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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45482/psn-pdf
    September 14, 2016 - 'America's other drug problem': copious prescriptions for hospitalized elderly. September 14, 2016 Gorman A. Kaiser Health News. August 30, 2016. https://psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly Older patients are particularly vulnerable to medication errors, as t…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43905/psn-pdf
    March 04, 2015 - Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties. March 4, 2015 Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in Colorado: A prospective observational study revea…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73085/psn-pdf
    January 01, 2022 - Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error. March 31, 2021 Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences of a dual element training interve…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849602/psn-pdf
    May 31, 2023 - Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication is related to patient safety threats and higher-quality care. May 31, 2023 Dietl JE, Derksen C, Keller FM, et al. Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal com…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47121/psn-pdf
    August 08, 2018 - Assessment of programs aimed to decrease or prevent mistreatment of medical trainees. August 8, 2018 Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870. doi:10.1001/jamanetworkopen.2018.0870. https…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837794/psn-pdf
    August 10, 2022 - Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. August 10, 2022 Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed. BMC Health Serv Res. 2022;22(1):958. doi:1…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844765/psn-pdf
    September 18, 2019 - Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. September 18, 2019 Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting. Crit Care Med. 2019;47(7):e597-e601…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45529/psn-pdf
    October 11, 2017 - Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. October 11, 2017 Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health system's experience. Am J Surg. 20…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854381/psn-pdf
    October 11, 2023 - Addressing bias in acute postoperative pain management. October 11, 2023 Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management. Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0. https://psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pa…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45817/psn-pdf
    October 25, 2017 - The Case for Investing in Patient Safety in Canada. October 25, 2017 RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/case-investing-patient-safety-canada Medical error and patient harm affect individuals and organizations around the world. This report estimates that…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45576/psn-pdf
    July 02, 2017 - Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. July 2, 2017 Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report on Diagnostic Error. Radiology. 2017;283(1…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74110/psn-pdf
    November 24, 2021 - New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. November 24, 2021 Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-304. doi:10.3928/19404921-202109…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73679/psn-pdf
    September 08, 2021 - Why an open disclosure procedure is and is not followed after an avoidable adverse event. September 8, 2021 Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405. https…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47607/psn-pdf
    February 13, 2019 - Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. February 13, 2019 Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Infect Control Hosp Epidemiol. 2019;40(1):95-99. doi:10.1017…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837151/psn-pdf
    May 18, 2022 - Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric. May 18, 2022 Combs CA, Goffman D, Pettker CM. Society for Maternal-Fetal Medicine Special Statement: A critique of postpartum readmission rate as a quality metric. Am J Obstet Gynecol. 2022;226(4):…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837892/psn-pdf
    January 01, 2023 - Teamwork before and during COVID-19: the good, the same, and the ugly…. August 24, 2022 Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070. https://psnet.ahrq.gov/issue/teamwork-and-during-c…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60898/psn-pdf
    September 09, 2020 - Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. September 9, 2020 Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60179/psn-pdf
    April 01, 2020 - Two cultures in modern science and technology: for safety and validity does medicine have to update? April 1, 2020 Becker RE. Two cultures in modern science and technology: for safety and validity does medicine have to update? J Patient Saf. 2020;16(1):e46-e50. doi:10.1097/pts.0000000000000260. https://psnet.ahrq.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74055/psn-pdf
    January 01, 2022 - Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review. November 10, 2021 Hyvämäki P, Kääriäinen M, Tuomikoski A-M, et al. Registered nurses' and medical doctors' experiences of patient safety in health …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73218/psn-pdf
    January 01, 2022 - Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects. May 5, 2021 Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services …

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