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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841481/psn-pdf
    January 01, 2023 - Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. December 14, 2022 Klasen JM, Teunissen PW, Driessen E, et al. Trainees' perceptions of being allowed to fail in clinical training: a sense?making model. Med Educ. 2023;57(5):430-439. doi:10.1111/medu.14966. https://psnet.ahr…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47956/psn-pdf
    June 26, 2019 - Family involvement in managing medications of older patients across transitions of care: a systematic review. June 26, 2019 Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients across transitions of care: a systematic review. BMC Geriatr. 2019;19(1):95. doi:10.1186/s12…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46397/psn-pdf
    August 30, 2017 - Making Dialysis Safer for Patients Coalition. August 30, 2017 Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/making-dialysis-safer-patients-coalition Dialysis is a common procedure that carries risks if not performed correctly. This initiative represents a collective effort that aims to d…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867133/psn-pdf
    November 13, 2024 - Designing an intervention to improve medication safety for nursing home residents based on experiential knowledge related to patient safety culture at the nursing home front line: cocreative process study. November 13, 2024 Juhl MH, Soerensen AL, Vardinghus-Nielsen H, et al. Designing an intervention to improve me…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866692/psn-pdf
    September 11, 2024 - Relationships between medications used in a mental health hospital and types of medication errors: a cross- sectional study over an 8-year period. September 11, 2024 Lebas R, Calvet B, Schadler L, et al. Relationships between medications used in a mental health hospital and types of medication errors: a cross-sect…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837501/psn-pdf
    June 22, 2022 - Development and validation of a brief culture-of-safety survey. June 22, 2022 Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006. https://psnet.ahrq.gov/issue/development-and-validati…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47859/psn-pdf
    May 15, 2019 - The design and conduct of Project RedDE: a cluster- randomized trial to reduce diagnostic errors in pediatric primary care. May 15, 2019 Bundy DG, Singh H, Stein RE, et al. The design and conduct of Project RedDE: A cluster-randomized trial to reduce diagnostic errors in pediatric primary care. Clin Trials. 2019;1…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837070/psn-pdf
    May 11, 2022 - Patient falls in the operating room setting: an analysis of reported safety events. May 11, 2022 Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503. https://psnet.ahrq.gov/issue/pati…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47912/psn-pdf
    April 24, 2019 - A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. April 24, 2019 Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. BMC Health Serv Res. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73878/psn-pdf
    September 29, 2021 - Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. September 29, 2021 Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. 2021;4(8):e2119346. doi:10.100…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34622/psn-pdf
    March 17, 2011 - National Confidential Enquiry into Patient Outcome and Death. March 17, 2011 National Confidential Enquiry into Patient Outcome and Death; NCEPOD https://psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death Launched under the title National Confidential Enquiry into Perioperative Deaths (NC…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33892/psn-pdf
    May 03, 2016 - Critical Incident Technique Bibliography—2001. May 3, 2016 Fivars G; Fitzpatrick R https://psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001 A research tool to identify critical requirements for performance in applied areas of psychology and behavioral science. This technique, used in anesthesia t…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45583/psn-pdf
    January 18, 2017 - ASHP IV Adult Continuous Infusions. January 18, 2017 Bethesda, MD: American Society of Health-System Pharmacists; 2016. https://psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions Miscalculations of intravenous infusion concentrations can result in patient harm. Representing the first phase of a standards deve…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33914/psn-pdf
    September 29, 2017 - Inpatient Quality Indicators. September 29, 2017 Agency for Healthcare Research and Quality; AHRQ; University of California, San Francisco-Stanford Evidence-based Practice Center. https://psnet.ahrq.gov/issue/inpatient-quality-indicators The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (Q…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42601/psn-pdf
    September 18, 2013 - 'You talking to me?' Docs and feedback. September 18, 2013 Diamond F. 'You talking to me?' Docs and feedback. Managed care (Langhorne, Pa.). 2013;22(7):30-2. https://psnet.ahrq.gov/issue/you-talking-me-docs-and-feedback Reporting on barriers to teamwork, this magazine article relates how hierarchy influences speaki…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36063/psn-pdf
    December 23, 2012 - Oversight Hearing on Recent Patient Safety Issues. December 23, 2012 U.S. Department of Veterans Affairs. Hearing before the Committee on Veterans’ Affairs, House of Representatives, Subcommittee on Oversight and Investigations. 109 Congress, 2nd sess June 15, 2006. Washington, DC: US Government Printing Office; 20…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837512/psn-pdf
    January 01, 2024 - Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. June 22, 2022 Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Hum Factors. 2024;6…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860724/psn-pdf
    January 17, 2024 - Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? January 17, 2024 Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? BMJ Qual Saf. 2024;33(2):132-135. doi:10.1136/bmjqs-2023- 016…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837313/psn-pdf
    June 01, 2022 - Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. June 1, 2022 ISMP Medication Safety Alert! Acute care edition. May 19, 2022;27(10):1-5. https://psnet.ahrq.gov/issue/are-you-well-positioned-resolve-co…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60532/psn-pdf
    May 27, 2020 - Improving timely recognition and treatment of sepsis in the pediatric ICU. May 27, 2020 Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. https://psnet.ahrq.gov/issue/improv…

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