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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38083/psn-pdf
    September 24, 2008 - Sources and types of discrepancies between electronic medical records and actual outpatient medication use. September 24, 2008 Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. J Manag Care Pharm. 2008;14(7):626-631. https://psnet.ahrq.gov/issue/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44057/psn-pdf
    June 03, 2015 - Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. June 3, 2015 Castner J, Dean-Baar S. Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. J Nurs Manag. 2014;22(3):421-437. https://psnet.ahrq.gov/issue/measuring-nursing-error-p…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40883/psn-pdf
    February 10, 2012 - Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. February 10, 2012 Nakhleh RE, Myers JL, Allen TC, et al. Conse…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60897/psn-pdf
    January 01, 2022 - Association between surgeon technical skills and patient outcomes. September 9, 2020 Stulberg JJ, Huang R, Kreutzer L, et al. Association Between Surgeon Technical Skills and Patient Outcomes. JAMA Surg. 2022;157(3):219-220. doi:10.1001/jamasurg.2020.3007. https://psnet.ahrq.gov/issue/association-between-surgeon-t…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46524/psn-pdf
    October 18, 2017 - Pressure Injury Prevention in Hospitals Training Program. October 18, 2017 Rockville, MD: Agency for Healthcare Research and Quality; September 2017. https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program Pressure ulcers are a common hospital-acquired condition that can lead to patient h…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44221/psn-pdf
    September 27, 2016 - Reducing surgical errors: implementing a three-hinge approach to success. September 27, 2016 Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J. 2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013. https://psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hing…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46438/psn-pdf
    September 20, 2017 - Communicating Clearly About Medicines: Proceedings of a Workshop. September 20, 2017 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press: 2017. ISBN: 9780309461856. https://psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop Patient h…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47373/psn-pdf
    November 14, 2018 - Blame: what does it look like? November 14, 2018 Duthie EA. Blame: What does it look like? Nurs Manage. 2018;49(11):18-21. doi:10.1097/01.NUMA.0000547256.76967.9e. https://psnet.ahrq.gov/issue/blame-what-does-it-look A just culture balances organizational context with appropriate accountability after an error. Thi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61003/psn-pdf
    October 07, 2020 - Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. October 7, 2020 Manchester, UK: The Parliamentary and Health Service Ombudsman; July 15, 2020. ISBN 9781528620666. https://psnet.ahrq.gov/issue/making-complaints-count-supporting-complaints-handling-nhs-and-uk- gover…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37754/psn-pdf
    May 14, 2008 - Potentially inappropriate medication use in hospitalized elders. May 14, 2008 Rothberg MB, Pekow PS, Liu F, et al. Potentially inappropriate medication use in hospitalized elders. J Hosp Med. 2008;3(2):91-102. doi:10.1002/jhm.290. https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-hospitalized-e…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42872/psn-pdf
    December 30, 2014 - Errors in after-hours phone consultations: a simulation study. December 30, 2014 Joffe E, Turley JP, Hwang KO, et al. Errors in after-hours phone consultations: a simulation study. BMJ Qual Saf. 2014;23(5):398-405. doi:10.1136/bmjqs-2013-002243. https://psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-s…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47933/psn-pdf
    August 07, 2019 - Just culture: it's more than policy. August 7, 2019 Paradiso L, Sweeney N. Just culture: It's more than policy. Nurs Manage. 2019;50(6):38-45. doi:10.1097/01.NUMA.0000558482.07815.ae. https://psnet.ahrq.gov/issue/just-culture-its-more-policy This survey study examined the relationship between just culture—a cultur…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35383/psn-pdf
    January 02, 2017 - North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. January 2, 2017 Murphree J, Englert J, Koch K, et al. North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. Jt Comm J Qual Patient Saf. 2005;31(10):545-53. https://p…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34086/psn-pdf
    May 27, 2011 - Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. May 27, 2011 Poon EG, Blumenthal D, Jaggi T, et al. Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. Health Aff (Millwood). 2004;23(4):184-90.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33934/psn-pdf
    March 02, 2011 - A hospitalization from hell: a patient's perspective on quality. March 2, 2011 Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33- 39. https://psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality The author shares the unique perspectives of…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46023/psn-pdf
    May 03, 2017 - Patient safety and leadership: do you walk the walk? May 3, 2017 Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005. https://psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk Hospital leaders are increasingly encouraged t…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38942/psn-pdf
    November 25, 2009 - Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward. November 25, 2009 Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. Using in situ simulation to identify and resolve latent environmental threats to patient safety: case …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38312/psn-pdf
    March 09, 2010 - Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. March 9, 2010 Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. Crit C…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38511/psn-pdf
    March 25, 2009 - The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. March 25, 2009 Thompson WC Jr. New York, NY: Office of the New York City Comptroller, Office of Policy Management; 2009. https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42022/psn-pdf
    February 13, 2013 - Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project. February 13, 2013 Fore AM, Sculli GL, Albee D, et al. Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based projec…

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