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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859350/psn-pdf
    December 20, 2023 - What are the experiences of team members involved in root cause analysis? A qualitative study. December 20, 2023 Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi:10.1186/s12913-023-10164-9. h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854627/psn-pdf
    October 18, 2023 - Implementing strategies to prevent home medication administration errors in children with medical complexity. October 18, 2023 Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in children with medical complexity. Clin Pediatr (Phila). 2023;20(18):6788. doi:10.1177/0…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44689/psn-pdf
    February 24, 2018 - What is the role of individual accountability in patient safety? A multi-site ethnographic study. February 24, 2018 Aveling E-L, Parker M, Dixon-Woods M. What is the role of individual accountability in patient safety? A multi-site ethnographic study. Sociol Health Illn. 2016;38(2):216-32. doi:10.1111/1467-9566.123…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50779/psn-pdf
    January 08, 2020 - STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress. January 8, 2020 O’Mahony D. STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress. Expert Rev Clin Pharm…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837896/psn-pdf
    January 01, 2023 - Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. August 24, 2022 Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflect…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837599/psn-pdf
    June 29, 2022 - Differences in medication reconciliation interventions between six hospitals: a mixed method study. June 29, 2022 Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions between six hospitals: a mixed method study. BMC Health Serv Res. 2022;22(1):722. doi:10.1186/s12…
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36813/psn-pdf
    March 24, 2011 - Ambulatory care adverse events and preventable adverse events leading to a hospital admission. March 24, 2011 Woods D, Thomas EJ, Holl JL, et al. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Qual Saf Health Care. 2007;16(2):127-131. https://psnet.ahrq.gov/issue/amb…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46862/psn-pdf
    February 21, 2018 - Considering human factors and developing systems- thinking behaviours to ensure patient safety. February 21, 2018 Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical Pharmacist. 2018;10(2). https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-syste…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836960/psn-pdf
    April 20, 2022 - Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. April 20, 2022 Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. doi:10.1097/pq9.0000000000000539. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60295/psn-pdf
    May 06, 2020 - 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. May 6, 2020 Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. mSystems. 2020;5(2):e00245-20. doi:10.1128/msystems.00245-20. http…
  12. 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…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42287/psn-pdf
    November 26, 2014 - What do patients think about year-end resident continuity clinic handoffs?: a qualitative study. November 26, 2014 Pincavage A, Lee WW, Beiting KJ, et al. What do patients think about year-end resident continuity clinic handoffs? A qualitative study. J Gen Intern Med. 2013;28(8):999-1007. doi:10.1007/s11606-013-239…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837208/psn-pdf
    May 25, 2022 - Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. May 25, 2022 Umoren R, Kim S, Gray MM, et al. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. BMJ Lead. 2022;6(1):15-19. doi:10.1136/leader-2020-000407. https://psne…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836998/psn-pdf
    April 27, 2022 - How will state medical boards handle cases involving disclosure and apology for medical errors? April 27, 2022 Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160435211070096. https://psnet.ahrq.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35896/psn-pdf
    July 23, 2010 - Work-hour restrictions as an ethical dilemma for residents. July 23, 2010 Carpenter RO, Austin MT, Tarpley JL, et al. Work-hour restrictions as an ethical dilemma for residents. Am J Surg. 2006;191(4):527-32. https://psnet.ahrq.gov/issue/work-hour-restrictions-ethical-dilemma-residents This study surveyed 170 res…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35565/psn-pdf
    June 16, 2011 - Error, stress, and teamwork in medicine and aviation: cross sectional surveys. June 16, 2011 Sexton JB. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2002;320(7237):745-749. doi:10.1136/bmj.320.7237.745. https://psnet.ahrq.gov/issue/error-stress-and-teamwork-medicine-and-aviat…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865518/psn-pdf
    April 10, 2024 - Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. April 10, 2024 Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program- restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hpeds.2023-007548. https://psnet.ahr…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47993/psn-pdf
    May 15, 2019 - Using near-miss events to improve MRI safety in a large academic centre. May 15, 2019 Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593. https://psnet.ahrq.gov/issue/using-near-miss-events-imp…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45605/psn-pdf
    November 30, 2016 - Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. November 30, 2016 Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. J Interprof Ca…

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