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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44157/psn-pdf
    November 06, 2015 - Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. November 6, 2015 Farup PG. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. BMC Health Serv Res. 2015;15:186. doi:10.1186/s1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47255/psn-pdf
    August 29, 2018 - Influence of shift duration on cognitive performance of emergency physicians: a prospective cross-sectional study. August 29, 2018 Persico N, Maltese F, Ferrigno C, et al. Influence of Shift Duration on Cognitive Performance of Emergency Physicians: A Prospective Cross-Sectional Study. Ann Emerg Med. 2018;72(2):17…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47325/psn-pdf
    January 01, 2020 - What can apologies in the electronic health record tell us about health care quality, processes, and safety? August 29, 2018 Matulis JC, North F. What Can Apologies in the Electronic Health Record Tell Us About Health Care Quality, Processes, and Safety? J Patient Saf. 2020;16(3):e187-e193. doi:10.1097/pts.00000000…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45451/psn-pdf
    October 05, 2016 - Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. October 5, 2016 Scott J, Heavey E, Waring J, et al. Healthcare professional and patient codesign and validation of a mechanism for ser…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35926/psn-pdf
    July 26, 2010 - The patient's right to safety—improving the quality of care through litigation against hospitals. July 26, 2010 Annas GJ. The patient's right to safety--improving the quality of care through litigation against hospitals. N Engl J Med. 2006;354(19):2063-2066. https://psnet.ahrq.gov/issue/patients-right-safety-impro…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43853/psn-pdf
    March 11, 2015 - Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. March 11, 2015 Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. J Adv Nurs. 2015;71(1):…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43499/psn-pdf
    September 03, 2014 - Older folks in hospitals: the contributing factors and recommendations for incident prevention. September 3, 2014 Mansah M, Griffiths R, Fernandez R, et al. Older folks in hospitals: the contributing factors and recommendations for incident prevention. J Patient Saf. 2014;10(3):146-53. doi:10.1097/PTS.0b013e318299…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45214/psn-pdf
    July 13, 2016 - Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. July 13, 2016 Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in Academic Promotion in Departments of Medici…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862150/psn-pdf
    February 07, 2024 - Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy management. February 7, 2024 Roosan D, Padua P, Khan R, et al. Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy management. J Am Pharm Assoc (2003).…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38662/psn-pdf
    April 12, 2011 - Patient error: a preliminary taxonomy. April 12, 2011 Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. https://psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy Preliminary research has found that patient factors may contribute to er…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36834/psn-pdf
    August 26, 2011 - Healthcare climate: a framework for measuring and improving patient safety. August 26, 2011 Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving patient safety. Crit Care Med. 2007;35(5):1312-7. https://psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-i…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35134/psn-pdf
    June 22, 2009 - Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. June 22, 2009 Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster- randomised controlled trial. Lancet. 2005;365(9477):2091-7. https://psnet.ahrq.gov/issue/introducti…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74184/psn-pdf
    May 05, 2017 - Systematic review of the impact of physician implicit racial bias on clinical decision making. May 5, 2017 Dehon E, Weiss N, Jones J, et al. Systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895-904. doi:10.1111/acem.13214. https://psnet.ahrq.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867382/psn-pdf
    December 18, 2024 - Pharmacists’ perceptions of error reporting systems. December 18, 2024 Hartt CM, Weigand H, MacDonald AJ, et al. Pharmacists’ perceptions of error reporting systems. J Patient Saf Risk Manag. 2024;29(6):268-273. doi:10.1177/25160435241288287. https://psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-syst…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45250/psn-pdf
    July 27, 2016 - Risk factors for i.v. compounding errors when using an automated workflow management system. July 27, 2016 Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:10.2146/ajhp150278. https://psnet.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50746/psn-pdf
    December 18, 2019 - The influence of organizational culture, climate and commitment on speaking up about medical errors. December 18, 2019 Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical errors. J Nurs Manag. 2019;28(1):130-138. doi:10.1111/jonm.12906. https:…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73630/psn-pdf
    August 25, 2021 - Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. August 25, 2021 Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. BMJ Open. 2021;11(8):e048036. doi:10.1136/bmjopen-2020-0…
  18. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
    May 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Fatal Error in Neonate: Does ‘Just Culture’ Provide an Answer? * * Source and Credits This presentation is based on the May 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Sidney W.A. Dekker, Ph…
  19. psnet.ahrq.gov/curated-library/opioid-stewardship
    December 15, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Opioid Stewardship  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: AHRQ Date Created: January 24, 2025 …
  20. psnet.ahrq.gov/primer/missed-nursing-care
    September 15, 2024 - Missed Nursing Care Citation Text: Missed Nursing Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

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