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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838911/psn-pdf
    October 26, 2022 - Medication adverse events in the ambulatory setting: a mixed-methods analysis. October 26, 2022 Wong J, Lee S-Y, Sarkar U, et al. Medication adverse events in the ambulatory setting: a mixed-methods analysis. Am J Health Syst Pharm. 2022;79(24):2230-2243. doi:10.1093/ajhp/zxac253. https://psnet.ahrq.gov/issue/medi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74208/psn-pdf
    December 22, 2021 - Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. December 22, 2021 McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72802/psn-pdf
    March 03, 2021 - What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open- ended questionnaire study. March 3, 2021 Tyler N, Wright N, Panagioti M, et al. What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open?ended questi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74066/psn-pdf
    November 10, 2021 - Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. November 10, 2021 US House of Representatives Committee on Veterans' Affairs Subcommittee on Health.  117th Cong. 1st Sess (2021). https://psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-withi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847539/psn-pdf
    April 12, 2023 - Potential uses of AI for perioperative nursing handoffs: a qualitative study. April 12, 2023 King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative study. JAMIA Open. 2023;6(1):ooaf015. doi:10.1093/jamiaopen/ooad015. https://psnet.ahrq.gov/issue/potential-uses-ai-perio…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865655/psn-pdf
    April 24, 2024 - event within the first month after hospital discharge, and many of these are preventable.16 Case 2 is representative
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33714/psn-pdf
    July 01, 2011 - In Conversation with…William B. Munier, MD, MBA July 1, 2011 In Conversation with…William B. Munier, MD, MBA. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba Editor's note: William B. Munier, MD, MBA, is the Director of the Center for Quality Improvement and Pati…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865534/psn-pdf
    April 10, 2024 - Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. April 10, 2024 Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23.cjon.602-606. https://psnet.ahrq.gov/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34783/psn-pdf
    March 28, 2005 - The organizational and intraorganizational development of disasters. March 28, 2005 Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. https://psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters This article…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43612/psn-pdf
    August 02, 2015 - Time of day and the decision to prescribe antibiotics. August 2, 2015 Linder JA, Doctor JN, Friedberg MW, et al. Time of day and the decision to prescribe antibiotics. JAMA Intern Med. 2014;174(12):2029-31. doi:10.1001/jamainternmed.2014.5225. https://psnet.ahrq.gov/issue/time-day-and-decision-prescribe-antibiotics…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38117/psn-pdf
    September 29, 2017 - Advances in Patient Safety: New Directions and Alternative Approaches. September 29, 2017 Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1- 4). https://psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches The 115 articles freel…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50860/psn-pdf
    February 05, 2020 - Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. February 5, 2020 McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838313/psn-pdf
    October 12, 2022 - Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. October 12, 2022 Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: a systematic review. Aust Crit Care. 2022;35(4):4…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47932/psn-pdf
    August 21, 2019 - Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. August 21, 2019 Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communication: Implementation of an Elec…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836966/psn-pdf
    April 20, 2022 - Performance variability in perioperative sentinel events: report on a nationwide data set. April 20, 2022 Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.1093/bjs/znac067. https://psnet.ahrq…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73879/psn-pdf
    September 29, 2021 - Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. September 29, 2021 Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2021;17(8):e1285-e1295. doi:10.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73916/psn-pdf
    January 01, 2022 - Use of heuristics during the clinical decision process from family care physicians in real conditions. October 6, 2021 Fernández?Aguilar C, Martín?Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical decision process from family care physicians in real conditions. J Eval Clin Pract. 2022;28(1):1…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46202/psn-pdf
    January 01, 2021 - Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system. September 20, 2017 Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic Health Records: Analysis for the Quality and Safety Review System. J Pa…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836865/psn-pdf
    April 06, 2022 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. April 6, 2022 Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls l…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73168/psn-pdf
    April 21, 2021 - Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. April 21, 2021 Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 2021;17(2):e71-e75. doi:10.1097/pts.0…

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