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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850909/psn-pdf
    June 21, 2023 - Context matters: toward a multilevel perspective on context in clinical reasoning and error. June 21, 2023 Choi JJ, Durning SJ. Context matters: toward a multilevel perspective on context in clinical reasoning and error. Diagnosis (Berl). 2023;10(2):89-95. doi:10.1515/dx-2022-0117. https://psnet.ahrq.gov/issue/con…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37674/psn-pdf
    June 16, 2011 - An overview of patient safety climate in the VA. June 16, 2011 Hartmann CW, Rosen AK, Meterko M, et al. An overview of patient safety climate in the VA. Health Serv Res. 2008;43(4):1263-84. doi:10.1111/j.1475-6773.2008.00839.x. https://psnet.ahrq.gov/issue/overview-patient-safety-climate-va Measurement of institut…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60158/psn-pdf
    March 25, 2020 - Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. March 25, 2020 Shojania KG, Marang-van de Mheen PJ. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. BMJ Qual Saf. 2020;29(4). doi:10.1136/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60732/psn-pdf
    July 29, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City. July 29, 2020 Juprasert JM, Gray KD, Moore MD, et al. Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons fro…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850914/psn-pdf
    June 21, 2023 - A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. June 21, 2023 Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42. doi:10.1002/jhrm.21538. https://psnet.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43147/psn-pdf
    July 19, 2017 - ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. July 19, 2017 Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. doi:10.1097/01.AOG.0000444442.04111.c6. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74106/psn-pdf
    November 24, 2021 - Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views. November 24, 2021 Härkänen M, Haatainen K, Vehviläinen-Julkunen K, et al. Artificial intelligence for identifying the prevention of medication incidents caus…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46032/psn-pdf
    May 03, 2017 - Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. May 3, 2017 King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the Military Health System. Mil Med. 2017;182(…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45791/psn-pdf
    September 01, 2018 - Changes in physician practice patterns after implementation of a communication-and-resolution program. September 1, 2018 Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program. Health Serv Res. 2016;51(Suppl 3):2516-2536. doi:10.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37011/psn-pdf
    September 24, 2010 - What do medical records tell us about potentially harmful co-prescribing? September 24, 2010 Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co- prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-400. https://psnet.ahrq.gov/issue/what-do-medical-records-tell-us…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866937/psn-pdf
    October 09, 2024 - Improving nursing home safety through adoption of a practical resilient health care approach. October 9, 2024 Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014. doi:10.1016/j.jamda.2024.03.124. ht…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837767/psn-pdf
    August 03, 2022 - How safe are paediatric emergency departments? A national prospective cohort study. August 3, 2022 Plint AC, Newton AS, Stang A, et al. How safe are paediatric emergency departments? A national prospective cohort study. BMJ Qual Saf. 2022;31(11):806-817. doi:10.1136/bmjqs-2021-014608. https://psnet.ahrq.gov/issue/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849601/psn-pdf
    May 31, 2023 - VHA's movement for change: implementing high- reliability principles and practices. May 31, 2023 Cox GR, Starr LM. VHA's movement for change: implementing high-reliability principles and practices. J Healthc Manag. 2023;68(3):151-157. doi:10.1097/jhm-d-23-00056. https://psnet.ahrq.gov/issue/vhas-movement-change-im…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46722/psn-pdf
    March 20, 2018 - Nurses' clinical reasoning practices that support safe medication administration: an integrative review of the literature. March 20, 2018 Rohde E, Domm E. Nurses' clinical reasoning practices that support safe medication administration: An integrative review of the literature. J Clin Nurs. 2018;27(3-4):e402-e411. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837338/psn-pdf
    June 08, 2022 - Healthcare-related infections within nursing homes (NHS): a qualitative study of care practices based on a systemic approach. June 8, 2022 Lefosse G, Rasero L, Bellandi T, et al. Healthcare-related infections within nursing homes (NHS): A qualitative study of care practices based on a systemic approach. J Patient …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838240/psn-pdf
    October 05, 2022 - Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. October 5, 2022 Ayalew MB, Spark MJ, Quirk F, et al. Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. Int J Clin Pharm. 2022;44(4):860-872. doi:10.1007/s11096-022-01414-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36515/psn-pdf
    May 27, 2011 - Nurses' perceptions of causes of medication errors and barriers to reporting. May 27, 2011 Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33. https://psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-e…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847723/psn-pdf
    April 19, 2023 - Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. April 19, 2023 Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:393-400. doi:10.2147/rmhp.s399826. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46575/psn-pdf
    December 13, 2017 - Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. December 13, 2017 Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res. 2017;17(5):431-439. doi:10.108…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45202/psn-pdf
    October 08, 2016 - Towards international consensus on patient harm: perspectives on pressure injury policy. October 8, 2016 Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.1111/jonm.12396. https://psnet.ahrq.…

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