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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44215/psn-pdf
    November 03, 2015 - Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013. November 3, 2015 Hibbs BF, Moro PL, Lewis P, et al. Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000-2013. Vaccine. 2015;33(28):3171-3178. doi:10.1016/j…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45991/psn-pdf
    April 05, 2017 - Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review. April 5, 2017 Chen C, Kan T, Li S, et al. Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review. Am J Emerg Med. 201…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867142/psn-pdf
    November 13, 2024 - Adverse events in patients transitioning from the emergency department to the inpatient setting. November 13, 2024 Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):564-570. doi:10.1097/pts.000000…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867138/psn-pdf
    November 13, 2024 - Could breaks reduce general practitioner burnout and improve safety? A daily diary study. November 13, 2024 Hall LH, Johnson J, Watt I, et al. Could breaks reduce general practitioner burnout and improve safety? A daily diary study. PLoS ONE. 2024;19(8):e0307513. doi:10.1371/journal.pone.0307513. https://psnet.ahr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866596/psn-pdf
    August 28, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act August 28, 2024 Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. AHRQ Publication No. 24-0010-3-EF …
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44163/psn-pdf
    October 13, 2015 - Characterising 'near miss' events in complex laparoscopic surgery through video analysis. October 13, 2015 Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjqs-2014-003816. https://psnet.ah…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43809/psn-pdf
    February 25, 2015 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. February 25, 2015 Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pedia…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837731/psn-pdf
    July 27, 2022 - Predictors and outcomes of patient safety culture: a cross-sectional comparative study. July 27, 2022 Mrayyan MT. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ Open Qual. 2022;11(3):e001889. doi:10.1136/bmjoq-2022-001889. https://psnet.ahrq.gov/issue/predictors-and-out…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48064/psn-pdf
    June 12, 2019 - Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. June 12, 2019 Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins Medicine; May 2019. https://psnet.ahrq.gov/issue/lives-lost-lives-saved-updat…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60272/psn-pdf
    April 29, 2020 - Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis. April 29, 2020 Gunderson CG, Bilan VP, Holleck JL, et al. Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis. BMJ Qual Saf. 2020;29(12):1008-1018. doi:10.1136/bmj…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36743/psn-pdf
    June 16, 2011 - Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire—Ambulatory Version. June 16, 2011 Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire--ambulatory version. J Gen Intern Med. 2007;22(1):1-5. https://psnet.ahrq…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60536/psn-pdf
    May 27, 2020 - Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. May 27, 2020 Ellis B, Hicken M. CNN. May 14, 2020. https://psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19- outbreaks-and-deaths Long-term care and skilled nursing faci…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34103/psn-pdf
    February 24, 2011 - Measuring errors and adverse events in health care. February 24, 2011 Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x. https://psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care This article discusses t…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73312/psn-pdf
    May 26, 2021 - Healthcare professionals experience of psychological safety, voice, and silence. May 26, 2021 O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice, and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689. https://psnet.ahrq.gov/issue/healthcare-p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73313/psn-pdf
    May 26, 2021 - Maintaining maternal-newborn safety during the COVID- 19 pandemic. May 26, 2021 Patrick NA, Johnson TS. Maintaining maternal-newborn safety during the COVID-19 pandemic. Nurs Womens Health. 2021;25(3):212-220. doi:10.1016/j.nwh.2021.03.003. https://psnet.ahrq.gov/issue/maintaining-maternal-newborn-safety-during-co…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44741/psn-pdf
    January 20, 2016 - System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. January 20, 2016 Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72529/psn-pdf
    January 01, 2021 - Physician task load and the risk of burnout among US physicians in a national survey. December 2, 2020 Harry EM, Sinsky CA, Dyrbye LN, et al. Physician task load and the risk of burnout among US physicians in a national survey. Jt Comm J Qual Patient Saf. 2021;47(2):76-85. doi:10.1016/j.jcjq.2020.09.011. https://p…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35540/psn-pdf
    August 05, 2009 - Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. August 5, 2009 Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to- physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866563/psn-pdf
    August 21, 2024 - Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. August 21, 2024 Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2024;44(1):17-23. doi:10.1002/jhrm…

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