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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73401/psn-pdf
    June 16, 2021 - Second victim: a traumatic experience. June 16, 2021 Wands B. AANA J. 2021;89(2):168-174. https://psnet.ahrq.gov/issue/second-victim-traumatic-experience Healthcare professionals who experience emotional consequences after adverse events are often referred to as “second victims.” Targeted towards certified registe…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43371/psn-pdf
    June 19, 2019 - Medication Safety Officer's Handbook. June 19, 2019 Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104. https://psnet.ahrq.gov/issue/medication-safety-officers-handbook This book provides information about medication errors and quality improvement to gui…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45540/psn-pdf
    November 01, 2016 - Performing the wrong procedure. November 1, 2016 Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134. https://psnet.ahrq.gov/issue/performing-wrong-procedure Describing an incorrect procedure incident which involved placement of a dialysis cath…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74249/psn-pdf
    January 12, 2022 - Medication safety issues with newly authorized PAXLOVID. January 12, 2022 Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022. https://psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid Emerging care practices can produce unsafe situations due to the newness…
  5. psnet.ahrq.gov/issue/preventability-and-causes-readmissions-national-cohort-general-medicine-patients
    January 25, 2017 - Study Classic Preventability and causes of readmissions in a national cohort of general medicine patients. Citation Text: Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients…
  6. psnet.ahrq.gov/issue/decisions-and-repercussions-second-victim-experiences-mothers-medicine-save-dr-mom
    May 18, 2022 - Study Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). Citation Text: Gupta K, Lisker S, Rivadeneira NA, et al. Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). BMJ Qual Saf. 2019;28(7):564-573.…
  7. psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
    December 23, 2020 - Study Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). Citation Text: Finney RE, Czinski S, Fjerstad K, et al. Evaluation …
  8. psnet.ahrq.gov/issue/communication-regarding-adverse-neonatal-birth-events-experiences-parents-and-clinicians
    May 13, 2020 - Study Communication regarding adverse neonatal birth events: experiences of parents and clinicians. Citation Text: Loren DL, Lyerly AD, Lipira L, et al. Communication regarding adverse neonatal birth events: experiences of parents and clinicians. J Patient Saf Risk Manag. 2021;26(5):200-…
  9. psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative
    June 15, 2022 - Study Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals. Citation Text: Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety incidents: a qualitative …
  10. psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older-adults-operam
    December 21, 2022 - Study Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. Citation Text: Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (O…
  11. psnet.ahrq.gov/issue/comparison-health-care-worker-satisfaction-vs-after-implementation-communication-and-optimal
    December 09, 2020 - Study Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals. Citation Text: Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after implementa…
  12. psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
    July 20, 2011 - Study Medication discrepancies upon hospital to skilled nursing facility transitions. Citation Text: Tjia J, Bonner A, Briesacher BA, et al. Medication discrepancies upon hospital to skilled nursing facility transitions. J Gen Intern Med. 2009;24(5):630-5. doi:10.1007/s11606-009-0948-2…
  13. psnet.ahrq.gov/issue/assessing-patients-2019-experiences-medical-injury-reconciliation-processes-item-generation
    June 16, 2021 - Study Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. Citation Text: Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item …
  14. psnet.ahrq.gov/issue/unsafe-care-residential-settings-older-adults-content-analysis-accreditation-reports
    August 16, 2023 - Study Unsafe care in residential settings for older adults. A content analysis of accreditation reports. Citation Text: Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int J Qual Health Care. 2023;35(…
  15. psnet.ahrq.gov/issue/understanding-patient-centred-readmission-factors-multi-site-mixed-methods-study
    May 08, 2017 - Study Understanding patient-centred readmission factors: a multi-site, mixed-methods study. Citation Text: Greysen R, Harrison JD, Kripalani S, et al. Understanding patient-centred readmission factors: a multi-site, mixed-methods study. BMJ Qual Saf. 2017;26(1):33-41. doi:10.1136/bmjqs-2…
  16. psnet.ahrq.gov/issue/supporting-carers-improve-patient-safety-and-maintain-their-well-being-transitions-mental
    May 31, 2023 - Study Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique. Citation Text: McMullen S, Panagioti M, Planner C, et al. Supporting carers to improve patient safety an…
  17. psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top-20-us-news-and
    May 19, 2021 - Study Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals. Citation Text: Marr R, Goyal A, Quinn M, et al. Support opportunities for second victims lessons learned: a qualitative study of the top 20 US …
  18. psnet.ahrq.gov/issue/exploring-how-ward-staff-engage-implementation-patient-safety-intervention-uk-based
    December 21, 2016 - Study Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process evaluation. Citation Text: Sheard L, Marsh C, O'Hara JK, et al. Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-ba…
  19. psnet.ahrq.gov/issue/patients-and-relatives-auditors-safe-practices-oncology-and-hematology-day-hospitals
    April 22, 2020 - Study Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. Citation Text: Rodrigo Rincón I, Irigoyen Aristorena I, Tirapu León B, et al. Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. BMC Health Ser…
  20. psnet.ahrq.gov/issue/establishing-international-baseline-medication-safety-oncology-findings-2012-ismp
    May 14, 2009 - Study Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. Citation Text: Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in…

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