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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47729/psn-pdf
    April 10, 2019 - Reclaiming the systems approach to paediatric safety. April 10, 2019 Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401. https://psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety Children…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73675/psn-pdf
    September 08, 2021 - A system-wide hospital child maltreatment patient safety program. September 8, 2021 Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. https://psnet.ahrq.gov/issue/system-wide-hospital-child-ma…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50687/psn-pdf
    November 20, 2019 - Discrimination, abuse, harassment, and burnout in surgical residency training. November 20, 2019 Hu Y-Y, Ellis RJ, Hewitt B, et al. Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. New Engl J Med. 2019;381(18):1741-1752. doi:10.1056/NEJMsa1903759. https://psnet.ahrq.gov/issue/discrimi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866447/psn-pdf
    August 07, 2024 - Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. August 7, 2024 Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; https://psnet.ahrq.gov/issue/older-adults-are-often-misdiagnos…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44742/psn-pdf
    January 06, 2016 - A piece of my mind. From shame to guilt to love. January 6, 2016 Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507- 2508. doi:10.1001/jama.2015.11521. https://psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love While numerous studies have examined the psychological i…
  6. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-delirium.pdf
    June 01, 2021 - Identifying Delirium: ABCs of Identification_4x6 AHRQ Pub. No. 17(21)-0029 June 2021 IDENTIFYING DELIRIUM ABCs OF IDENTIFICATION Acute/subacute • Altered mental status from baseline Behavioral disturbance • Restless, agitated, combative Changes in consciousness • Jittery, drowsy, difficult to aro…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46575/psn-pdf
    December 13, 2017 - Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. December 13, 2017 Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res. 2017;17(5):431-439. doi:10.108…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852451/psn-pdf
    August 16, 2023 - The impact of transition to a digital hospital on medication errors (TIME study). August 16, 2023 Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. https://psnet.ahrq.gov/issue/imp…
  9. 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…
  10. 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…
  11. 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…
  12. 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/…
  13. 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…
  14. 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.…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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/…