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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39173/psn-pdf
    November 02, 2014 - Transforming healthcare: a safety imperative. November 2, 2014 Leape L, Berwick D, Clancy C, et al. Transforming healthcare: a safety imperative. Qual Saf Health Care. 2009;18(6):424-8. doi:10.1136/qshc.2009.036954. https://psnet.ahrq.gov/issue/transforming-healthcare-safety-imperative Although significant progres…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47856/psn-pdf
    June 02, 2019 - The impact of patient–physician alliance on trust following an adverse event. June 2, 2019 Shoemaker K, Smith CP. The impact of patient-physician alliance on trust following an adverse event. Patient Educ Couns. 2019;102(7):1342-1349. doi:10.1016/j.pec.2019.02.015. https://psnet.ahrq.gov/issue/impact-patient-physi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73321/psn-pdf
    May 26, 2021 - Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals. May 26, 2021 Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hos…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73962/psn-pdf
    October 13, 2021 - Building a program of expanded peer support for the entire health care team: no one left behind. October 13, 2021 Klatt TE, Sachs JF, Huang C-C, et al. Building a program of expanded peer support for the entire health care team: no one left behind. Jt Comm J Qual Patient Saf. 2021;47(12):759-767. doi:10.1016/j.jcj…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865663/psn-pdf
    April 24, 2024 - Medication management strategies by community- dwelling older adults: a multisite qualitative analysis. April 24, 2024 Jallow F, Stehling E, Sajwani-Merchant Z, et al. Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. J Patient Saf. 2024;20(3):192-197. doi:10.10…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46472/psn-pdf
    August 20, 2018 - Wide variation and overprescription of opioids after elective surgery. August 20, 2018 Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.0000000000002365. https://psnet.ahrq.gov/issue/wide-variation-and-overp…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44461/psn-pdf
    June 21, 2016 - Outcomes of daytime procedures performed by attending surgeons after night work. June 21, 2016 Govindarajan A, Urbach DR, Kumar M, et al. Outcomes of Daytime Procedures Performed by Attending Surgeons after Night Work. N Engl J Med. 2015;373(9):845-53. doi:10.1056/NEJMsa1415994. https://psnet.ahrq.gov/issue/outcom…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40394/psn-pdf
    January 01, 2019 - Partnership for Patients. October 6, 2016 Washington, DC: US Department of Health and Human Services. https://psnet.ahrq.gov/issue/partnership-patients Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to decrease preventable harm in United States hospitals.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74179/psn-pdf
    January 01, 2022 - Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. December 12, 2021 Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst Pharm. 2022;79(4):297-305. doi:10.10…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42250/psn-pdf
    June 03, 2013 - A long-term follow-up evaluation of electronic health record prescribing safety. June 3, 2013 Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl-2012-001328. https://psnet.ahrq.gov/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39197/psn-pdf
    January 06, 2010 - Resident fatigue: is there a patient safety issue? January 6, 2010 Mitchell CD, Mooty CR, Dunn EL, et al. Resident fatigue: is there a patient safety issue? Am J Surg. 2009;198(6):811-6. doi:10.1016/j.amjsurg.2009.04.028. https://psnet.ahrq.gov/issue/resident-fatigue-there-patient-safety-issue Regulations limiting…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842763/psn-pdf
    January 18, 2023 - Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. January 18, 2023 Baldwin CA, Hanrahan K, Edmonds SW, et al. Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. Jt Comm J Qual Patien…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36003/psn-pdf
    March 28, 2011 - The "To Err Is Human Report" and the patient safety literature. March 28, 2011 Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8. https://psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature This study …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40119/psn-pdf
    January 05, 2011 - Effects of learning climate and registered nurse staffing on medication errors. January 5, 2011 Chang YK, Mark BA. Effects of Learning Climate and Registered Nurse Staffing on Medication Errors. Nurs Res. 2010;60(1). doi:10.1097/nnr.0b013e3181ff73cc. https://psnet.ahrq.gov/issue/effects-learning-climate-and-regist…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72627/psn-pdf
    January 13, 2021 - Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training January 13, 2021 Chen A, Wolpaw BJ, Vande Vusse LK, et al. Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40441/psn-pdf
    July 02, 2014 - A novel approach to increase residents' involvement in reporting adverse events. July 2, 2014 Scott DR, Weimer M, English C, et al. A novel approach to increase residents' involvement in reporting adverse events. Acad Med. 2011;86(6):742-746. doi:10.1097/ACM.0b013e318217e12a. https://psnet.ahrq.gov/issue/novel-app…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37471/psn-pdf
    February 17, 2011 - Delayed time to defibrillation after in-hospital cardiac arrest. February 17, 2011 Chan PS, Krumholz HM, Nichol G, et al. Delayed time to defibrillation after in-hospital cardiac arrest. N Engl J Med. 2008;358(1):9-17. doi:10.1056/NEJMoa0706467. https://psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospit…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44552/psn-pdf
    June 21, 2016 - Reducing diagnostic errors—why now? June 21, 2016 Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491- 2493. doi:10.1056/NEJMp1508044. https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now Diagnostic error has recently garnered attention as a patient safety pr…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853429/psn-pdf
    September 13, 2023 - Multifaceted intervention to improve patient safety incident reporting in intensive care units. September 13, 2023 Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428. doi:10.1097/pts.0000000000001…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844769/psn-pdf
    January 01, 2020 - Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? September 18, 2019 Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? BMJ Qual Saf. 2020;29(2):103-112. doi:10.1136/…

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