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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73184/psn-pdf
    April 28, 2021 - Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. April 28, 2021 Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Jt Comm J Qual Patient Saf. 2021;47(4):242-249. doi:10.101…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865703/psn-pdf
    May 01, 2024 - Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. May 1, 2024 McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. In…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845071/psn-pdf
    February 22, 2023 - Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals. February 22, 2023 Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61069/psn-pdf
    October 28, 2020 - Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, survey and interview data. October 28, 2020 O’Donovan R, McAuliffe E. Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, surve…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60725/psn-pdf
    July 29, 2020 - The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. July 29, 2020 Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decis…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74002/psn-pdf
    October 27, 2021 - EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? October 27, 2021 Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12873-021-00508-1. https://psnet.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34651/psn-pdf
    March 04, 2011 - Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 4, 2011 Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. BMJ. 2000;320(7237):741-4. https://psnet.ahrq.g…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34888/psn-pdf
    March 11, 2019 - "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. March 11, 2019 Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary care. Arch Intern Med. 2004;164(20):…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61122/psn-pdf
    January 01, 2022 - Implementing high-reliability organization principles into practice: a rapid evidence review. November 11, 2020 Veazie S, Peterson K, Bourne D, et al. Implementing high-reliability organization principles into practice: a rapid evidence review. J Patient Saf. 2022;18(1):e320-e328. doi:10.1097/pts.0000000000000768. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837145/psn-pdf
    May 18, 2022 - Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. May 18, 2022 Savva G, Papastavrou E, Charalambous A, et al. Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837663/psn-pdf
    July 13, 2022 - Long-term risk of overdose or mental health crisis after opioid dose tapering. July 13, 2022 Fenton JJ, Magnan E, Tseregounis IE, et al. Long-term risk of overdose or mental health crisis after opioid dose tapering. JAMA Netw Open. 2022;5(6):e2216726. doi:10.1001/jamanetworkopen.2022.16726. https://psnet.ahrq.gov/…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47846/psn-pdf
    March 06, 2019 - Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl products. March 6, 2019 Rollman JE, Heyward J, Olson L, et al. Assessment of the FDA Risk Evaluation and Mitigation Strategy for Transmucosal Immediate-Release Fentanyl Products. JAMA. 2019;321(7):676-685. do…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845636/psn-pdf
    March 08, 2023 - The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. March 8, 2023 Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. Health Care Manage Rev. 2023;48(2):…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35551/psn-pdf
    June 08, 2010 - Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. June 8, 2010 Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthesiology. 2005;103(6):1121-1129. https…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46121/psn-pdf
    January 01, 2021 - Quality of handoffs in community pharmacies. May 10, 2017 Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2021;17(6):405-411. doi:10.1097/PTS.0000000000000382. https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies Handoffs present a significant patient …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45362/psn-pdf
    January 23, 2017 - Capturing essential information to achieve safe interoperability. January 23, 2017 Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. https://psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability T…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60637/psn-pdf
    July 01, 2020 - Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. July 1, 2020 Balsom C, Pittman N, King R, et al. Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. Int J Clin Pharm. 2020;4…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837025/psn-pdf
    May 04, 2022 - Central venous catheter guidewire retention: lessons from England's never event database. May 4, 2022 Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10.1097/pts.0000000000000826. https:/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60175/psn-pdf
    April 01, 2020 - ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. April 1, 2020 American College of Radiology. March 11, 2020. https://psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct- suspected-covid-19 As COVID-19 s…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50866/psn-pdf
    February 05, 2020 - Effectiveness of acute care remote triage systems: a systematic review. February 5, 2020 Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4. https://psnet.ahrq.gov/issue/effectiveness-…