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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60518/psn-pdf
    May 27, 2020 - Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. May 27, 2020 Washington, DC: United States Government Accountability Office; May 20, 2020. Publication GAO-20- 576R.    https://psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespre…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36644/psn-pdf
    July 10, 2008 - Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. July 10, 2008 Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85. https://psnet.ahrq.gov/issue/reporting-and-disclos…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37047/psn-pdf
    September 30, 2011 - Briefing and debriefing in the operating room using fighter pilot crew resource management. September 30, 2011 McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76. https://psnet.ahrq.gov/issue/briefing-and-debriefing-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837742/psn-pdf
    July 27, 2022 - Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. July 27, 2022 Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard recognition among various hospita…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837700/psn-pdf
    July 20, 2022 - Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. July 20, 2022 Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):2165-2172. doi:10.1007/s11606-022- 0…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837148/psn-pdf
    May 18, 2022 - Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study. May 18, 2022 Tate K, McLane P, Reid C, et al. Assessing quality of older persons’ emergency transitions between long- term and acute care settings: a proof-of-concept study. BMJ Open Qual.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74172/psn-pdf
    December 08, 2021 - Differences in safety report event types submitted by graduate medical education trainees compared with other healthcare team members. December 8, 2021 Cohen SP, McLean HS, Milne J, et al. Differences in Safety Report Event Types Submitted by Graduate Medical Education Trainees Compared With Other Healthcare Team …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44228/psn-pdf
    September 04, 2016 - Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. September 4, 2016 Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Safety Mission of Teaching Hospitals a…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846751/psn-pdf
    March 29, 2023 - High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. March 29, 2023 El Hussein MT, Hirst SP. High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. J Nurs Reg. 2023;13(4):54-65. doi:10.1016/s2155-8256(23)00028-5. https://psnet.ahrq.gov…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72710/psn-pdf
    February 03, 2021 - A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. February 3, 2021 Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance regarding medication errors in nurs…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74862/psn-pdf
    February 23, 2022 - Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. February 23, 2022 Jones MD, Clarke J, Feather C, et al. Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. Ann…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841761/psn-pdf
    December 21, 2022 - Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. December 21, 2022 Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. J Patient Saf. 2022;1…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764403/psn-pdf
    March 02, 2022 - Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. March 2, 2022 Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Emerg Radiol. 2021;28(6):1135-1141. doi:10.1…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73187/psn-pdf
    April 28, 2021 - Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. April 28, 2021 van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt Comm J Qual Patient Saf. 2020;47(4…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60536/psn-pdf
    May 27, 2020 - Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. May 27, 2020 Ellis B, Hicken M. CNN. May 14, 2020. https://psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19- outbreaks-and-deaths Long-term care and skilled nursing faci…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45389/psn-pdf
    September 27, 2016 - Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review. September 27, 2016 Morin L, Laroche M-L, Texier G, et al. Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review. J Am Med Dir Assoc. 2016…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46017/psn-pdf
    July 11, 2017 - Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. July 11, 2017 Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxillofac Surg. 2017;55(5):449-453. do…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35403/psn-pdf
    February 18, 2011 - Mortality among patients admitted to hospitals on weekends as compared with weekdays. February 18, 2011 Bell CM, Redelmeier DA. Mortality among patients admitted to hospitals on weekends as compared with weekdays. New Engl J Med. 2001;345(9):663-668. https://psnet.ahrq.gov/issue/mortality-among-patients-admitted-h…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867222/psn-pdf
    December 04, 2024 - How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. December 4, 2024 Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. Ac…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848038/psn-pdf
    April 26, 2023 - Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill. April 26, 2023 Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation sett…

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