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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46428/psn-pdf
    November 01, 2017 - Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial. November 1, 2017 Pannick S, Athanasiou T, Long SJ, et al. Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47359/psn-pdf
    October 10, 2018 - Is there evidence of a July effect among patients undergoing hysterectomy surgery? October 10, 2018 Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.ajog.2018.05.033. https://psnet.a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850173/psn-pdf
    June 07, 2023 - A national safety board made transportation safer and could do the same for health care, advocates say. June 7, 2023 Jaklevic MC. CNN. May 30, 2023. https://psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health- care-advocates-say Patient safety has long drawn from aviation…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838017/psn-pdf
    September 07, 2022 - Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. September 7, 2022 Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. Health Promot Pract. 2022;23(4):555-5…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46032/psn-pdf
    May 03, 2017 - Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. May 3, 2017 King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the Military Health System. Mil Med. 2017;182(…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44470/psn-pdf
    October 13, 2015 - Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. October 13, 2015 Walton M, Harrison R, Burgess A, et al. Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43855/psn-pdf
    April 15, 2016 - Perioperative safety in plastic surgery: is the World Health Organization checklist useful in a broad practice? April 15, 2016 Biskup N, Workman AD, Kutzner E, et al. Perioperative Safety in Plastic Surgery: Is the World Health Organization Checklist Useful in a Broad Practice? Ann Plast Surg. 2016;76(5):550-5. do…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867759/psn-pdf
    March 12, 2025 - Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. March 12, 2025 Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. APSF Newsletter. 2025;40(1):24-26. ht…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45678/psn-pdf
    October 11, 2017 - Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. October 11, 2017 Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. Health Expect. 2017…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73581/psn-pdf
    January 01, 2022 - Applying human factors engineering to address the telemetry alarm problem in a large medical center. August 11, 2021 Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1):126-142. doi:10.1177/001872082…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36333/psn-pdf
    July 10, 2008 - The care transitions intervention: results of a randomized controlled trial. July 10, 2008 Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8. https://psnet.ahrq.gov/issue/care-transitions-intervention-results-ra…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44022/psn-pdf
    May 28, 2015 - Initiatives to identify and mitigate medication errors in England. May 28, 2015 Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England. Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3. https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-med…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44148/psn-pdf
    November 06, 2015 - Role of cognition in generating and mitigating clinical errors. November 6, 2015 Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482. https://psnet.ahrq.gov/issue/role-cognition-generating-and-miti…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34649/psn-pdf
    June 11, 2014 - On error management: lessons from aviation. June 11, 2014 Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. https://psnet.ahrq.gov/issue/error-management-lessons-aviation In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43909/psn-pdf
    March 11, 2015 - Summary and frequency of barriers to adoption of CPOE in the US. March 11, 2015 Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us Although compu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864847/psn-pdf
    March 20, 2024 - Inter-hospital transfer is an independent risk factor for hospital-associated infection. March 20, 2024 Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital- associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:10.1089/sur.2023.077. https://ps…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841486/psn-pdf
    January 26, 2018 - Do words matter? Stigmatizing language and the transmission of bias in the medical record. January 26, 2018 P. Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? Stigmatizing language and the transmission of bias in the medical record. J Gen Intern Med. 2018;33(5):685-691. doi:10.1007/s11606-017-4289-2. http…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72821/psn-pdf
    March 10, 2019 - I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. March 10, 2019 O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/mep_2374- 8265.10736. https://psnet.ahr…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40061/psn-pdf
    December 15, 2010 - Exploring relationships between hospital patient safety culture and adverse events. December 15, 2010 Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf. 2010;6(4):226-32. doi:10.1097/PTS.0b013e3181fd1a00. https://psnet.ahrq.gov/is…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837853/psn-pdf
    August 17, 2022 - RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. August 17, 2022 Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja…

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