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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47858/psn-pdf
    July 10, 2019 - Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. July 10, 2019 Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall- related hospitalizations in older adults. Drugs Aging. 2019;36(5):461-470. doi:10.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47103/psn-pdf
    August 22, 2018 - Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. August 22, 2018 Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10.1016/j.ssci.2018.02.002. https:…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866075/psn-pdf
    June 05, 2024 - Oncology patients' willingness to report their medication safety concerns from home: a qualitative study. June 5, 2024 Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety concerns from home: a qualitative study. Support Care Cancer. 2024;32(6):352. doi:10.1007/s00520…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74056/psn-pdf
    January 01, 2022 - Critical care simulation education program during the COVID-19 pandemic. November 10, 2021 Leibner ES, Baron EL, Shah RS, et al. Critical care simulation education program during the COVID-19 pandemic. J Patient Saf. 2022;18(4):e810-e815. doi:10.1097/pts.0000000000000928. https://psnet.ahrq.gov/issue/critical-care…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45292/psn-pdf
    September 07, 2016 - Electronic approaches to making sense of the text in the adverse event reporting system. September 7, 2016 Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhrm.21237. https://psnet.ahrq.go…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837675/psn-pdf
    July 13, 2022 - Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. July 13, 2022 Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):621-631. doi:10.1055/s-0042-1749598. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36837/psn-pdf
    December 03, 2018 - Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. December 3, 2018 Weick KE, Sutcliffe KM. Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary. Calif Manage Rev. 2012;45(2):73-84. doi:10.2307/41166166. https://psnet.ahrq.gov/issue/hospitals-cultures-en…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45044/psn-pdf
    May 11, 2016 - Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. May 11, 2016 Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Interventional Approach. J Nurses Prof Dev.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47519/psn-pdf
    February 22, 2019 - Simulation-based education to train learners to "speak up" in the clinical environment: results of a randomized trial. February 22, 2019 Oner C, Fisher N, Atallah F, et al. Simulation-Based Education to Train Learners to "Speak Up" in the Clinical Environment: Results of a Randomized Trial. Simul Healthc. 2018;13(…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36276/psn-pdf
    October 21, 2010 - Effects of nursing rounds on patients' call light use, satisfaction, and safety. October 21, 2010 Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71. https://psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44730/psn-pdf
    December 08, 2015 - Why studying human behavior is a critical component of patient safety. December 8, 2015 Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004. https://psnet.ahrq.gov/issue/why-studying-human-behavior-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47864/psn-pdf
    April 08, 2019 - Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account? April 8, 2019 Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126. https://psnet.ahrq.gov/issue/healthcar…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45691/psn-pdf
    January 11, 2017 - Qualitative study about the experiences of colleagues of health professionals involved in an adverse event. January 11, 2017 Ferrús L, Silvestre C, Olivera G, et al. Qualitative Study About the Experiences of Colleagues of Health Professionals Involved in an Adverse Event. J Patient Saf. 2016;17(1):36-43. doi:10.1…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50686/psn-pdf
    January 01, 2020 - 'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety. November 20, 2019 Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing trainee failure while guarding p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46048/psn-pdf
    July 05, 2017 - Association between elements of electronic health record systems and the weekend effect in urgent general surgery. July 5, 2017 Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General Surgery. JAMA Surg. 2017;152(6):602-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50555/psn-pdf
    October 16, 2019 - Improving critical incident reporting in primary care through education and involvement. October 16, 2019 Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/bmjoq-2018-000556. https://psnet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850352/psn-pdf
    June 14, 2023 - Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study. June 14, 2023 Sedney CL, Dekeseredy P, Singh SA, et al. Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study. J P…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44120/psn-pdf
    November 06, 2015 - Designing highly reliable adverse-event detection systems to predict subsequent claims. November 6, 2015 Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm.21167. https://psnet.ahrq.gov/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46045/psn-pdf
    December 22, 2018 - Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. December 22, 2018 Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual Factors Essential to Preventin…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865589/psn-pdf
    April 17, 2024 - Why talking is not cheap: adverse events and informal communication. April 17, 2024 Montgomery A, Lainidi O, Georganta K. Why talking is not cheap: adverse events and informal communication. Healthcare (Basel). 2024;12(6):635. doi:10.3390/healthcare12060635. https://psnet.ahrq.gov/issue/why-talking-not-cheap-adver…

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