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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41725/psn-pdf
    January 01, 2013 - Improving patient handovers from hospital to primary care: a systematic review. October 3, 2012 Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-201209180-00006. https://psnet.ah…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45662/psn-pdf
    January 23, 2017 - National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. January 23, 2017 Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;170(12):1195-1201. doi:10.1001/j…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844758/psn-pdf
    September 18, 2019 - The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. September 18, 2019 Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. https://psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours Early recognition of clinica…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46285/psn-pdf
    August 02, 2017 - A hospital is not just a factory, but a complex adaptive system—implications for perioperative care. August 2, 2017 Mahajan A, Islam SD, Schwartz MJ, et al. A Hospital Is Not Just a Factory, but a Complex Adaptive System-Implications for Perioperative Care. Anesth Analg. 2017;125(1):333-341. doi:10.1213/ANE.000000…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45665/psn-pdf
    February 22, 2017 - Comparative effectiveness of a serious game and an e- module to support patient safety knowledge and awareness. February 22, 2017 Dankbaar MEW, Richters O, Kalkman CJ, et al. Comparative effectiveness of a serious game and an e- module to support patient safety knowledge and awareness. BMC Med Educ. 2017;17(1):30.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61108/psn-pdf
    November 11, 2020 - Association of clinical nursing work environment with quality and safety in maternity care in the United States. November 11, 2020 Clark RRS, Lake ET. Association of clinical nursing work environment with quality and safety in maternity care in the United States. MCN: Am J Maternal Child Nurs. 2020;45(5):265-270. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856635/psn-pdf
    January 01, 2024 - System planning for modern-day Just Culture to mitigate worker distress and second victim response. November 29, 2023 Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker distress and second victim response. BMJ Lead. 2024;8(2):149-152. doi:10.1136/leader-2023-0008…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34732/psn-pdf
    May 09, 2015 - A Tale of Two Stories: Contrasting Views of Patient Safety. May 9, 2015 Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997. https://psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety A report from a workshop, this document is a well-written look at the difference…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35264/psn-pdf
    June 29, 2009 - The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  June 29, 2009 Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive care. Crit Care M…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837301/psn-pdf
    June 01, 2022 - Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout. June 1, 2022 Dyrbye LN, West CP, Sinsky CA, et al. Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout. JAMA Netw …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73603/psn-pdf
    August 18, 2021 - The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. August 18, 2021 Bryant J, Carey M, Sanson-Fisher R, et al. The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. J Patient Saf. 2021;17(5):e387-e392. doi:10.10…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866556/psn-pdf
    August 21, 2024 - Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. August 21, 2024 Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. J Med Internet Res. 2024…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46627/psn-pdf
    January 30, 2018 - The lost art of doctoring: reflections of a pediatric resident. January 30, 2018 Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10. doi:10.1001/jamapediatrics.2017.3247. https://psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident There are…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36814/psn-pdf
    March 28, 2011 - Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations. March 28, 2011 Miller MR, Robinson K, Lubomski LH, et al. Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence su…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848318/psn-pdf
    May 03, 2023 - Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards. May 3, 2023 Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence missed nursing care – a qualitative st…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37334/psn-pdf
    February 01, 2011 - A framework for health care organizations to develop and evaluate a safety scorecard. February 1, 2011 Pronovost P, Berenholtz SM, Needham DM. A framework for health care organizations to develop and evaluate a safety scorecard. JAMA. 2007;298(17):2063-5. https://psnet.ahrq.gov/issue/framework-health-care-organiza…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45479/psn-pdf
    October 08, 2016 - Physician understanding and ability to communicate harms and benefits of common medical treatments. October 8, 2016 Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1567. doi:10.1001/jamainternmed.2…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44515/psn-pdf
    February 23, 2018 - The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. February 23, 2018 Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resources Leadership; 2015. https://psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47714/psn-pdf
    March 27, 2019 - Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. March 27, 2019 Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major National Effort Aimed at Reducing Infections and Other Surgical C…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44203/psn-pdf
    August 04, 2015 - Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. August 4, 2015 Daneman N, Bronskill SE, Gruneir A, et al. Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse Outcomes for Individual Residents.…

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