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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72684/psn-pdfJanuary 27, 2021 - National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. January 27, 2021 Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event. J Obstet Gynecol Neonatal Nurs. 2021;50(1):88-101. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60644/psn-pdfJuly 01, 2020 - Adverse events and burnout: the moderating effects of workgroup identification and safety climate. July 1, 2020 Vogus TJ, Ramanujam R, Novikov Z, et al. Adverse events and burnout: the moderating effects of workgroup identification and safety climate. Med Care. 2020;58(7):594-600. doi:10.1097/mlr.0000000000001341.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74239/psn-pdfJanuary 12, 2022 - Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. January 12, 2022 Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. JAMA Netw … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867684/psn-pdfMarch 05, 2025 - Development of a preliminary patient safety classification system for generative AI. March 5, 2025 Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017918. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73184/psn-pdfApril 28, 2021 - Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. April 28, 2021 Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Jt Comm J Qual Patient Saf. 2021;47(4):242-249. doi:10.101… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838250/psn-pdfOctober 06, 2022 - The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. October 6, 2022 Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. J Patient Saf. 2022;18(6):e93… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852275/psn-pdfJanuary 01, 2024 - Improving emergency medicine clinician awareness of prehospital-administered medications. August 9, 2023 Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital- administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/10903127.2023.2238815. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861774/psn-pdfJanuary 31, 2024 - Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives. January 31, 2024 Verma AA, Trbovich PL, Mamdani MM, et al. Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867691/psn-pdfMarch 05, 2025 - Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. March 5, 2025 Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. J Am Coll Surg. 2025;240(2):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867690/psn-pdfMarch 05, 2025 - Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. March 5, 2025 Hooftman J, Zwaan L, Sikkens JJ, et al. Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. Diagnosis (Berl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36378/psn-pdfOctober 28, 2010 - Teaching but not learning: how medical residency programs handle errors. October 28, 2010 Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J Organ Behav. 2006;27(7). doi:10.1002/job.395. https://psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72571/psn-pdfDecember 16, 2020 - Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study. December 16, 2020 Cutler NA, Sim J, Halcomb E, et al. Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study. J Clin Nurs. 2020;29(21-22):4379-4386. doi:10.1111/joc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72475/psn-pdfNovember 18, 2020 - Omissions of care in nursing homes: a uniform definition for research and quality improvement. November 18, 2020 Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11):1587-1591.e2. doi:10.1016/j.jamda… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73601/psn-pdfAugust 18, 2021 - From implementation to sustainment: a large-scale adverse event disclosure support program generated through embedded research in the Veterans Health Administration. August 18, 2021 Elwy AR, Maguire EM, McCullough M, et al. From implementation to sustainment: a large-scale adverse event disclosure support program… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843320/psn-pdfFebruary 01, 2023 - Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. February 1, 2023 Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73293/psn-pdfMay 19, 2021 - Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. May 19, 2021 Remtulla R, Hagana A, Houbby N, et al. Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. BMC Health Serv Res. 2021;21(1):269. doi:10.1186… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74002/psn-pdfOctober 27, 2021 - EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? October 27, 2021 Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12873-021-00508-1. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866731/psn-pdfSeptember 18, 2024 - Root cause analysis of cases involving diagnosis. September 18, 2024 Graber ML, Castro GM, Danforth M, et al. Root cause analysis of cases involving diagnosis. Diagnosis (Berl). 2024;11(4):353-368. doi:10.1515/dx-2024-0102. https://psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis Root cause analy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35647/psn-pdfJune 25, 2010 - Nurse staffing in hospitals: is there a business case for quality? June 25, 2010 Needleman J, Buerhaus P, Stewart M, et al. Nurse staffing in hospitals: is there a business case for quality? Health Aff (Millwood). 2006;25(1):204-11. https://psnet.ahrq.gov/issue/nurse-staffing-hospitals-there-business-case-quality … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50942/psn-pdfFebruary 26, 2020 - Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. February 26, 2020 Satterfield K, Rubin JC, Yang D, et al. Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. Learn Hea…
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