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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837730/psn-pdf
    January 01, 2023 - Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. July 28, 2022 Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. Prehosp Emerg Care. 2023;27(5):669-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47250/psn-pdf
    September 26, 2018 - Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. September 26, 2018 Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42964/psn-pdf
    May 10, 2014 - What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. May 10, 2014 Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencies Crisis Manage. 2014;22(2):81-96. d…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47374/psn-pdf
    April 07, 2019 - Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. April 7, 2019 Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the literature. Int J Health Plann Manage. 20…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61118/psn-pdf
    January 01, 2021 - Bracing for the storm: one health care system's planning for the COVID-19 surge. November 11, 2020 Kim CS, Meo N, Little D, et al. Bracing for the storm: one health care system's planning for the COVID-19 surge. Jt Comm J Qual Patient Saf. 2021;47(1):60-68. doi:10.1016/j.jcjq.2020.09.007. https://psnet.ahrq.gov/is…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45445/psn-pdf
    September 27, 2016 - Using Kotter's change model for implementing bedside handoff: a quality improvement project. September 27, 2016 Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.1097/NCQ.0000000000000212. https:/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39462/psn-pdf
    April 21, 2010 - Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. April 21, 2010 Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010;35(2):134-146. doi:10.1097/HMR.0b0…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44047/psn-pdf
    September 09, 2015 - Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. September 9, 2015 Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non- urgent, clinically significant test results in the elect…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60844/psn-pdf
    August 26, 2020 - Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. August 26, 2020 Gabrysz-Forget F, Young M, Zahabi S, et al. Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fell…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865816/psn-pdf
    May 08, 2024 - The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. May 8, 2024 Sama SR, Quinn MM, Gore RJ, et al. The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. J Appl Gerontol. 2024;43(11):1595-1604. doi:10.1177/07334648241246472. https://psnet…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850928/psn-pdf
    June 21, 2023 - Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. June 21, 2023 Ming Y, Meehan R. Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. J P…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45365/psn-pdf
    August 03, 2016 - Workarounds and test results follow-up in electronic health record–based primary care. August 3, 2016 Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135. https://psnet.ahrq.g…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42918/psn-pdf
    February 05, 2014 - Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. February 5, 2014 Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Health Aff (M…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853622/psn-pdf
    January 01, 2024 - Enhancing patient safety: a national standard for cyber resiliency in healthcare. September 20, 2023 Samuelson-Kiraly C, Mitchell JI, Kingston D, et al. Enhancing patient safety: A national standard for cyber resiliency in healthcare. Healthc Manage Forum. 2024;37(1):9-12. doi:10.1177/08404704231196138. https://ps…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866253/psn-pdf
    July 10, 2024 - Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. July 10, 2024 Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. Ane…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863753/psn-pdf
    March 06, 2024 - Towards a common framework to support decision- making in high-risk, low-time environments. March 6, 2024 Launder D, Penney G. Towards a common framework to support decision?making in high?risk, low?time environments. J Contin Crisis Manag. 2023;31(4):862-876. doi:10.1111/1468-5973.12487. https://psnet.ahrq.gov/is…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60054/psn-pdf
    March 18, 2020 - Ensuring successful implementation of communication- and-resolution programmes. March 18, 2020 Mello MM, Roche S, Greenberg Y, et al. Ensuring successful implementation of communication-and- resolution programmes. BMJ Qual Saf. 2020;29(11):895-904. doi:10.1136/bmjqs-2019-010296. https://psnet.ahrq.gov/issue/ensuri…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47522/psn-pdf
    January 01, 2021 - Examining medical office owners and clinicians perceptions on patient safety climate. November 7, 2018 Mazurenko O, Richter J, Kazley AS, et al. Examining Medical Office Owners and Clinicians Perceptions on Patient Safety Climate. J Patient Saf. 2021;17(8):e1537-e1545. doi:10.1097/PTS.0000000000000540. https://psn…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73215/psn-pdf
    May 05, 2021 - To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. May 5, 2021 Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2021;26(2):64-73. doi:10.1177/2516043521990…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866279/psn-pdf
    July 10, 2024 - Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. July 10, 2024 Pronovost PJ, Carrington EM. Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. BMJ Qual Saf. 2024;33(11):755-758. doi…