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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47880/psn-pdf
    June 18, 2019 - A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. June 18, 2019 Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety Principles. Jt Comm J Qual Patient…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851458/psn-pdf
    July 19, 2023 - Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. July 19, 2023 Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conceptual framework of key theories, syste…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867446/psn-pdf
    January 08, 2025 - Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. January 8, 2025 Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. Jt Comm J Qual…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867687/psn-pdf
    March 05, 2025 - Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis. March 5, 2025 Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospe…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72475/psn-pdf
    November 18, 2020 - Omissions of care in nursing homes: a uniform definition for research and quality improvement. November 18, 2020 Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11):1587-1591.e2. doi:10.1016/j.jamda…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72661/psn-pdf
    January 20, 2021 - An intervention to increase situational awareness and the Culture of Mutual Care (Foco) and its effects during COVID-19 pandemic: a randomized controlled trial and qualitative analysis. January 20, 2021 Kozasa EH, Lacerda SS, Polissici MA, et al. An Intervention to Increase Situational Awareness and the Culture o…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838019/psn-pdf
    September 07, 2022 - Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study. September 7, 2022 Müller BS, Lüttel D, Schütze D, et al. Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an obser…
  8. www.ahrq.gov/topics/patient-experience.html
    Topic: Patient Experience AHRQ's Consumer Assessment of Healthcare Providers and Systems program measures the patient experience, which includes several aspects of healthcare delivery that patients value highly when they seek and receive care, such as getting timely appointments, easy access to information, and goo…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857445/psn-pdf
    January 01, 2024 - The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. December 6, 2023 Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant b…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47902/psn-pdf
    April 24, 2019 - Recommendations from a national panel on quality improvement in obstetrics. April 24, 2019 Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.02.011. https://psnet.ahrq.gov/issue/r…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851057/psn-pdf
    June 28, 2023 - The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. June 28, 2023 Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. Eur J Anaesthesiol. 2023;40(5):326-333. doi:10.109…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48110/psn-pdf
    August 14, 2019 - The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care. August 14, 2019 Cole DA, Bersick E, Skarbek A, et al. The courage to speak out: A study describing nurses' attitudes to report unsafe practices in patient care. J Nurs Manag. 2019;27(6):1176-1181. doi:10.1111/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34802/psn-pdf
    January 01, 2016 - The Veterans Affairs root cause analysis system in action. September 3, 2015 Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8. https://psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43957/psn-pdf
    June 21, 2015 - Enhancing the effectiveness of team debriefings in medical simulation: more best practices. June 21, 2015 Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3):115-125. https://psnet.ahrq.gov/issue…
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46101/psn-pdf
    January 01, 2018 - Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review. December 19, 2017 Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration Technology That Contribute to Patient Safety: An Integrative Review…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862155/psn-pdf
    February 07, 2024 - Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. February 7, 2024 Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. Crit Care M…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46121/psn-pdf
    January 01, 2021 - Quality of handoffs in community pharmacies. May 10, 2017 Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2021;17(6):405-411. doi:10.1097/PTS.0000000000000382. https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies Handoffs present a significant patient …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44953/psn-pdf
    March 09, 2016 - Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. March 9, 2016 Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46818/psn-pdf
    April 18, 2018 - Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework. April 18, 2018 Mekonnen AB, McLachlan AJ, Brien J-AE, et al. Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a q…