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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838193/psn-pdf
    September 28, 2022 - Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. September 28, 2022 de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43981/psn-pdf
    April 22, 2015 - National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ?85% of patient deaths. April 22, 2015 Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac sur…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837961/psn-pdf
    August 31, 2022 - Risk reduction strategy to decrease incidence of retained surgical items. August 31, 2022 Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264. https://psnet.ahrq.gov/issue/risk-reduc…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61058/psn-pdf
    October 28, 2020 - Interventions and measurements of highly reliable/resilient organization implementations: a literature review. October 28, 2020 Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon. 2020;90:103241. doi:10.1016/j.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47453/psn-pdf
    May 20, 2019 - Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences. May 20, 2019 White AA, Sage WM, Osinska PH, et al. Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences. BMJ Qual Saf. 2019;28(6):468-475. doi:10.1136/bmjqs…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43992/psn-pdf
    April 25, 2016 - Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations. April 25, 2016 Hilligoss B, Mansfield JA, Patterson ES, et al. Collaborating-or "Selling" Patients? A Conceptual Framework for Emergency Department-to-Inpatient Handoff Negotiations. Jt Comm J Qu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35762/psn-pdf
    January 02, 2017 - Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. January 2, 2017 Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. Jt Comm J Qual Patient Saf. 20…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43954/psn-pdf
    May 13, 2015 - Training safer surgeons: how do patients view the role of simulation in orthopaedic training? May 13, 2015 Akhtar K, Sugand K, Wijendra A, et al. Training safer surgeons: How do patients view the role of simulation in orthopaedic training? Patient Saf Surg. 2015;9:11. doi:10.1186/s13037-015-0058-5. https://psnet.a…
  9. psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
    August 21, 2015 - August 21, 2015 WebM&M Cases Good Catch in the Operating
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837758/psn-pdf
    August 03, 2022 - Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. August 3, 2022 Burns ML, Saager L, Cassidy RB, et al. Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. JAMA Surg. 2022;157(9):807-815. doi:10.1001/jamasurg.2022.2804. https://p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45459/psn-pdf
    January 03, 2017 - Applying the high reliability health care maturity model to assess hospital performance: a VA case study. January 3, 2017 Sullivan JL, Rivard PE, Shin MH, et al. Applying the High Reliability Health Care Maturity Model to Assess Hospital Performance: A VA Case Study. Jt Comm J Qual Patient Saf. 2016;42(9):389-411. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46572/psn-pdf
    January 01, 2018 - Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. December 21, 2017 Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840478/psn-pdf
    November 30, 2022 - Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods. November 30, 2022 Auschra C, Asaad E, Sydow J, et al. Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods. J Patient Saf…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47331/psn-pdf
    October 17, 2018 - Description and factors associated with missed nursing care in an acute care community hospital. October 17, 2018 Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J Nurs Adm. 2018;48(7-8):361-367. doi:10.1097/NNA.0000000000000630. https:/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856591/psn-pdf
    November 29, 2023 - Relationship of the nursing practice environment with the quality of care and patients' safety in primary health care. November 29, 2023 Lucas P, Jesus É, Almeida S, et al. Relationship of the nursing practice environment with the quality of care and patients’ safety in primary health care. BMC Nurs. 2023;22(1):413…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45978/psn-pdf
    May 03, 2017 - Nursing interruptions in a trauma intensive care unit: a prospective observational study. May 3, 2017 Craker NC, Myers RA, Eid J, et al. Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study. J Nurs Adm. 2017;47(4):205-211. doi:10.1097/NNA.0000000000000466. https://psnet.ahrq.gov…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40279/psn-pdf
    May 25, 2011 - Inadequate health literacy among paid caregivers of seniors. May 25, 2011 Lindquist LA, Jain N, Tam K, et al. Inadequate health literacy among paid caregivers of seniors. J Gen Intern Med. 2011;26(5):474-9. doi:10.1007/s11606-010-1596-2. https://psnet.ahrq.gov/issue/inadequate-health-literacy-among-paid-caregivers…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865479/psn-pdf
    April 03, 2024 - Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. April 3, 2024 Kwan JL, Calder LA, Bowman CL, et al. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34957/psn-pdf
    February 28, 2011 - Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. February 28, 2011 Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005;142(8):700-708. https://psnet.ah…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72683/psn-pdf
    January 27, 2021 - Analysis of patient safety risk management call data during the COVID?19 pandemic. January 27, 2021 Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID?19 pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457. https://psnet.ahrq.gov/issue/analysis-patien…

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