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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73663/psn-pdf
    September 01, 2021 - Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults. September 1, 2021 Pinheiro LC, Reshetnyak E, Safford MM, et al. Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study o…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60055/psn-pdf
    March 18, 2020 - A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach. March 18, 2020 Russ S, Latif Z, Hazell AL, et al. A Smartphone App Designed to Empower Patients to Contribute Toward Safer Surgical Care: Community-Based Evaluation Usi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74201/psn-pdf
    December 22, 2021 - Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. December 22, 2021 Wiig S, Haraldseid-Driftland C, Tvete Zachrisen R, et al. J Patient Saf. 2021;17(8):e1707- e1718.   https://psnet.ahrq.gov/issue/next-kin-involvement-regulatory-inves…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844544/psn-pdf
    February 15, 2023 - Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. February 15, 2023 Morris RL, Giles SJ, Campbell S. Involving patients and carers in patient safety in primary care: a qualitative study of a co?designed patient safety guide. Health Expect. 2…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850917/psn-pdf
    June 21, 2023 - Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. June 21, 2023 Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Safety Sci. 2023;165:106200. doi:10.1016/j.ssci.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847720/psn-pdf
    April 19, 2023 - In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel. April 19, 2023 Finstad AS, Aase I, Bjørshol CA, et al. In situ simulation-based team training and its significance for transfer of learning …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50573/psn-pdf
    October 23, 2019 - Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. October 23, 2019 Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. J …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61004/psn-pdf
    October 07, 2020 - National Nursing Home COVID Action Network. October 7, 2020 Rockville, MD: Agency for Healthcare Research and Quality; September 2020. https://psnet.ahrq.gov/issue/national-nursing-home-covid-action-network Nursing home residents are especially vulnerable to COVID-19 due to their age, and communal living condition…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865532/psn-pdf
    April 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act. April 10, 2024 Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act In situ simulation can identi…
  10. psnet.ahrq.gov/issue/patient-safety-climate-psc-perceptions-frontline-staff-acute-care-hospitals-examining-role
    March 28, 2012 - Study Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership. Citation Text: Zaheer S, Ginsburg LR, Chuang Y-T, et al. Patient safety climate (PSC) perceptions of f…
  11. psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
    July 13, 2010 - Study Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. Citation Text: Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…
  12. psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
    July 03, 2016 - Study Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. Citation Text: Rubin DS, Pesyna C, Jakubczyk S, et al. Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event Repo…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837141/psn-pdf
    May 18, 2022 - The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. May 18, 2022 Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39783/psn-pdf
    August 25, 2010 - Ethics, oversight and quality improvement initiatives. August 25, 2010 Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight and quality improvement initiatives. Quality and Safety in Health Care. 2010;19(4). doi:10.1136/qshc.2009.038034. https://psnet.ahrq.gov/issue/ethics-oversight-and-quality-improvement-initia…
  15. psnet.ahrq.gov/issue/identifying-organizational-cultures-promote-patient-safety
    June 16, 2011 - Study Identifying organizational cultures that promote patient safety. Citation Text: Singer SJ, Falwell A, Gaba DM, et al. Identifying organizational cultures that promote patient safety. Health Care Manag Rev. 2009;34(4):300-311. doi:10.1097/HMR.0b013e3181afc10c. Copy Citation …
  16. psnet.ahrq.gov/issue/patient-and-family-contributions-improve-diagnostic-process-through-ourdx-electronic-health
    October 27, 2021 - Study Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis. Citation Text: Bell SK, Harcourt K, Dong J, et al. Patient and family contributions to improve the diagnostic process through the OurDX elect…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846160/psn-pdf
    March 15, 2023 - Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. March 15, 2023 Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837324/psn-pdf
    July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries July 8, 2022 https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary- cesarean-deliveries Summary   Started in response to rising maternal morbidity and mortality rates in …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836841/psn-pdf
    June 01, 2020 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission April 7, 2022 https://psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and- paramedics-provide-home Sum…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42680/psn-pdf
    October 30, 2013 - Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. October 30, 2013 Klim S, Kelly A-M, Kerr D, et al. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. J Clin Nurs. 2013;22(15-16):2233…

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