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9781. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44119/psn-pdf
      September 19, 2016 - Risk managers' descriptions of programs to support second victims after adverse events. September 19, 2016 White AA, Brock DM, McCotter PI, et al. Risk managers' descriptions of programs to support second victims after adverse events. J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002/jhrm.21169. https://psnet.ah…

9782. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45203/psn-pdf
      August 24, 2016 - Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. August 24, 2016 Jones A, Lankshear A, Kelly D. Giving voice to quality and safety matters at board level: A qualitative study of the experiences of executive nurses wo…

9783. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47525/psn-pdf
      October 31, 2018 - Peer training using cognitive rehearsal to promote a culture of safety in health care. October 31, 2018 Roberts T, Hanna K, Hurley S, et al. Peer Training Using Cognitive Rehearsal to Promote a Culture of Safety in Health Care. Nurse Educ. 2018;43(5):262-266. doi:10.1097/NNE.0000000000000478. https://psnet.ahrq.go…

9784. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46260/psn-pdf
      July 26, 2017 - ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. July 26, 2017 American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2016;128:e237-e240. https://psnet.ahrq.gov/issue/acog-committee-opinion-680-use-an…

9785. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47519/psn-pdf
      February 22, 2019 - Simulation-based education to train learners to "speak up" in the clinical environment: results of a randomized trial. February 22, 2019 Oner C, Fisher N, Atallah F, et al. Simulation-Based Education to Train Learners to "Speak Up" in the Clinical Environment: Results of a Randomized Trial. Simul Healthc. 2018;13(…

9786. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40180/psn-pdf
      February 02, 2011 - Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities. February 2, 2011 Good VS, Saldaña M, Gilder R, et al. Large-scale deployment of the Global Trigger Tool across a large hospital…

9787. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35361/psn-pdf
      July 16, 2009 - Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. July 16, 2009 Wu HW, Nishimi RY, Page-Lopez CM, et al. Washington DC: National Quality Forum; 2005. https://psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health- literacy In the 2…

9788. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46761/psn-pdf
      February 14, 2018 - Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. February 14, 2018 Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the lite…

9789. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61077/psn-pdf
      October 28, 2020 - Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. October 28, 2020 Farnborough, UK: Healthcare Safety Investigation Branch; September 24, 2020.  https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-servi…

9790. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45772/psn-pdf
      January 11, 2017 - Technical Series on Safer Primary Care. January 11, 2017 Geneva, Switzerland: World Health Organization; 2016. https://psnet.ahrq.gov/issue/technical-series-safer-primary-care Much of patient safety research has focused on the hospital setting, but a majority of health care is delivered in the ambulatory setting. …

9791. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851460/psn-pdf
      July 19, 2023 - Patient perceptions and experiences with medication- related activities in the emergency department: a qualitative study. July 19, 2023 Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication- related activities in the emergency department: a qualitative study. BMJ Open …

9792. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865337/psn-pdf
      March 27, 2024 - Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. March 27, 2024 Chong RIH, Yaow CYL, Chong NZ-Y, et al. Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. Am J Surg. 2024;229:5-…

9793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47917/psn-pdf
      April 10, 2019 - The opioid crisis: origins, trends, policies, and the roles of pharmacists. April 10, 2019 Chisholm-Burns MA, Spivey CA, Sherwin E, et al. The opioid crisis: Origins, trends, policies, and the roles of pharmacists. Am J Health-Syst Pharm. 2019;76(7):424-435. doi:10.1093/ajhp/zxy089. https://psnet.ahrq.gov/issue/op…

9794. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44308/psn-pdf
      July 22, 2015 - Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study. July 22, 2015 Akbarov A, Kontopantelis E, Sperrin M, et al. Primary Care Medication Safety Surveillance with Integrated Primary and Secondary Care Electronic Health Records: A …

9795. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50414/psn-pdf
      September 04, 2019 - Rating the raters: an evaluation of publicly reported hospital quality rating systems. September 4, 2019 Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019. https://psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems Numerous publicly available …

9796. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39895/psn-pdf
      September 21, 2011 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. September 21, 2011 Oakbrook Terrace, IL: The Joint Commission; September 2010. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2010 In the fifth report on t…

9797. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47756/psn-pdf
      February 06, 2019 - Meltdown: Why Our Systems Fail and What We Can Do About It. February 6, 2019 Clearfield C, Tilcsik A. New York, NY: Penguin Press; 2018. ISBN: 978-0735222632. https://psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it Complex systems are prone to failure. This book provides a multi-indu…

9798. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861279/psn-pdf
      January 24, 2024 - Mistreatment in health care among women in Appalachia. January 24, 2024 Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547. https://psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appala…

9799. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38071/psn-pdf
      February 15, 2011 - A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. February 15, 2011 Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184- 190. doi:10.1097/pts.0b013e318184a9d5. https://psnet.ahrq.gov/issue/multifaceted-appr…

9800. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46601/psn-pdf
      January 25, 2018 - Night-time communication at Stanford University Hospital: perceptions, reality and solutions. January 25, 2018 Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjqs-2017-006727. https://psnet.ah…