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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838625/psn-pdf
    October 19, 2022 - Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. October 19, 2022 Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. Crit Care Nurse. 2022;42(5):…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47846/psn-pdf
    March 06, 2019 - Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl products. March 6, 2019 Rollman JE, Heyward J, Olson L, et al. Assessment of the FDA Risk Evaluation and Mitigation Strategy for Transmucosal Immediate-Release Fentanyl Products. JAMA. 2019;321(7):676-685. do…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34070/psn-pdf
    February 18, 2011 - Effect of reducing interns' work hours on serious medical errors in intensive care units. February 18, 2011 Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med. 2004;351(18):1838-48. https://psnet.ahrq.gov/issue/effec…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38069/psn-pdf
    March 10, 2011 - Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system. March 10, 2011 Lin C-P, Payne TH, Nichol P, et al. Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Depa…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866860/psn-pdf
    October 02, 2024 - Motivation for patient engagement in patient safety: a multi-perspective, explorative survey. October 2, 2024 Raab C, Gambashidze N, Brust L, et al. Motivation for patient engagement in patient safety: a multi- perspective, explorative survey. BMC Health Serv Res. 2024;24(1):1052. doi:10.1186/s12913-024-11495- x. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35647/psn-pdf
    June 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 …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72799/psn-pdf
    March 03, 2021 - Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. March 3, 2021 Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Diagnostic Error and Clinician Burnout. J…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60725/psn-pdf
    July 29, 2020 - The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. July 29, 2020 Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decis…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72475/psn-pdf
    November 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73601/psn-pdf
    August 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47680/psn-pdf
    January 16, 2019 - Perioperative medication errors: uncovering risk from behind the drapes. January 16, 2019 Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes The operating room environment harbors particular pat…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836749/psn-pdf
    March 16, 2022 - Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. March 16, 2022 Clift K, Macklin-Mantia S, Barnhorst M, et al. Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. J…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72790/psn-pdf
    March 03, 2021 - Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. March 3, 2021 Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high?income countries. BJOG. 2020;128(4):696-703. doi:10.11…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60297/psn-pdf
    January 01, 2021 - A call for the application of patient safety culture in medical humanitarian action: a literature review. May 6, 2020 Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737. doi:10.10…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864848/psn-pdf
    March 20, 2024 - An mHealth design to promote medication safety in children with medical complexity. March 20, 2024 Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000. https://psnet.ahrq.gov/issue/mh…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45335/psn-pdf
    August 10, 2016 - The Feasibility of Determining the Effectiveness and Cost- effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. August 10, 2016 Bhattacharya D, Aldus CF, Barton G, et al. Health Tech…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861767/psn-pdf
    January 31, 2024 - Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial. January 31, 2024 Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinica…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46370/psn-pdf
    November 08, 2017 - Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. November 8, 2017 Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. B…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847719/psn-pdf
    April 19, 2023 - Person-first treatment strategies: weight bias and impact on mental health of people living with obesity. April 19, 2023 Crowley N. Person-first treatment strategies: weight bias and impact on mental health of people living with obesity. Prim Care. 2023;50(1):89-101. doi:10.1016/j.pop.2022.10.002. https://psnet.ah…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47535/psn-pdf
    November 07, 2018 - Gosport War Memorial Hospital. The Report of the Gosport Independent Panel. November 7, 2018 Gosport Independent Panel. London, England: Crown Copyright; 2018. ISBN: 9781528604062. https://psnet.ahrq.gov/issue/gosport-war-memorial-hospital-report-gosport-independent-panel Organizational culture influences how comf…

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