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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73479/psn-pdf
    July 07, 2021 - Mitigating the July effect. July 7, 2021 Wu AW, Vincent CA, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag. 2021;26(3):93-96. doi:10.1177/25160435211019142. https://psnet.ahrq.gov/issue/mitigating-july-effect The July effect is a phenomenon that presumably results in poor care due to the a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845079/psn-pdf
    February 22, 2023 - Pump up the volume: how to prioritize events and analyze error data. February 22, 2023 ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4. https://psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data Patient safety event reporting is an established component of a …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36841/psn-pdf
    December 31, 2014 - Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. December 31, 2014 Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. https://psnet.ahrq.gov/issue/using-medica…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855435/psn-pdf
    November 15, 2023 - Technology, Education and Safety November 15, 2023 Arnal-Velasco, D, ed. Curr Opin Anaesthesiol. 2023;36(6):649-705. https://psnet.ahrq.gov/issue/technology-education-and-safety-2 Adoption of new ideas is necessary to create safety in the perioperative environment. This collection of reviews illustrates relationsh…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35859/psn-pdf
    July 22, 2010 - A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. July 22, 2010 Weinstein L. A multifacited approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Am J Obstet Gynecol. 2006;194(4):1160-5; discu…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38269/psn-pdf
    October 01, 2024 - Nursing Home Survey on Patient Safety Culture. October 1, 2024 Rockville, MD: Agency for Healthcare Research and Quality; October 2020. https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture Challenges to establishing and sustaining a safety culture in a nursing home include insufficient staffing …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34655/psn-pdf
    May 21, 2019 - Organizational culture as a source of high reliability. May 21, 2019 Weick KE. Organizational Culture as a Source of High Reliability. Calif Manage Rev. 2012;29(2):112-127. doi:10.2307/41165243. https://psnet.ahrq.gov/issue/organizational-culture-source-high-reliability The author proposes that, as organizations a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45750/psn-pdf
    February 01, 2017 - Cognitive biases associated with medical decisions: a systematic review. February 1, 2017 Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138. https://psnet.ahrq.gov/issue/cognitive-biases-associated-medical-de…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73606/psn-pdf
    August 18, 2021 - Broadening the concept of patient safety culture through value-based healthcare. August 18, 2021 Dombrádi V, Bíró K, Jonitz G, et al. Broadening the concept of patient safety culture through value-based healthcare. J Health Organ Manag. 2021;35(5):541-549. doi:10.1108/jhom-07-2020-0287. https://psnet.ahrq.gov/issu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45994/psn-pdf
    January 01, 2019 - Common predictors of nurse-reported quality of care and patient safety. December 21, 2018 Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155. https://psnet.ahrq.gov/issue/common-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45801/psn-pdf
    August 03, 2017 - Overcoming diagnostic errors in medical practice. August 3, 2017 Bordini BJ, Stephany A, Kliegman RM. Overcoming Diagnostic Errors in Medical Practice. J Pediatr. 2017;185. doi:10.1016/j.jpeds.2017.02.065. https://psnet.ahrq.gov/issue/overcoming-diagnostic-errors-medical-practice This commentary describes a progra…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43898/psn-pdf
    February 11, 2015 - Special Section on Patient Safety and Quality in Healthcare. February 11, 2015 Andersen HB, Lipczak H, Borch-Johnsen K, eds. Cogn Technol Work. 2015;17:1-155. https://psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare Articles in this special issue explore patient safety from a sociotechnic…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39220/psn-pdf
    January 13, 2010 - The relationship between physician practice characteristics and physician adoption of electronic health records. January 13, 2010 Bramble JD, Galt KA, Siracuse M, et al. The relationship between physician practice characteristics and physician adoption of electronic health records. Health Care Manag Rev. 2010;35(1…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46026/psn-pdf
    May 03, 2017 - Key principles in quality and safety in radiology. May 3, 2017 Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951. https://psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology This review s…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42727/psn-pdf
    November 13, 2013 - Impact of electronic health record systems on information integrity: quality and safety implications. November 13, 2013 Bowman S. Impact of electronic health record systems on information integrity: quality and safety implications. Perspect Health Inf Manag. 2013;10:1c. https://psnet.ahrq.gov/issue/impact-electron…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50387/psn-pdf
    September 25, 2019 - Special Issue on Prescription Drug Misuse. September 25, 2019 Rickles NM, Fleming ML, Björnsdottir I, eds. Res Social Adm Pharm. 2019;15:907-1056. https://psnet.ahrq.gov/issue/special-issue-prescription-drug-misuse This special issue reviews research initiatives exploring persistent challenges associated with the …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34602/psn-pdf
    February 17, 2009 - Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3). February 17, 2009 Chicago, IL; American Society of Healthcare Risk Management: 2003. https://psnet.ahrq.gov/issue/disclosure-unanticipated-events-next-step-better-communication-patients-part- 1-3 The change in t…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60935/psn-pdf
    September 23, 2020 - Resilience from a stakeholder perspective: the role of next of kin in cancer care. September 23, 2020 Bergerød IJ, Braut GS, Wiig S. Resilience from a stakeholder perspective: the role of next of kin in cancer care. J Patient Saf. 2020;16(3):e205-e210. doi:10.1097/pts.0000000000000532. https://psnet.ahrq.gov/issue…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46341/psn-pdf
    August 16, 2017 - In treating sepsis, questions about timing and mandates. August 16, 2017 Abbasi J. In Treating Sepsis, Questions About Timing and Mandates. JAMA. 2017;318(6):506-508. doi:10.1001/jama.2017.7997. https://psnet.ahrq.gov/issue/treating-sepsis-questions-about-timing-and-mandates Delayed treatment of sepsis can result …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46043/psn-pdf
    April 05, 2017 - High-reliability and the I-PASS communication tool. April 5, 2017 Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5. https://psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool High reliability has y…

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