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  1. 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…
  2. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73063/psn-pdf
    March 24, 2021 - Clinical data sharing improves quality measurement and patient safety. March 24, 2021 D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039. https://psnet.ahrq.gov/issue/clinical-data-sh…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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. …
  9. 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…
  10. 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…
  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/36878/psn-pdf
    August 31, 2011 - Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly. August 31, 2011 Fu AZ, Jiang JZ, Reeves JH, et al. Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly. Med Care. 2007;45(5):472-6. https://psnet.ahrq.gov…
  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/50851/psn-pdf
    January 29, 2020 - International evaluation of an AI system for breast cancer screening. January 29, 2020 McKinney SM, Sieniek M, Godbole V, et al. International evaluation of an AI system for breast cancer screening. Nature. 2020;577(7788):89-94. doi:10.1038/s41586-019-1799-6. https://psnet.ahrq.gov/issue/international-evaluation-a…
  17. 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.…
  18. 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…
  19. 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…
  20. 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…

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