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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43877/psn-pdfFebruary 25, 2015 - Training situational awareness to reduce surgical errors in the operating room. February 25, 2015 Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643. https://psnet.ahrq.gov/issue/train… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867226/psn-pdfDecember 04, 2024 - The nature of the response to airway management incident reports in high income countries: a scoping review. December 4, 2024 Endlich Y, Davies EL, Kelly J. The nature of the response to airway management incident reports in high income countries: a scoping review. Anaesth Intensive Care. 2024;52(5):283-301. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865483/psn-pdfApril 03, 2024 - Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. April 3, 2024 Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process and potential solutions to increase… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866407/psn-pdfJuly 31, 2024 - Effect of digital tools to promote hospital quality and safety on adverse events after discharge. July 31, 2024 Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;31(10):2304-2314. doi:10.1093/jami… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867336/psn-pdfDecember 11, 2024 - Enhancing safe medication use in home care: insights from informal caregivers. December 11, 2024 Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.2024.1494771. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840478/psn-pdfNovember 30, 2022 - Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods. November 30, 2022 Auschra C, Asaad E, Sydow J, et al. Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods. J Patient Saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836918/psn-pdfApril 13, 2022 - How to scale up quality and safety program with the home care accreditation. April 13, 2022 Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698. https://psnet.ahrq.gov/issue/how-scale-qu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50834/psn-pdfJanuary 29, 2020 - Medication reconciliation improvement utilizing process redesign and clinical decision support. January 29, 2020 Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. 2020;46(1):27-36. doi:10.1016/j.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60532/psn-pdfMay 27, 2020 - Improving timely recognition and treatment of sepsis in the pediatric ICU. May 27, 2020 Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. https://psnet.ahrq.gov/issue/improv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851356/psn-pdfJuly 12, 2023 - Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. July 12, 2023 Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-383. doi:10.1016/j.jcjq.2023.05.006.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838624/psn-pdfOctober 19, 2022 - Association of rapid response teams with hospital mortality in Medicare patients. October 19, 2022 Girotra S, Jones PG, Peberdy MA, et al. Association of rapid response teams with hospital mortality in Medicare patients. Circ Cardiovasc Qual Outcomes. 2022;15(9):e008901. doi:10.1161/circoutcomes.122.008901. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50389/psn-pdfSeptember 25, 2019 - Getting the Diagnosis Both Right and Wrong September 25, 2019 Olson AP. Getting the Diagnosis Both Right and Wrong. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong The Case A 27-year-old woman with a history of acute myeloid leukemia was sent to the emergency department… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34951/psn-pdfFebruary 28, 2011 - Ambiguity and workarounds as contributors to medical error. February 28, 2011 Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630. https://psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error This commentary discusses the ro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43657/psn-pdfNovember 26, 2014 - Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital. November 26, 2014 American Society of Health-System Pharmacists https://psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital Insulin is classified as a high-alert medication due to the potential to cause serious patient harm w… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43529/psn-pdfOctober 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014 Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34805/psn-pdfNovember 07, 2017 - Medication errors in neonatal and paediatric intensive- care units. November 7, 2017 Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6. https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units Th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41677/psn-pdfSeptember 26, 2012 - Interventions to reduce medication errors in adult intensive care: a systematic review. September 26, 2012 Manias E, Williams A, Liew D. Interventions to reduce medication errors in adult intensive care: a systematic review. Br J Clin Pharmacol. 2012;74(3). doi:10.1111/j.1365-2125.2012.04220.x. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42201/psn-pdfDecember 29, 2014 - A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. December 29, 2014 Pinto A, Vincent CA, Darzi A, et al. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. Int J Qual Hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47518/psn-pdfJanuary 23, 2019 - Evaluation of a measurement system to assess ICU team performance. January 23, 2019 Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. https://psnet.ahrq.gov/issue/evaluation-measurement-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861764/psn-pdfJanuary 31, 2024 - Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. January 31, 2024 Amat MJ, Anderson TS, Shafiq U, et al. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. Jt Comm J Qual Patien…
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