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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46670/psn-pdf
    December 18, 2017 - A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. December 18, 2017 Reeve E, Moriarty F, Nahas R, et al. A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. Expert Opin Drug Saf. 2…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44465/psn-pdf
    November 20, 2015 - Why even good physicians do not wash their hands. November 20, 2015 Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. https://psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands Insufficient hand hygiene comp…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47697/psn-pdf
    April 03, 2019 - Engineering a foundation for partnership to improve medication safety during care transitions. April 3, 2019 Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. doi:10.1177/2516043518821497. https://p…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34781/psn-pdf
    June 23, 2015 - Standards for patient monitoring during general anesthesia at Harvard Medical School. June 23, 2015 Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. https://psnet.ahrq.gov/issue/standards-patient-monitoring-during-gen…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40657/psn-pdf
    August 03, 2011 - Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. August 3, 2011 Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. Arch Intern Med. 2…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42996/psn-pdf
    March 19, 2014 - The "physician-led chart audit": engaging providers in fortifying a culture of safety. March 19, 2014 Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000000000000057. https://psnet.ahrq.go…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47898/psn-pdf
    January 01, 2020 - Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework. May 8, 2019 Giles SJ, Lewis PJ, Phipps D, et al. Capturing Patients' Perspectives on Medication Safety: The Development of a Patient-Centered Medication Safety Framework. J Patient Saf. 2020;16…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36017/psn-pdf
    June 14, 2006 - Medical errors and quality of care: from control to commitment. June 14, 2006 Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment. California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353. https://psnet.ahrq.gov/issue/medical-errors-and-quality-care-control…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61063/psn-pdf
    October 28, 2020 - The radiology impact of healthcare errors during shift work. October 28, 2020 Elliott J, Williamson K. The radiology impact of healthcare errors during shift work. Radiography. 2020;26(3):248-253. doi:10.1016/j.radi.2019.12.007. https://psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work Ext…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60617/psn-pdf
    June 24, 2020 - Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. June 24, 2020 Hado E, Friss Feinberg L. Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. J…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47771/psn-pdf
    April 24, 2019 - The impact of errors on healthcare professionals in the critical care setting. April 24, 2019 Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001. https://psnet.ahrq.gov/issue/impact-err…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45301/psn-pdf
    April 22, 2017 - Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. April 22, 2017 Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. BMJ Qual Saf. 2017;26(5):408-416. doi:10.1136/bmjqs-20…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73683/psn-pdf
    September 08, 2021 - Why and how to approach user experience in safety- critical domains: the example of health care. September 8, 2021 Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832. doi:10.1177/0018720819887575. htt…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43835/psn-pdf
    February 11, 2015 - Doctors' experiences of adverse events in secondary care: the professional and personal impact. February 11, 2015 Harrison R, Lawton R, Stewart K. Doctors' experiences of adverse events in secondary care: the professional and personal impact. Clin Med (Lond). 2014;14(6):585-90. doi:10.7861/clinmedicine.14-6-585. h…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36558/psn-pdf
    May 27, 2011 - The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. May 27, 2011 Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entry. J Patient Saf. 2008;2(4). doi:10.10…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43209/psn-pdf
    December 15, 2014 - Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. December 15, 2014 Berchialla P, Scaioli G, Passi S, et al. Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. J Eval Clin Pract. 2014;20(5):551-8. doi:10.1111/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35736/psn-pdf
    May 27, 2011 - Video capture of clinical care to enhance patient safety. May 27, 2011 Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual Saf Health Care. 2004;13(2):136-44. https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety This study describes th…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35216/psn-pdf
    December 22, 2009 - An educational intervention to enhance nurse leaders' perceptions of patient safety culture. December 22, 2009 Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020. https://psnet.ahrq.gov/issue/e…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45416/psn-pdf
    August 24, 2016 - A framework to assess patient-reported adverse outcomes arising during hospitalization. August 24, 2016 Okoniewska B, Santana MJ, Holroyd-Leduc J, et al. A framework to assess patient-reported adverse outcomes arising during hospitalization. BMC Health Serv Res. 2016;16(a):357. doi:10.1186/s12913-016- 1526-z. htt…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47355/psn-pdf
    September 05, 2018 - Preventing medication errors in the information age. September 5, 2018 Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56- 58. doi:10.1097/01.NURSE.0000544230.51598.38. https://psnet.ahrq.gov/issue/preventing-medication-errors-information-age Failure to consider…

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