 21, 2024 - Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. August 21, 2024 Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. J Med Internet Res. 2024…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842765/psn-pdf
    January 18, 2023 - Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. January 18, 2023 Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. Milbank Q. 2022;100(4)…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73315/psn-pdf
    May 26, 2021 - What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. May 26, 2021 Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. J Pati…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73288/psn-pdf
    May 19, 2021 - 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. May 19, 2021 Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. Pa…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60316/psn-pdf
    January 01, 2021 - Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. May 13, 2020 Hamadi H, Borkar SR, DHA LRM, et al. Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. J Patient Saf. 2021;17(8):e1814-e1820. doi:10.1…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37040/psn-pdf
    April 11, 2011 - The host hospital 24-hour underreferral rate: an automated measure of call-center safety. April 11, 2011 Hirsh DA, Simon HK, Massey R, et al. The host hospital 24-hour underreferral rate: an automated measure of call-center safety. Pediatrics. 2007;119(6):1139-1144. https://psnet.ahrq.gov/issue/host-hospital-24-ho…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73368/psn-pdf
    June 09, 2021 - Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture: a cross-national cross-sectional study. June 9, 2021 Gambashidze N, Hammer A, Wagner A, et al. Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture…
  18. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/time-value-map
    January 01, 2023 - Time Value Map Also Known As Value-Added Time Analysis Description Time value maps provide a visual representation of time in a process, demonstrating whether the time is value-added (VA) or non-value-added (NVA). Uses To visually portray value-added and non-value-added time in a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73242/psn-pdf
    May 12, 2021 - Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. May 12, 2021 Longhini J, Papastavrou E, Efstathiou G, et al. Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. J Nurs Manag. 20…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60319/psn-pdf
    May 13, 2020 - Predictors of nursing home nurses' willingness to report medication near-misses. May 13, 2020 Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-03. https://psnet.ahrq.gov/issue/pre…