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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46041/psn-pdf
    September 20, 2017 - The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. September 20, 2017 Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. J Adv Nurs. 2017;7…
  2. 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):…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74153/psn-pdf
    December 08, 2021 - The benefits and harms of open notes in mental health: a Delphi survey of international experts. December 8, 2021 Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi survey of international experts. PLoS ONE. 2021;16(10):e0258056. doi:10.1371/journal.pone.0258056.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862615/psn-pdf
    August 12, 2019 - Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. August 12, 2019 Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. Soc Sci Med. 2019;238:1124…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862154/psn-pdf
    June 18, 2020 - Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. June 18, 2020 Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. J Midwifery Womens Health. 2020;65(4):466-4…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74125/psn-pdf
    January 01, 2022 - Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. December 1, 2021 Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients f…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851070/psn-pdf
    June 28, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. June 28, 2023 Santhosh L, Cornell E, Rojas JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2023. AHRQ Publication No. 23-0040-1-EF. https://psnet.ahrq.gov/issue/diagnostic-s…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74731/psn-pdf
    February 02, 2022 - Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. February 2, 2022 Wells HJ, Raithatha M, Elhag S, et al. Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. BMJ Open Qual. 2022;11(1):e001551. doi:10.1136/bmjoq-202…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60050/psn-pdf
    March 18, 2020 - Zero harm in health care. March 18, 2020 Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2). doi:10.1056/cat.19.1137. https://psnet.ahrq.gov/issue/zero-harm-health-care Health systems are encouraged to strive for zero preventable harm, but achieving this goal require…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73604/psn-pdf
    August 18, 2021 - The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. August 18, 2021 Damery S, Flanagan S, Jones J, et al. The effect of providing staff training and enhanced support to c…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47356/psn-pdf
    September 05, 2018 - 'Cyberloafing' in health care: a real risk to patient safety. September 5, 2018 Ross J. 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. J Perianesth Nurs. 2018;33(4):560- 562. doi:10.1016/j.jopan.2018.05.003. https://psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety The health ca…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867381/psn-pdf
    December 18, 2024 - Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. December 18, 2024 Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Br J Clin Pharm…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851457/psn-pdf
    July 19, 2023 - Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. July 19, 2023 Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. Patient…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41132/psn-pdf
    March 13, 2012 - Spreading a medication administration intervention organizationwide in six hospitals. March 13, 2012 Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. https://psnet.ahrq.gov/issue/spreading-medi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50795/psn-pdf
    January 15, 2020 - Diagnostic error in the emergency department: learning from national patient safety incident report analysis. January 15, 2020 Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44563/psn-pdf
    October 21, 2015 - The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. October 21, 2015 Samra HA, Smith BA. The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurses' Health: From the National Association of Neonatal Nurs…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44216/psn-pdf
    April 25, 2016 - Improving medication safety during hospital-based transitions of care. April 25, 2016 Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care. Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025. https://psnet.ahrq.gov/issue/improving-medication-safety-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46214/psn-pdf
    June 28, 2017 - Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture. June 28, 2017 Davies J, Pucher PH, Ibrahim H, et al. Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture. J Surg Res. 2017;212:2…

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