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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50676/psn-pdf
    November 20, 2019 - Peer support for nurses as second victims: resilience, burnout, and job satisfaction. November 20, 2019 Connors C, Dukhanin V, March AL, et al. Peer support for nurses as second victims: Resilience, burnout, and job satisfaction. J Patient Saf Risk Manag. 2019;25(1):22-28. doi:10.1177/2516043519882517. https://psn…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44902/psn-pdf
    February 24, 2016 - Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. February 24, 2016 Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned behavior. J Manag Organ. 2015;22(1):1-18. doi:10.1017/jmo.2…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45552/psn-pdf
    February 15, 2017 - Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. February 15, 2017 Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Int J Nurs Stud. 2016;64:42-51. doi:10.10…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43713/psn-pdf
    December 03, 2014 - Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). December 3, 2014 West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care practices: A report from the sh…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74842/psn-pdf
    February 16, 2022 - An initiative to reduce insulin-related adverse drug events in a children's hospital. February 16, 2022 Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds.2020-004937. https://psnet.ah…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73419/psn-pdf
    June 23, 2021 - Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. June 23, 2021 Kabir R, Liaw S, Cerise J, et al. Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46847/psn-pdf
    March 28, 2018 - Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety. March 28, 2018 Walker E, McMahan R, Barnes D, et al. Advance Care Planning Documentation Practices and Accessibility in the Electronic Health Record: Implications for Patient Safety. J …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47848/psn-pdf
    May 08, 2019 - A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. May 8, 2019 Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconciliation at a Health System. Qual Manag…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73179/psn-pdf
    January 01, 2022 - Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. April 28, 2021 Cataldo RRV, Manaças LAR, Figueira PHM, et al. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. J Oncol Pharm Pract. 2022;28(4):884-891. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34712/psn-pdf
    February 18, 2011 - Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. February 18, 2011 Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Engl J Med. 1991;324(6):370-376. doi:10.1056/nejm199102073240604. ht…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838136/psn-pdf
    September 21, 2022 - Exploration of a rapid response team model of care: a descriptive dual methods study. September 21, 2022 Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294. https://psnet.a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44942/psn-pdf
    September 29, 2017 - Challenges in patient safety improvement research in the era of electronic health records. September 29, 2017 Russo E, Sittig DF, Murphy DR, et al. Challenges in patient safety improvement research in the era of electronic health records. Healthc (Amst). 2016;4(4):285-290. doi:10.1016/j.hjdsi.2016.06.005. https://…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45029/psn-pdf
    April 20, 2016 - Threats to safety during sedation outside of the operating room and the death of Michael Jackson. April 20, 2016 Webster CS, Mason KP, Shafer SL. Threats to safety during sedation outside of the operating room and the death of Michael Jackson. Curr Opin Anaesthesiol. 2016;29 Suppl 1:S36-47. doi:10.1097/ACO.0000000…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866080/psn-pdf
    June 05, 2024 - Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. June 5, 2024 Lee S, Park J. Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. Strat Manage J. 2024;45(10):2063-2094. doi:10.100…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844777/psn-pdf
    September 18, 2019 - Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. September 18, 2019 Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Saf. 2019;15(3):191-197. doi:10…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48065/psn-pdf
    June 15, 2019 - Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. June 15, 2019 Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Anaesthesia. 2019;74(7):904-914. doi:10.1111/anae.14662. https://psnet.ahrq.gov/iss…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836918/psn-pdf
    April 13, 2022 - How to scale up quality and safety program with the home care accreditation. April 13, 2022 Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698. https://psnet.ahrq.gov/issue/how-scale-qu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41033/psn-pdf
    December 21, 2014 - Association between implementation of a medical team training program and surgical morbidity. December 21, 2014 Young-Xu Y, Neily J, Mills PD, et al. Association between implementation of a medical team training program and surgical morbidity. Arch Surg. 2011;146(12):1368-73. doi:10.1001/archsurg.2011.762. https:/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60581/psn-pdf
    June 10, 2020 - Correlation between hospital rating agencies' data: an analysis and recommendation. June 10, 2020 Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.21413. https://psnet.ahrq.gov/issue/c…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837769/psn-pdf
    August 03, 2022 - New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice. August 3, 2022 Smith CJ, DesRoches SL, Street NW, et al. New graduate registered nurses: risk mitigation strategies to ensure safety and successful transition to practice. J Healthc Risk Manag. 2022;4…

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