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  1. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/facilitator-guide.html
    July 01, 2023 - Facilitator Guide AHRQ Safety Program for Perinatal Care, Phase 2 The Facilitator Guide provides guidance with scheduling and conducting facilitation sessions, which are planned, in-person, semistructured, interdisciplinary conversations, and practice opportunities with tier 1 audience members. The Planning F…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73138/psn-pdf
    April 14, 2021 - An act of performance: exploring residents' decision- making processes to seek help. April 14, 2021 Jansen I, Stalmeijer RE, Silkens MEWM, et al. An act of performance: exploring residents’ decision? making processes to seek help. Med Educ. 2021;55(6):758-767. doi:10.1111/medu.14465. https://psnet.ahrq.gov/issue/a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837058/psn-pdf
    May 11, 2022 - Establishing psychological safety in clinical supervision: multi-professional perspectives. May 11, 2022 Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi? professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111/tct.13451. https://psnet.ahrq.gov/issu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36698/psn-pdf
    February 24, 2011 - The impact of duty hours on resident self reports of errors. February 24, 2011 Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9. https://psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors Residency programs…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837853/psn-pdf
    August 17, 2022 - RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. August 17, 2022 Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60791/psn-pdf
    August 12, 2020 - Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. August 12, 2020 Dekker - van Doorn C, Wauben LSGL, van Wijngaarden JDH, et al. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. BMC Health Serv Res. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856637/psn-pdf
    November 29, 2023 - Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow- Up Care at the Phoenix VA Health Care System in Arizona. November 29, 2023 Washington DC; VA Office of the Inspector General; October 31, 2023; Report no. 22-03599-07. https://psnet.ahrq.gov/issue/deficiencies-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34848/psn-pdf
    February 17, 2011 - Improving patient safety—five years after the IOM report. February 17, 2011 Altman DE, Clancy CM, Blendon RJ. Improving Patient Safety — Five Years after the IOM Report. New Engl J Med. 2004;351(20):2041-2043. doi:10.1056/nejmp048243. https://psnet.ahrq.gov/issue/improving-patient-safety-five-years-after-iom-report…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45640/psn-pdf
    September 01, 2018 - Case outcomes in a communication-and-resolution program in New York hospitals. September 1, 2018 Mello MM, Greenberg Y, Senecal SK, et al. Case Outcomes in a Communication-and-Resolution Program in New York Hospitals. Health Serv Res. 2016;51 Suppl 3:2583-2599. doi:10.1111/1475-6773.12594. https://psnet.ahrq.gov/i…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860732/psn-pdf
    April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. April 16, 2024 Dorset, UK: Health Services Safety Investigations Body; April 2024. https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs- serious-incident …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867010/psn-pdf
    October 23, 2024 - Patient safety culture in hospital settings across continents: a systematic review. October 23, 2024 Alabdullah H, Karwowski W. Patient safety culture in hospital settings across continents: a systematic review. Appl Sci. 2024;14(18):8496. doi:10.3390/app14188496. https://psnet.ahrq.gov/issue/patient-safety-cultur…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47495/psn-pdf
    October 31, 2018 - Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. October 31, 2018 Mianda S, Voce A. Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. BMC Health Serv Res. 2018;18(1):…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45292/psn-pdf
    September 07, 2016 - Electronic approaches to making sense of the text in the adverse event reporting system. September 7, 2016 Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhrm.21237. https://psnet.ahrq.go…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837059/psn-pdf
    May 11, 2022 - Anti-black racism as a chronic condition. May 11, 2022 Sederstrom N, Lasege T. Anti-black racism as a chronic condition. Hastings Cent Rep. 2022;52(S1):s24- s29. doi:10.1002/hast.1364. https://psnet.ahrq.gov/issue/anti-black-racism-chronic-condition Racial bias and systemic racism in healthcare are increasingly se…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47759/psn-pdf
    February 06, 2019 - California doctors alarmed as state links their opioid prescriptions to deaths. February 6, 2019 Dembosky A. All Things Considered and KQED. January 23, 2019. https://psnet.ahrq.gov/issue/california-doctors-alarmed-state-links-their-opioid-prescriptions-deaths Policy, practice, and communication strategies have be…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47298/psn-pdf
    September 24, 2018 - Physician engagement in malpractice risk reduction: a UPHS case study. September 24, 2018 Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.009. https://psnet.ahrq.gov/issue/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47015/psn-pdf
    May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal error. May 9, 2018 Porter S. HealthLeaders Media. April 26, 2018. https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45218/psn-pdf
    June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. June 15, 2016 Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46445/psn-pdf
    December 19, 2017 - An appeal for evidence-based resident duty hours reform. December 19, 2017 Khoong EC, Linker AS. An Appeal for Evidence-Based Resident Duty Hours Reform. JAMA Intern Med. 2017;177(11):1555-1556. doi:10.1001/jamainternmed.2017.4469. https://psnet.ahrq.gov/issue/appeal-evidence-based-resident-duty-hours-reform The i…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36837/psn-pdf
    December 03, 2018 - Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. December 3, 2018 Weick KE, Sutcliffe KM. Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary. Calif Manage Rev. 2012;45(2):73-84. doi:10.2307/41166166. https://psnet.ahrq.gov/issue/hospitals-cultures-en…