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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43626/psn-pdf
    November 05, 2014 - Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. November 5, 2014 Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Health Care Manag Rev…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48029/psn-pdf
    May 29, 2019 - Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. May 29, 2019 Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Am J Emerg Med. 2019;38(2):272-277. doi:10.1016/j.ajem.2019.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45746/psn-pdf
    December 14, 2016 - Moving toward improved teamwork in cancer care: the role of psychological safety in team communication. December 14, 2016 Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication. J Oncol Pract. 2016;12(11):1000-1011. https://psn…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47587/psn-pdf
    February 13, 2019 - Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. February 13, 2019 Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. Adv Health Sci Edu: Theory Pract. 2019;24(4):…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45700/psn-pdf
    September 01, 2018 - Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. September 1, 2018 Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self- Insured Texas Public Academic Health System. Health Serv Res. 2016;51 Suppl 3:2615…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47481/psn-pdf
    January 23, 2019 - Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of employee satisfaction. January 23, 2019 Merandi J, Winning AM, Liao NN, et al. Implementation of a second victim program in the neonatal intensive care unit: An interim analysis of employee satisfaction. J Patient…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42149/psn-pdf
    December 23, 2016 - Medical device alarm safety in hospitals. December 23, 2016 Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3. https://psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals The cacophony of alarms in hospitals has led many health care providers to become desensitized to them, a con…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46871/psn-pdf
    July 14, 2018 - Understanding diagnostic safety in emergency medicine: a case?by?case review of closed ED malpractice claims. July 14, 2018 Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case- by-case review of closed ED malpractice claims. J Healthc Risk Manag. 2018;38(1):48-53. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74854/psn-pdf
    February 23, 2022 - Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis. February 23, 2022 Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: An integrative rev…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866735/psn-pdf
    September 18, 2024 - Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. September 18, 2024 McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Int J Health Policy Manag. 2024;13:804…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46201/psn-pdf
    September 27, 2017 - Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. September 27, 2017 Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow- up: Results from a national survey in Denmark. Cancer Epidemiol. 2017;49:38-45…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851647/psn-pdf
    July 26, 2023 - Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. July 26, 2023 Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Care. 2023;32(3):177-188. doi:10.109…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72731/psn-pdf
    February 10, 2021 - Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. February 10, 2021 Vollam S, Gustafson O, Young JD, et al. Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record r…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843417/psn-pdf
    February 01, 2023 - "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. February 1, 2023 Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. Health Promot Pract. 2023:15248…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72706/psn-pdf
    February 03, 2021 - Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. February 3, 2021 Lewandowska K, Weisbrot M, Cieloszyk A, et al. Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. Int J Environ Res Public Health. 2020;17(22):8409.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40839/psn-pdf
    December 30, 2014 - How event reporting by US hospitals has changed from 2005 to 2009. December 30, 2014 Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114. https://psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-c…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47893/psn-pdf
    April 08, 2019 - Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. April 8, 2019 Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consensus Panel Report. Pain Med. 2019;20(4):7…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837137/psn-pdf
    May 18, 2022 - Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis. May 18, 2022 Liu L, Chien AT, Singer SJ. Exploring system features of primary care practices that promote better providers’ clinical work satisfaction. Health Care Mana…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73917/psn-pdf
    October 06, 2021 - Reporting of health information technology system- related patient safety incidents: the effects of organizational justice. October 6, 2021 Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. Safety…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866744/psn-pdf
    September 18, 2024 - Care Concerns and Deficiencies in Facility Leaders’ and Staff’s Responses Following a Medical Emergency at the Carl T. Hayden VA Medical Center in Phoenix, Arizona. September 18, 2024 Care Concerns And Deficiencies In Facility Leaders’ And Staff’s Responses Following A Medical Emergency At The Carl T. Hayden Va Me…

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