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  1. 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:/…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836807/psn-pdf
    March 30, 2022 - Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. March 30, 2022 Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. NEJM Catal Innov Care Deliv. 2022;3(4). https://p…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45014/psn-pdf
    July 18, 2016 - Improving patient safety through simulation training in anesthesiology: where are we? July 18, 2016 Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523. https://psnet.ahrq.gov/issue/impro…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837731/psn-pdf
    July 27, 2022 - Predictors and outcomes of patient safety culture: a cross-sectional comparative study. July 27, 2022 Mrayyan MT. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ Open Qual. 2022;11(3):e001889. doi:10.1136/bmjoq-2022-001889. https://psnet.ahrq.gov/issue/predictors-and-out…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837331/psn-pdf
    June 08, 2022 - Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? June 8, 2022 Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? Int Emerg Nurs. 2022;63:101174. doi:10.1016/j.i…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866639/psn-pdf
    September 04, 2024 - Relationship between patient safety culture and patient experience in hospital settings: a scoping review. September 4, 2024 Alabdaly A, Hinchcliff R, Debono D, et al. Relationship between patient safety culture and patient experience in hospital settings: a scoping review. BMC Health Serv Res. 2024;24(1):906. doi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45734/psn-pdf
    January 23, 2017 - Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score? January 23, 2017 Voepel-Lewis T, Malviya S, Tait AR. Inappropriate Opioid Dosing and Prescribing for Children: An Unintended Consequence of the Clinical Pain Score? JAMA Pediatr. 2017;171(1):5-6. doi:10.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837147/psn-pdf
    May 18, 2022 - Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses. May 18, 2022 Strube?Lahmann S, Müller?Werdan U, Klingelhöfer?Noe J, et al. Patient safety in home care: A multicenter cross?sectional study about medication errors and medication management…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837677/psn-pdf
    July 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022 Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186. https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-…

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