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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853074/psn-pdf
    February 06, 2024 - Patient Experience, Patient Safety, and Provider Well- Being: Associations and Paths for Quality Improvement. February 6, 2024 Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no. 24-0030. https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837810/psn-pdf
    August 10, 2022 - Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. August 10, 2022 Atallah F, Hamm RF, Davidson CM, et al. Society for Maternal-Fetal Medicine Special Statement: Cognitive bias and medical error in obstetrics-challenges and opportunit…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46395/psn-pdf
    September 06, 2017 - Deprescribing: a simple method for reducing polypharmacy. September 6, 2017 McGrath K, Hajjar ER, Kumar C, et al. Deprescribing: A simple method for reducing polypharmacy. J Fam Pract. 2017;66(7):436-445. https://www.mdedge.com/familymedicine/article/141753/practice- management/deprescribing-simple-method-reducing…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74097/psn-pdf
    November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. November 24, 2021 De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508. https://psnet.ahrq.gov/iss…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45499/psn-pdf
    May 03, 2017 - Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. May 3, 2017 Anderson ES, Gray R, Price K. Patient safety and interprofessional education: A report of key issues from two interprofessional workshops. J Interprof Care. 2017;31(2):154-163. doi:10.1080/13561…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44705/psn-pdf
    January 01, 2017 - Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study. December 7, 2016 Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: A mixed methods study. Health…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45584/psn-pdf
    November 02, 2016 - Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions. November 2, 2016 Raphael BP, Murphy M, Gura KM, et al. Discrepancies Between Prescribed and Actual Pediatric Home Parenteral Nutrition Solutions. Nutr Clin Pract. 2016;31(5):654-658. doi:10.1177/0884533616639410. https://psn…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50385/psn-pdf
    January 01, 2020 - How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. September 25, 2019 George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:10.1097/hmr.0000000000000260.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45869/psn-pdf
    March 25, 2017 - Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU. March 25, 2017 Allan SH, Doyle PA, Sapirstein A, et al. Data-Driven Implementation of Alarm Reduction Interventions in a Cardiovascular Surgical ICU. Jt Comm J Qual Patient Saf. 2017;43(2):62-70. doi:10.1016/j.jcjq.2016.1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44384/psn-pdf
    August 12, 2015 - Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. August 12, 2015 Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 2015;35(1):21-30. doi:10.1002/jhrm.21174…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73372/psn-pdf
    June 09, 2021 - Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. June 9, 2021 Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single- center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135. https://psnet.ahrq.gov/issue/imp…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846152/psn-pdf
    March 15, 2023 - Coworker abuse in healthcare: voices of mistreated workers. March 15, 2023 Evans WR, Mullen DM, Burke-Smalley L. Coworker abuse in healthcare: voices of mistreated workers. J Health Organ Manag. 2023;37(2):236-249. doi:10.1108/jhom-05-2022-0131. https://psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistrea…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46175/psn-pdf
    September 24, 2017 - Applying lessons from social psychology to transform the culture of error disclosure. September 24, 2017 Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. https://psnet.ahrq.gov/issue/applying-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46426/psn-pdf
    September 28, 2017 - Toward more proactive approaches to safety in the electronic health record era. September 28, 2017 Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005. https://psnet.ahrq.gov/issue/toward…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73524/psn-pdf
    July 21, 2021 - Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. July 21, 2021 Allen LV, Jr. Int J Pharm Compd. 2021;25:131-139; 222-229. https://psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error- prevention-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73071/psn-pdf
    March 24, 2021 - Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study. March 24, 2021 Sprogis SK, Street M, Currey J, et al. Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study. Aust Crit Care.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847044/psn-pdf
    April 05, 2023 - Perioperative safety determinants in ethnic patient groups. April 5, 2023 Bloo G, Calsbeek H, Westert GP, et al. Perioperative safety determinants in ethnic patient groups. J Patient Saf Risk Manag. 2023;28(1):31-46. doi:10.1177/25160435231151545. https://psnet.ahrq.gov/issue/perioperative-safety-determinants-ethn…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853978/psn-pdf
    September 27, 2023 - Fragmented: A Doctor's Quest to Piece Together American Health Care. September 27, 2023 Yurkiewicz I. New York, NY: WW Norton & Company, Inc; 2023. ISBN: 9780393881196. https://psnet.ahrq.gov/issue/doctors-quest-piece-together-american-health-care Disjointed health care processes contribute to missed test resu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864381/psn-pdf
    March 13, 2024 - Patient safety near misses – still missing opportunities to learn. March 13, 2024 Woodier N, Burnett C, Sampson P, et al. Patient safety near misses – still missing opportunities to learn. J Patient Saf Risk Manag. 2023;29(1):47-53. doi:10.1177/25160435231220430. https://psnet.ahrq.gov/issue/patient-safety-near-mi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73696/psn-pdf
    September 15, 2021 - Factors related to serious safety events in a children's hospital patient safety collaborative. September 15, 2021 Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi:10.1542/peds.2020-030346. ht…

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