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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837859/psn-pdf
    August 17, 2022 - The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. August 17, 2022 van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e1075. doi:10.1097/pts.00000000000010…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853064/psn-pdf
    August 30, 2023 - Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. August 30, 2023 Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of…
  3. psnet.ahrq.gov/issue/drug-errors-are-dangerous-preventable
    March 27, 2024 - Newspaper/Magazine Article Drug errors are dangerous but preventable. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 8, 2010 This newspaper article describes steps p…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37960/psn-pdf
    September 24, 2010 - A survey of the impact of disruptive behaviors and communication defects on patient safety. September 24, 2010 Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patient Saf. 2008;34(8):464-471. https://psnet.ahrq.gov/issue/survey-i…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47883/psn-pdf
    May 29, 2019 - Patient Safety in Obstetrics and Gynecology. May 29, 2019 Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in this speci…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47902/psn-pdf
    April 24, 2019 - Recommendations from a national panel on quality improvement in obstetrics. April 24, 2019 Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.02.011. https://psnet.ahrq.gov/issue/r…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74080/psn-pdf
    January 01, 2022 - The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. November 17, 2021 Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46044/psn-pdf
    December 21, 2017 - Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs. December 21, 2017 Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the Department of Veterans Affairs. AMA Intern Med. 2017;177(5):611-612. doi:10.1001/jamainternme…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45577/psn-pdf
    February 08, 2017 - EHR-related medication errors in two ICUs. February 8, 2017 Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag. 2017;36(3):6-15. doi:10.1002/jhrm.21259. https://psnet.ahrq.gov/issue/ehr-related-medication-errors-two-icus Despite the demonstrated success of technology …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47754/psn-pdf
    April 17, 2019 - FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering. April 17, 2019 Silver Spring, MD: US Food and Drug Administration; April 9, 2019. https://psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866860/psn-pdf
    October 02, 2024 - Motivation for patient engagement in patient safety: a multi-perspective, explorative survey. October 2, 2024 Raab C, Gambashidze N, Brust L, et al. Motivation for patient engagement in patient safety: a multi- perspective, explorative survey. BMC Health Serv Res. 2024;24(1):1052. doi:10.1186/s12913-024-11495- x. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47637/psn-pdf
    January 16, 2019 - Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. January 16, 2019 Olson ME, Borman-Shoap E, Mathias K, et al. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Diagnosis (Berl). 2018;5(4):243-248. doi:10.1515/dx-2018- …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46335/psn-pdf
    December 19, 2017 - Prescription opioid analgesics commonly unused after surgery: a systematic review. December 19, 2017 Bicket MC, Long JJ, Pronovost PJ, et al. Prescription Opioid Analgesics Commonly Unused After Surgery. JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831. https://psnet.ahrq.gov/issue/prescription-op…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840171/psn-pdf
    November 16, 2022 - Critical care resource nurse team: a patient safety and quality outcomes model. November 16, 2022 https://psnet.ahrq.gov/innovation/critical-care-resource-nurse-team-patient-safety-and-quality-outcomes- model Rapid response teams (RRTs) are intended to improve timely identification and management of clinically de…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35670/psn-pdf
    June 28, 2010 - Quality improvement implementation and hospital performance on patient safety indicators. June 28, 2010 Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance on patient safety indicators. Med Care Res Rev. 2006;63(1):29-57. https://psnet.ahrq.gov/issue/quality-improv…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34666/psn-pdf
    December 22, 2009 - Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. December 22, 2009 Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluati…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836823/psn-pdf
    March 30, 2022 - Five-year audit of adherence to an anaesthesia pre- induction checklist. March 30, 2022 Fuchs A, Frick S, Huber M, et al. Five?year audit of adherence to an anaesthesia pre?induction checklist. Anaesthesia. 2022;77(7):751-762. doi:10.1111/anae.15704. https://psnet.ahrq.gov/issue/five-year-audit-adherence-anaesthes…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46775/psn-pdf
    March 07, 2018 - Ten ERs in Colorado tried to curtail opioids and did better than expected. March 7, 2018 Daley J. Colorado Public Radio. February 23, 2018. https://psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected Innovations in the prescribing of opioids in the emergency department are needed to…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73915/psn-pdf
    October 06, 2021 - Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. October 6, 2021 Burke HB, King HB. Responses of physicians to an objective safety and quality knowledge test: a cross- sectional study. BMJ Open. 2021;11(9):e040779. doi:10.1136/bmjopen-2020-040779. https://psnet.ah…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843460/psn-pdf
    February 01, 2023 - Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post- induction checklist. February 1, 2023 Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checkli…

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