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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60793/psn-pdf
    August 12, 2020 - Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. August 12, 2020 He M, Li Y, Fang F. Is There a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. J Am Med Dir Assoc. 2020;…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60053/psn-pdf
    January 01, 2021 - A review of adverse event reports from emergency departments in the Veterans Health Administration. March 18, 2020 Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-e903. doi:10.1097/pts.0000000000000…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60530/psn-pdf
    January 01, 2022 - A systematic review of patient-report safety climate measures in health care. May 27, 2020 Madden C, Lydon S, O’Dowd E, et al. A systematic review of patient-report safety climate measures in health care. J Patient Saf. 2022;18(1):e51-e60. doi:10.1097/pts.0000000000000705. https://psnet.ahrq.gov/issue/systematic-r…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48110/psn-pdf
    August 14, 2019 - The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care. August 14, 2019 Cole DA, Bersick E, Skarbek A, et al. The courage to speak out: A study describing nurses' attitudes to report unsafe practices in patient care. J Nurs Manag. 2019;27(6):1176-1181. doi:10.1111/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44483/psn-pdf
    September 09, 2015 - Learning Not Blaming. September 9, 2015 Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716. https://psnet.ahrq.gov/issue/learning-not-blaming The National Health Service (NHS) has a history of sharing analyses of problems in its system. This publication contain…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41245/psn-pdf
    March 29, 2012 - The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. March 29, 2012 James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. J …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38697/psn-pdf
    June 10, 2009 - A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. June 10, 2009 Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836760/psn-pdf
    March 16, 2022 - Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. March 16, 2022 Washington, DC: VA Office of the Inspector General;  February 17, 2022. Report No. 21-01506-76. https://psnet.ahrq.gov/issue/comprehensive-healthcare-i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60352/psn-pdf
    January 01, 2021 - Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. May 20, 2020 Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. J Appl Psychol. 2021;106(3):439-451. doi:10.1037/apl0000507. htt…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858170/psn-pdf
    December 13, 2023 - Unsafe care in residential settings for older adults. A content analysis of accreditation reports. December 13, 2023 Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int J Qual Health Care. 2023;35(4):mzad085. doi:10.1093/intqhc/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42999/psn-pdf
    December 12, 2014 - The relationships among work stress, strain and self- reported errors in UK community pharmacy. December 12, 2014 Johnson SJ, O'Connor EM, Jacobs S, et al. The relationships among work stress, strain and self-reported errors in UK community pharmacy. Res Social Adm Pharm. 2014;10(6):885-895. doi:10.1016/j.sapharm.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47476/psn-pdf
    February 13, 2019 - Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. February 13, 2019 Bowdle TA, Jelacic S, Nair B, et al. Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-b…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74109/psn-pdf
    November 24, 2021 - Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. November 24, 2021 Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/bmjoq-2021-001421. https://psne…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74205/psn-pdf
    January 01, 2022 - Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study. December 22, 2021 Gibson BA, McKinnon E, Bentley RC, et al. Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinici…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36972/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. ISMP medication error report analysis. Hosp Pharm. 2010;42(6):498-499. doi:10.1310/hpj4206- 498. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-14 This monthly selection of medication error reports includes an error averted because …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36582/psn-pdf
    January 14, 2011 - Paramedic self-reported medication errors. January 14, 2011 Vilke GM, Tornabene S, Stepanski B, et al. Paramedic self-reported medication errors. Prehosp Emerg Care. 2007;11(1):80-4. https://psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors-0 This survey found that paramedics who committed medication …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36048/psn-pdf
    September 27, 2010 - Can technology improve intershift report? What the research reveals. September 27, 2010 Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007. https://psnet.ahrq.gov/issue/can-technology-improve-inte…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38375/psn-pdf
    December 01, 2019 - ISMP QuarterWatch Reports. April 17, 2019 Horsham, PA: Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-quarterwatch-reports This website provides quarterly reports that identify and analyze new risks related to medications and adverse drug events submitted to the Food and Drug Administra…
  19. psnet.ahrq.gov/issue/dont-underestimate-impact-change-risk-potential
    May 02, 2018 - Newspaper/Magazine Article Don't underestimate the impact of change on risk potential. Citation Text: Don't underestimate the impact of change on risk potential. ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3. Copy Citation Save …
  20. psnet.ahrq.gov/issue/good-you-good-us-good-everybody
    October 20, 2021 - Book/Report Good for You, Good for Us, Good for Everybody. Citation Text: Good for You, Good for Us, Good for Everybody. Ridge K. London, England: Crown Copyright; 2021. September 22, 2021. Copy Citation Save Save to your library Print Download PDF …

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