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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863212/psn-pdf
    February 28, 2024 - unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study. February 28, 2024 Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844991/psn-pdf
    February 22, 2023 - Is anybody 'Learning' from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020. February 22, 2023 Brummell Z, Braun D, Hussein Z, et al. Is anybody ‘Learning’ from deaths? Sequential content and reflexive thematic analysis of national statu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34792/psn-pdf
    January 01, 2011 - Physician knowledge, attitudes, and behavior related to reporting adverse drug events. July 10, 2008 Rogers AS, Israel E, Smith CR, et al. Physician Knowledge, Attitudes, and Behavior Related to Reporting Adverse Drug Events. Arch Intern Med. 2011;148(7):1596-1600. doi:10.1001/archinte.1988.00380070090021. https:…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867038/psn-pdf
    October 30, 2024 - From reporting to improving: how root cause analysis in teams shape patient safety culture. October 30, 2024 Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-1858. doi:10.2147/rmhp.s466852. h…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855089/psn-pdf
    January 01, 2024 - React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. November 8, 2023 Barlow M, Watson B, Morse K, et al. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. J Health Organ Manag. 2024;38(7):992-1008. doi:10.1108/jhom-06-20…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60195/psn-pdf
    April 01, 2020 - What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. April 1, 2020 Hanzal M. What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. J Health Life Sci Law. 2020;13(2):71-88. https://psnet.ahrq.gov/issue/what-every-health-lawye…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46981/psn-pdf
    May 04, 2019 - Lessons learned from implementing a principled approach to resolution following patient harm. May 4, 2019 Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 2018;24(2):83-89. doi:10.1177/25160435188138…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47069/psn-pdf
    June 18, 2021 - Physical and verbal violence against health care workers. June 18, 2021 Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021). https://psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers The Joint Commission issues sentinel eve…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47629/psn-pdf
    July 11, 2019 - How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. July 11, 2019 Martin G, Ozieranski P, Leslie M, et al. How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. J Health Serv Res Policy. 2019;24(3):145-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36634/psn-pdf
    March 03, 2011 - Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. March 3, 2011 Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann Surg. 2007;245(2):159-69. https://psn…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42149/psn-pdf
    December 23, 2016 - Medical device alarm safety in hospitals. December 23, 2016 Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3. https://psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals The cacophony of alarms in hospitals has led many health care providers to become desensitized to them, a con…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852281/psn-pdf
    August 09, 2023 - Factors influencing the perception of feeling safe in pre- hospital emergency care: a mixed-methods systematic review. August 9, 2023 Péculo?Carrasco J?A, Luque?Hernández MJ, Rodríguez?Ruiz H?J, et al. Factors influencing the perception of feeling safe in pre?hospital emergency care: a mixed?methods systematic rev…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841148/psn-pdf
    December 07, 2022 - How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety? December 7, 2022 Kim S, Lynn MR, Baernholdt MB, et al. How does workplace violence-reporting culture affect Workplace violence, nurse burnout, and patient safety? J Nurs Care Qual. 2022;38(1):11-18. doi:10.1…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866407/psn-pdf
    July 31, 2024 - Effect of digital tools to promote hospital quality and safety on adverse events after discharge. July 31, 2024 Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;31(10):2304-2314. doi:10.1093/jami…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47198/psn-pdf
    August 22, 2018 - Health IT Safe Practices for Closing the Loop. August 22, 2018 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856586/psn-pdf
    November 29, 2023 - The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. November 29, 2023 Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals’ view…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866401/psn-pdf
    January 01, 2025 - Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: a factorial survey experiment. July 31, 2024 Groves PS, Farag A, Perkhounkova Y, et al. Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteri…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867336/psn-pdf
    December 11, 2024 - Enhancing safe medication use in home care: insights from informal caregivers. December 11, 2024 Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.2024.1494771. https://psnet.ahrq.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43663/psn-pdf
    November 12, 2014 - On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. November 12, 2014 Weaver SJ, Weeks K, Pham JC, et al. On the CUSP: Stop BSI: evaluating the relationship between central line-associated bloodstream infection rate and p…