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  1. 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…
  2. 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 …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35436/psn-pdf
    September 15, 2009 - Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. September 15, 2009 Halm M, Peterson M, Kandels M, et al. Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. Clin Nurse Spec. 2005;19(5):241-254. https://psnet.ahrq.gov/issue/hosp…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841141/psn-pdf
    December 07, 2022 - Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. December 7, 2022 Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and n…
  9. 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…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37871/psn-pdf
    January 06, 2017 - A controlled trial of a rapid response system in an academic medical center. January 6, 2017 Rothschild JM, Woolf S, Finn KM, et al. A controlled trial of a rapid response system in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(7):417-25, 365. https://psnet.ahrq.gov/issue/controlled-trial-rapid-r…
  12. 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/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40859/psn-pdf
    October 19, 2011 - Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. October 19, 2011 Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic health records do not provide th…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36457/psn-pdf
    May 27, 2011 - Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. May 27, 2011 Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order entry. J Am Med Inform Assoc. 2007;14(1):41-7.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60524/psn-pdf
    May 27, 2020 - Varying rates of patient identity verification when using computerized provider order entry. May 27, 2020 Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928. doi:10.1093/jamia/ocaa047. https:/…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46009/psn-pdf
    September 13, 2017 - Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. September 13, 2017 Redley B, Raggatt M. Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. BMJ Qual Sa…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35907/psn-pdf
    October 03, 2017 - Transparent and open discussion of errors does not increase malpractice risk in trauma patients. October 3, 2017 Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9; discussion 649-51. https://psne…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37655/psn-pdf
    September 24, 2010 - Reducing anticoagulant medication adverse events and avoidable patient harm. September 24, 2010 Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. https://psnet.ahrq.gov/issue/reducing-anticoagulant…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44127/psn-pdf
    September 28, 2017 - Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it? September 28, 2017 Gawande A. The New Yorker. May 2015 https://psnet.ahrq.gov/issue/overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and- financially-what The overuse…