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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867685/psn-pdf
    March 05, 2025 - Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. March 5, 2025 Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operative vaginal birth through multidis…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867598/psn-pdf
    January 22, 2025 - Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. January 22, 2025 Somerville M, Cassidy C, MacPhee S, et al. Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Jt Comm J Qual Patient Saf. 2025;51(2):135-143. doi:10.1016/j.jcjq.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838248/psn-pdf
    October 05, 2022 - The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic achievement: a review of the literature. October 5, 2022 McTaggart LS, Walker JP. The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36442/psn-pdf
    July 23, 2023 - TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. July 23, 2023 Department of Health and Human Services, Agency for Healthcare Research and Quality, Department of Defense. https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety Effective teamwo…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855434/psn-pdf
    January 22, 2022 - A risk science perspective on the discussion concerning Safety I, Safety II and Safety III. January 22, 2022 Aven T. A risk science perspective on the discussion concerning Safety I, Safety II and Safety III. Reliability Eng System Saf. 2022;217:108077. doi:10.1016/j.ress.2021.108077. https://psnet.ahrq.gov/issue/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866589/psn-pdf
    August 28, 2024 - Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. August 28, 2024 Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. Br J Clin Pharmac…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60848/psn-pdf
    January 01, 2022 - Adverse events related to accidental unintentional ingestions from cough and cold medications in children. August 26, 2020 Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Pediatr Emerg Care. 2022;38(1):e100-e104. doi:…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60679/psn-pdf
    July 15, 2020 - Effect on patient safety of a resident physician schedule without 24-hour shifts. July 15, 2020 Landrigan CP, Rahman SA, Sullivan JP, et al. Effect on patient safety of a resident physician schedule without 24-hour shifts. N Engl J Med. 2020;382(26):2514-2523. doi:10.1056/nejmoa1900669. https://psnet.ahrq.gov/issu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72574/psn-pdf
    December 16, 2020 - Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. December 16, 2020 Huang C, Koppel R, McGreevey JD, et al. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Appl Clin Inform. 2020;11(05):742-754. doi:10.1055/s-004…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60318/psn-pdf
    January 01, 2022 - Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. May 13, 2020 Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-pro…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50881/psn-pdf
    February 12, 2020 - Adverse events during intrahospital transport of critically ill children: a systematic review. February 12, 2020 Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review. Anesth Analg. 2020;131(4):1135-1145. doi:10.1213/ane.0000000000004585…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837796/psn-pdf
    August 10, 2022 - Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. August 10, 2022 Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. JAMA Pediatr. 2022;176(9):924-932. doi:10…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837345/psn-pdf
    June 08, 2022 - A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. June 8, 2022 Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. Health Secur. 2022;20(3):261-263. doi:…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43644/psn-pdf
    April 22, 2015 - SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. April 22, 2015 Sarfati L, Ranchon F, Vantard N, et al. SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. J Clin Pharm Ther. 2015;40(1):55…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73072/psn-pdf
    March 24, 2021 - Education and training of nurses in the use of advanced medical technologies in home care related to patient safety: a cross-sectional survey. March 24, 2021 ten Haken I, Ben Allouch S, van Harten WH. Education and training of nurses in the use of advanced medical technologies in home care related to patient safet…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47523/psn-pdf
    December 05, 2018 - Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Providers and the Emergency Department…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837632/psn-pdf
    July 06, 2022 - Serious experience events: applying patient safety concepts to improve patient experience. July 6, 2022 Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102670. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50852/psn-pdf
    January 29, 2020 - Failure mode and effects analysis to reduce risk of heparin use. January 29, 2020 Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229. https://psnet.ahrq.gov/issue/failure-mode-and-effect…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837316/psn-pdf
    June 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items. June 1, 2022 Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2022. AHRQ Publication No. 22-0027. https://psnet.ahrq.gov/issue/2022-updated-results-a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866818/psn-pdf
    September 25, 2024 - Academic half day improves resident perception of education without compromising patient safety. September 25, 2024 Spence MC, Sugarman A, Uong A, et al. Academic half day improves resident perception of education without compromising patient safety. Acad Pediatr. 2024;24(6):1010-1016. doi:10.1016/j.acap.2024.02.00…

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