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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47486/psn-pdf
    January 27, 2019 - Direct oral anticoagulants: a review of common medication errors. January 27, 2019 Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9. https://psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medic…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72571/psn-pdf
    December 16, 2020 - Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study. December 16, 2020 Cutler NA, Sim J, Halcomb E, et al. Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study. J Clin Nurs. 2020;29(21-22):4379-4386. doi:10.1111/joc…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74158/psn-pdf
    December 08, 2021 - An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. December 8, 2021 Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. JAMIA Open. 2021;4(4):ooab096. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73293/psn-pdf
    May 19, 2021 - Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. May 19, 2021 Remtulla R, Hagana A, Houbby N, et al. Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. BMC Health Serv Res. 2021;21(1):269. doi:10.1186…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74002/psn-pdf
    October 27, 2021 - EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? October 27, 2021 Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12873-021-00508-1. https://psnet.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854989/psn-pdf
    November 01, 2023 - Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study. November 1, 2023 Grailey K, Hussain R, Wylleman E, et al. Understanding the facilitators and barriers to barcode medication administration by nursing staff …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865815/psn-pdf
    May 08, 2024 - Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. May 8, 2024 Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. Jt Com…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35647/psn-pdf
    June 25, 2010 - Nurse staffing in hospitals: is there a business case for quality? June 25, 2010 Needleman J, Buerhaus P, Stewart M, et al. Nurse staffing in hospitals: is there a business case for quality? Health Aff (Millwood). 2006;25(1):204-11. https://psnet.ahrq.gov/issue/nurse-staffing-hospitals-there-business-case-quality …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34651/psn-pdf
    March 04, 2011 - Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 4, 2011 Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. BMJ. 2000;320(7237):741-4. https://psnet.ahrq.g…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60530/psn-pdf
    January 01, 2022 - A systematic review of patient-report safety climate measures in health care. May 27, 2020 Madden C, Lydon S, O’Dowd E, et al. A systematic review of patient-report safety climate measures in health care. J Patient Saf. 2022;18(1):e51-e60. doi:10.1097/pts.0000000000000705. https://psnet.ahrq.gov/issue/systematic-r…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34070/psn-pdf
    February 18, 2011 - Effect of reducing interns' work hours on serious medical errors in intensive care units. February 18, 2011 Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med. 2004;351(18):1838-48. https://psnet.ahrq.gov/issue/effec…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837150/psn-pdf
    May 18, 2022 - Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. May 18, 2022 White AA, King AM, D’Addario AE, et al. Video-based communication assessment of physician error …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44773/psn-pdf
    January 13, 2016 - A tool for the concise analysis of patient safety incidents. January 13, 2016 Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt Comm J Qual Patient Saf. 2016;42(1):26-33. https://psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents Once identified,…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34642/psn-pdf
    June 24, 2015 - Human factor in cardiac surgery: errors and near misses in a high technology medical domain. June 24, 2015 Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Thorac Surg. 2001;72(1):300-5. https://psnet.ahrq.gov/issue/human-factor…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44075/psn-pdf
    July 16, 2015 - Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. July 16, 2015 Hsu C-C, Chou C-L, Chen T-J, et al. Physicians Failed to Write Flawless Prescriptions When Computerized Physician Order Entry System Crashed. Clin Ther. 2015;37(5):1076-1080.e1. doi:10.1016/j.cli…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44689/psn-pdf
    February 24, 2018 - What is the role of individual accountability in patient safety? A multi-site ethnographic study. February 24, 2018 Aveling E-L, Parker M, Dixon-Woods M. What is the role of individual accountability in patient safety? A multi-site ethnographic study. Sociol Health Illn. 2016;38(2):216-32. doi:10.1111/1467-9566.123…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45629/psn-pdf
    September 01, 2018 - Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013. September 1, 2018 Lammers EJ, McLaughlin CG, Barna M. Physician EHR Adoption and Potentially Preventable Hospital Admissions among Medicare Beneficiaries: Panel Data Evidence, 2010-2…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47846/psn-pdf
    March 06, 2019 - Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl products. March 6, 2019 Rollman JE, Heyward J, Olson L, et al. Assessment of the FDA Risk Evaluation and Mitigation Strategy for Transmucosal Immediate-Release Fentanyl Products. JAMA. 2019;321(7):676-685. do…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60317/psn-pdf
    May 13, 2020 - The nurse's experience of decision-making processes in missed nursing care: a qualitative study. May 13, 2020 Abdelhadi N, Drach?Zahavy A, Srulovici E. The nurse’s experience of decision?making processes in missed nursing care: a qualitative study. J Adv Nurs. 2020;76(8):2161-2170. doi:10.1111/jan.14387. https://p…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46168/psn-pdf
    June 14, 2017 - The HOSPITAL score predicts potentially preventable 30- day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. June 14, 2017 Burke RE, Schnipper JL, Williams M, et al. The HOSPITAL Score Predicts Potentially Preventable 30-Day Readmissions in Conditions Targeted by the Hospital Rea…

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