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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45149/psn-pdf
    September 19, 2016 - Care at the point of impact: insights into the second- victim experience. September 19, 2016 Scott SD, McCoig MM. Care at the point of impact: Insights into the second-victim experience. J Healthc Risk Manag. 2016;35(4):6-13. doi:10.1002/jhrm.21218. https://psnet.ahrq.gov/issue/care-point-impact-insights-second-vi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60280/psn-pdf
    April 29, 2020 - Missed, rationed or unfinished nursing care: a scoping review of patient outcomes. April 29, 2020 Kalánková D, Kirwan M, Bartoní?ková D, et al. Missed, rationed or unfinished nursing care: A scoping review of patient outcomes. J Nurs Manag. 2020;28(8):1783-1797. doi:10.1111/jonm.12978. https://psnet.ahrq.gov/issue…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72634/psn-pdf
    January 13, 2021 - How U.S. teams advanced communication and resolution program adoption at local, state and national levels. January 13, 2021 LeCraw FR, Stearns SC, McCoy MJ. How U.S. Teams advanced communication and resolution program adoption at local, state and national levels. J Patient Saf Risk Manag. 2021;26(1):34-40. doi:10.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45766/psn-pdf
    February 08, 2017 - Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. February 8, 2017 Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, Heller School for Social Policy and Management at Brandeis University; 2016. https://psnet.ahrq.gov/issue/prescription-drug-monit…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45971/psn-pdf
    April 21, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. April 21, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 2018. https://psnet.ahrq.gov/issue/guide-improving-patient-safety-primary-care-settings-engaging-patients-and- families Patient engagement i…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837419/psn-pdf
    June 15, 2022 - Implicit racial bias in pediatric orthopaedic surgery. June 15, 2022 Guzek R, Goodbody CM, Jia L, et al. Implicit racial bias in pediatric orthopaedic surgery. J Pediatr Orthop. 2022;42(7):393-399. doi:10.1097/bpo.0000000000002170. https://psnet.ahrq.gov/issue/implicit-racial-bias-pediatric-orthopaedic-surgery Res…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46054/psn-pdf
    January 01, 2021 - Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention. April 12, 2017 Walsh KE, Bacic J, Phillips BD, et al. Misuse of Pediatric Medications and Parent-Physician Communication: An Interactive Voice Response Intervention. J Patient Saf. 2021;17(3):e177-e185. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837894/psn-pdf
    August 24, 2022 - Identifying boundary spanning reporter roles in patient safety events. August 24, 2022 Hurley VB, Boxley C, Sloss EA, et al. Identifying boundary spanning reporter roles in patient safety events. J Patient Saf Risk Manag. 2022;27(4):181-187. doi:10.1177/25160435221103096. https://psnet.ahrq.gov/issue/identifying-b…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40096/psn-pdf
    December 22, 2010 - Enhancing communication in surgery through team training interventions: a systematic literature review. December 22, 2010 Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training interventions: a systematic literature review. AORN J. 2010;92(6):642-57. doi:10.1016/j.aorn.2010.02.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44101/psn-pdf
    November 06, 2015 - Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. November 6, 2015 Bonafide CP, Lin R, Zander M, et al. Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. J Hosp Med. 2015;10(6):345-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848082/psn-pdf
    April 26, 2023 - Adopting high reliability organization principles to lead a large scale clinical transformation. April 26, 2023 Pozzobon LD, Lam J, Chimonides E, et al. Adopting high reliability organization principles to lead a large scale clinical transformation. Healthc Manage Forum. 2023;36(4):241-245. doi:10.1177/08404704231…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48174/psn-pdf
    January 01, 2020 - The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions among older surgeons. August 21, 2019 Sherwood R, Bismark M. The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions among olde…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34670/psn-pdf
    January 01, 2006 - Hindsight ? foresight: the effect of outcome knowledge on judgment under uncertainty. March 7, 2005 Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psychology: Human Perception and Performance. 2006;1(3). doi:10.1037/0096-1523…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837070/psn-pdf
    May 11, 2022 - Patient falls in the operating room setting: an analysis of reported safety events. May 11, 2022 Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503. https://psnet.ahrq.gov/issue/pati…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50378/psn-pdf
    September 25, 2019 - Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. September 25, 2019 Lewis-Pierre LT, Anglade D, Saber D, et al. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. J Nurs Manag. 2019;27(5):1005-1010.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47478/psn-pdf
    January 16, 2019 - Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. January 16, 2019 Craynon R, Hager DR, Reed M, et al. Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency. Am J Health Syst Pharm. 2018;75(19):14…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854255/psn-pdf
    October 04, 2023 - Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. October 4, 2023 McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qual. 2023;12(3):e002220. doi:10.11…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44877/psn-pdf
    April 27, 2016 - Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. April 27, 2016 Washington, DC: United States Government Accountability Office; January 5, 2016. Publication GAO-16- 158. https://psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and- pre…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43175/psn-pdf
    December 12, 2014 - Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. December 12, 2014 Ryan R, Santesso N, Lowe D, et al. Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Cochrane Database Syst Rev. 2014;(4):CD007768. d…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44391/psn-pdf
    January 22, 2016 - Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. January 22, 2016 Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):2182-9. doi:10.1016/j.athoracsu…

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