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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43005/psn-pdf
    March 05, 2014 - "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. March 5, 2014 Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. J Patien…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836755/psn-pdf
    March 16, 2022 - Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records. March 16, 2022 Tewfik G, Naftalovich R, Kaushal N, et al. Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61048/psn-pdf
    October 21, 2020 - Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. October 21, 2020 Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. West J Emerg Med. 2020;21(5):1095-1101. doi:10.5811/we…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844759/psn-pdf
    September 18, 2019 - Saving Patient Ryan- can advanced electronic medical records make patient care safer? September 18, 2019 Hydari MZ, Telang R, Marella WM. Manage Sci. 2019;65:2041-2059. https://psnet.ahrq.gov/issue/saving-patient-ryan-can-advanced-electronic-medical-records-make-patient- care-safer This observational study examin…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46821/psn-pdf
    June 06, 2018 - Focus on the Quadruple Aim: development of a resiliency center to promote faculty and staff wellness initiatives. June 6, 2018 Morrow E, Call M, Marcus R, et al. Focus on the Quadruple Aim: Development of a Resiliency Center to Promote Faculty and Staff Wellness Initiatives. Jt Comm J Qual Patient Saf. 2018;44(5):2…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837860/psn-pdf
    August 17, 2022 - Alcoholism and American healthcare: the case for a patient safety approach. August 17, 2022 Zipperer L, Ryan R, Jones B. Alcoholism and American healthcare: the case for a patient safety approach. J Patient Saf Risk Manag. 2022;27(5):201-208. doi:10.1177/25160435221117952. https://psnet.ahrq.gov/issue/alcoholism-a…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44653/psn-pdf
    November 18, 2015 - Data quality associated with handwritten laboratory test requests: classification and frequency of data-entry errors for outpatient serology tests. November 18, 2015 Vecellio E, Toouli G, Georgiou A, et al. Data quality associated with handwritten laboratory test requests: classification and frequency of data-entr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866958/psn-pdf
    October 16, 2024 - Beyond error: a qualitative study of human factors in serious adverse events. October 16, 2024 Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583. https://psnet.ahrq.gov/issue/beyond-error-qualitative-study…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60046/psn-pdf
    March 18, 2020 - Adverse outcomes of polypharmacy in older people: systematic review of reviews. March 18, 2020 Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic review of reviews. J Am Med Dir Assoc. 2020;21(2):181-187. doi:10.1016/j.jamda.2019.10.022. https://psnet.ahrq.gov/issu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849136/psn-pdf
    May 17, 2023 - Using morbidity and mortality conferences to drive quality improvement and reduce errors. May 17, 2023 Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17. https://psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and- reduce-errors Morbidity and mortality (…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866346/psn-pdf
    July 24, 2024 - A human right-based approach to dealing with adverse events in residential care facilities. July 24, 2024 McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128. https://psnet.ahrq.gov/issue/human-right-based-a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60292/psn-pdf
    May 06, 2020 - Overcoming COVID-19: what can human factors and ergonomics offer? May 6, 2020 Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: what can human factors and ergonomics offer? J Patient Saf Risk Manag. 2020;25(2):49-54. doi:10.1177/2516043520917764. https://psnet.ahrq.gov/issue/overcoming-covid-19-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73388/psn-pdf
    June 16, 2021 - Reducing surgical specimen errors through multidisciplinary quality improvement. June 16, 2021 Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003. https://psnet.ahrq.gov/issue/reduci…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74169/psn-pdf
    December 08, 2021 - Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. December 8, 2021 Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021. https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution- bl…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43127/psn-pdf
    April 23, 2014 - An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting. April 23, 2014 Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital settin…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47837/psn-pdf
    May 11, 2019 - Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers. May 11, 2019 Kang R, Kunkel ST, Columbo JA, et al. Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affairs Medical Centers. Am J Med. 2019;1…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46319/psn-pdf
    August 09, 2017 - Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. August 9, 2017 Office of the Inspector General. Washington, DC: US Department of Health and Human Services; July 2017. Report No. OEI-02-17-00250. https://psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44422/psn-pdf
    November 17, 2017 - Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. November 17, 2017 Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15-22; quiz 1p following 22. doi:10.4…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837806/psn-pdf
    August 10, 2022 - Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. August 10, 2022 Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. J Public Health Manag Pract. 2022;28(5):505-512. doi:…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72832/psn-pdf
    March 10, 2021 - Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. March 10, 2021 Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicine; 2021. doi:10.31478/202103a. https:/…

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