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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44687/psn-pdf
    June 21, 2016 - Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. June 21, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err- human This report provides an objective assessmen…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44982/psn-pdf
    April 06, 2016 - Use of maternal early warning trigger tool reduces maternal morbidity. April 6, 2016 Shields LE, Wiesner S, Klein C, et al. Use of Maternal Early Warning Trigger tool reduces maternal morbidity. Am J Obstet Gynecol. 2016;214(4):527.e1-527.e6. doi:10.1016/j.ajog.2016.01.154. https://psnet.ahrq.gov/issue/use-materna…
  3. digital.ahrq.gov/principal-investigator/adams-william
    January 01, 2023 - Adams, William Automated conversation system before pediatric primary care visits: a randomized trial. Citation Adams WG, Phillips BD, Bacic JD, et al. Automated conversation system before pediatric primary care visits: a randomized trial. Pediatrics 2014 Sep;134(3):e691-9. PM…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36629/psn-pdf
    January 05, 2017 - Patient-reported safety and quality of care in outpatient oncology. January 5, 2017 Weingart SN, Price J, Duncombe D, et al. Patient-reported safety and quality of care in outpatient oncology. Jt Comm J Qual Patient Saf. 2007;33(2):83-94. https://psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpat…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50793/psn-pdf
    January 15, 2020 - Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit. January 15, 2020 Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit. JAMA Pe…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37130/psn-pdf
    March 24, 2011 - Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. March 24, 2011 Pierson S, Hansen RA, Greene SB, et al. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. Qual Saf Health …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37531/psn-pdf
    February 22, 2011 - Patient safety and telephone medicine: some lessons from closed claim case review. February 22, 2011 Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-007-0491-y. https://psnet.ahrq.g…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41028/psn-pdf
    May 14, 2018 - Health care worker fatigue and patient safety. May 14, 2018 Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018). https://psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety The Joint Commission issues sentinel event alerts to emphasize pressing safety issues and provide guideli…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856583/psn-pdf
    January 01, 2024 - Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. November 29, 2023 Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40231/psn-pdf
    February 23, 2011 - Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. February 23, 2011 Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. BMJ. 2011;342:d199. doi:10.1136/bmj.d199…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841765/psn-pdf
    December 21, 2022 - “I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors. December 21, 2022 Feldman N, Volz N, Snow T, et al. “I’m concerned”: A multi-site assessment of emergency medicine resident speaking up behaviors. J Patient Saf Risk Manag. 2022;27(5):229-233. doi:10.1177/251604352211234…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42898/psn-pdf
    January 29, 2014 - Association of sleep and fatigue with decision regret among critical care nurses. January 29, 2014 Scott LD, Arslanian-Engoren C, Engoren MC. Association of sleep and fatigue with decision regret among critical care nurses. Am J Crit Care. 2014;23(1):13-23. doi:10.4037/ajcc2014191. https://psnet.ahrq.gov/issue/ass…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37942/psn-pdf
    May 04, 2014 - Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. May 4, 2014 Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36975/psn-pdf
    March 24, 2011 - Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? March 24, 2011 Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? Qual Saf Health Care. 2007;16(3):181-4. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60680/psn-pdf
    July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. July 15, 2020 Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.0000000000000299. https://psnet.ah…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40776/psn-pdf
    September 14, 2011 - Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. September 14, 2011 Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. AHRQ Publication No. 11-0071. https://psnet.ahrq.gov/issue/nursing-home-survey-patient-sa…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39444/psn-pdf
    June 28, 2010 - The relationship between organizational leadership for safety and learning from patient safety events. June 28, 2010 Ginsburg LR, Chuang Y-T, Berta WB, et al. The relationship between organizational leadership for safety and learning from patient safety events. Health Serv Res. 2010;45(3):607-632. doi:10.1111/j.147…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60934/psn-pdf
    September 23, 2020 - Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. September 23, 2020 Auerbach AD, O'Leary KJ, Greysen SR, et al. Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. J Hosp Med. 2020;15(8):483-488. doi:10.12788/jhm.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836786/psn-pdf
    January 01, 2023 - Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care. March 23, 2022 Wieringa S, Neves AL, Rushforth A, et al. Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care. BMJ Qual Saf. 2023;32(12):732-741. doi:10.1136/bmjq…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862128/psn-pdf
    February 07, 2024 - Embracing the future-is artificial intelligence already better? A comparative study of artificial intelligence performance in diagnostic accuracy and decision-making. February 7, 2024 Fonseca Â, Ferreira A, Ribeiro L, et al. Embracing the future—is artificial intelligence already better? A comparative study of art…