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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836915/psn-pdf
    April 13, 2022 - Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. April 13, 2022 Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical Electronic Health Record workaround…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837730/psn-pdf
    January 01, 2023 - Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. July 28, 2022 Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. Prehosp Emerg Care. 2023;27(5):669-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47385/psn-pdf
    April 27, 2019 - Reasons for repeat rapid response team calls, and associations with in-hospital mortality. April 27, 2019 Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005. h…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849600/psn-pdf
    May 31, 2023 - Danger in discharge summaries: abbreviations create confusion for both author and recipient. May 31, 2023 Coghlan A, Turner S, Coverdale S. Danger in discharge summaries: abbreviations create confusion for both author and recipient. Intern Med J. 2023;53(4):550-558. doi:10.1111/imj.15582. https://psnet.ahrq.gov/is…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45596/psn-pdf
    January 09, 2018 - More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? January 9, 2018 Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England? Ergonomics. 2018;61(1):5-14. doi:10.1080/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839319/psn-pdf
    November 02, 2022 - Improving safety in the operating room: medication icon labels increase visibility and discrimination. November 2, 2022 Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:103831. doi:10.1016/j.apergo.2022…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46372/psn-pdf
    September 13, 2017 - Impact of a successful speaking up program on health- care worker hand hygiene behavior. September 13, 2017 Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK. https://psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene- behavior Improving hand hygiene in health care f…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45085/psn-pdf
    May 04, 2016 - A piece of my mind. The patient you least want to see. May 4, 2016 Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2. doi:10.1001/jama.2016.0221. https://psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see Providing insights from a physician regarding the complexit…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72639/psn-pdf
    January 13, 2021 - Assessment of physician sleep and wellness, burnout, and clinically significant medical errors. January 13, 2021 Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors. JAMA Netw Open. 2020;3(12):e2028111. doi:10.1001/jamanetworkopen.202…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34795/psn-pdf
    December 23, 2008 - Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. December 23, 2008 Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Med. 1997;25(8):1289-1297. doi:10.1097/00003246-199708000-00014. ht…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836747/psn-pdf
    March 16, 2022 - Patient perceptions of hospital experiences: implications for innovations in patient safety. March 16, 2022 Butler JM, Gibson B, Schnock KO, et al. Patient perceptions of hospital experiences: implications for innovations in patient safety. J Patient Saf. 2022;18(2):e563-e567. doi:10.1097/pts.0000000000000865. htt…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73217/psn-pdf
    May 05, 2021 - Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. May 5, 2021 Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38697/psn-pdf
    June 10, 2009 - A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. June 10, 2009 Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44616/psn-pdf
    November 04, 2015 - Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. November 4, 2015 Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46300/psn-pdf
    August 16, 2017 - Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. August 16, 2017 Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. J Glob Health. 2017;7(1):011001. doi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60816/psn-pdf
    August 19, 2020 - Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses. August 19, 2020 Cho H, Pavek K, Steege LM. Workplace verbal abuse, nurse?reported quality of care and patient safety outcomes among early?career hospital nurses. J Nurs Manag. 2020;28(6):1250-125…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867390/psn-pdf
    December 18, 2024 - Quality of care and quality of life: balancing patient safety and physician burnout. December 18, 2024 Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000000000005681. https://psnet.ahrq.go…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44089/psn-pdf
    April 22, 2015 - Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. April 22, 2015 Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.2014.11.004. https://psnet.ahrq.gov/issu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34843/psn-pdf
    March 02, 2011 - Hand hygiene among physicians: performance, beliefs, and perceptions. March 2, 2011 Pittet D, Simon A, Hugonnet S, et al. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med. 2004;141(1):1-8. https://psnet.ahrq.gov/issue/hand-hygiene-among-physicians-performance-beliefs-and-percept…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39872/psn-pdf
    February 25, 2013 - The Essential Guide for Patient Safety Officers, Second Edition. February 25, 2013 Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute for Healthcare Improvement; 2013. ISBN: 9781599407036. https://psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-se…

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