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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45563/psn-pdf
    October 19, 2016 - Using a change model to reduce the risk of surgical site infection. October 19, 2016 Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949- 955. https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection Surgical site infections can resul…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45974/psn-pdf
    May 03, 2017 - Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. May 3, 2017 Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. BMC Med Inform Decis Mak. 2017;17(1):3…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847725/psn-pdf
    April 19, 2023 - A scoping review of the hidden curriculum in pharmacy education. April 19, 2023 Park SK, Chen AMH, Daugherty KK, et al. A scoping review of the hidden curriculum in pharmacy education. Am J Pharm Educ. 2023;87(3):ajpe8999. doi:10.5688/ajpe8999. https://psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45636/psn-pdf
    September 26, 2018 - Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. September 26, 2018 Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric Tertiary Hospital Experience. Pediatr Emerg Care. 2018;34(7):497-500. doi:10.1097/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45559/psn-pdf
    November 09, 2016 - Differentiating between detrimental and beneficial interruptions: a mixed-methods study. November 9, 2016 Myers RA, McCarthy MC, Whitlatch A, et al. Differentiating between detrimental and beneficial interruptions: a mixed-methods study. BMJ Qual Saf. 2016;25(11):881-888. doi:10.1136/bmjqs-2015- 004401. https://p…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45044/psn-pdf
    May 11, 2016 - Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. May 11, 2016 Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Interventional Approach. J Nurses Prof Dev.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45824/psn-pdf
    January 25, 2017 - The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts. January 25, 2017 Oshel RE, Levitt P. The Detection, Analysis, and Significance of Physician Clustering in Medical Malpractice Lawsuit Payouts. J Patient Saf. 2016;16(4):274-278. doi:10.1097/PTS.0000000000000326…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36698/psn-pdf
    February 24, 2011 - The impact of duty hours on resident self reports of errors. February 24, 2011 Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9. https://psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors Residency programs…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47823/psn-pdf
    March 13, 2019 - Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. March 13, 2019 Washington, DC: United States Government Accountability Office; February 2019. Publication GAO-19-6. https://psnet.ahrq.gov/issue/greater-focus-credentialing-needed-prevent-disqualified-providers-del…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853059/psn-pdf
    August 30, 2023 - Anesthesia Risk Alert program: a proactive safety initiative. August 30, 2023 Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005. https://psnet.ahrq.gov/issue/anesthesia-risk-alert-program-pr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46061/psn-pdf
    August 03, 2017 - An organizational framework to reduce professional burnout and bring back joy in practice. August 3, 2017 Swensen S, Shanafelt TD. An Organizational Framework to Reduce Professional Burnout and Bring Back Joy in Practice. Jt Comm J Qual Patient Saf. 2017;43(6):308-313. doi:10.1016/j.jcjq.2017.01.007. https://psnet…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44120/psn-pdf
    November 06, 2015 - Designing highly reliable adverse-event detection systems to predict subsequent claims. November 6, 2015 Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm.21167. https://psnet.ahrq.gov/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47015/psn-pdf
    May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal error. May 9, 2018 Porter S. HealthLeaders Media. April 26, 2018. https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46294/psn-pdf
    October 29, 2017 - Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting. October 29, 2017 Williams GD, Muffly MK, Mendoza JM, et al. Reporting of Perioperative Adverse Events by Pediatric Anesthesiologists at a Tertiary Ch…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36555/psn-pdf
    January 05, 2017 - Registration-associated patient misidentification in an academic medical center: causes and corrections. January 5, 2017 Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Patient Saf. 2007;33(1):25-33. doi:…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73395/psn-pdf
    June 16, 2021 - Effect of burnout among physicians on observed adverse patient outcomes: a literature review. June 16, 2021 Mangory KY, Ali LY, Rø KI, et al. Effect of burnout among physicians on observed adverse patient outcomes: a literature review. BMC Health Serv Res. 2021;21(1):369. doi:10.1186/s12913-021-06371-x. https://ps…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838310/psn-pdf
    October 12, 2022 - Intravenous smart pumps at the point of care: a descriptive, observational study. October 12, 2022 Giuliano KK, Blake JWC, Bittner NP, et al. Intravenous smart pumps at the point of care: a descriptive, observational study. J Patient Saf. 2022;18(6):553-558. doi:10.1097/pts.0000000000001057. https://psnet.ahrq.gov…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60334/psn-pdf
    May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. May 13, 2020 National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies Press: 2020. ISBN 9780309676250. https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74066/psn-pdf
    November 10, 2021 - Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. November 10, 2021 US House of Representatives Committee on Veterans' Affairs Subcommittee on Health.  117th Cong. 1st Sess (2021). https://psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-withi…
  20. www.uspreventiveservicestaskforce.org/home/getfilebytoken/Dc-SXXyDD_xt3jmdaKFKKd
    Screening for Iron Deficiency Anemia in Young Children: Clinical Summary Screening for Iron Deficiency Anemia in Young Children: Clinical Summary Population Asymptomatic U.S. children ages 6 to 24 months Recommendation No recommendation. Grade: I statement (insufficient evidence) Risk Assessme…