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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49750/psn-pdf
    January 01, 2016 - A Room Without Orders January 1, 2016 Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/room-without-orders Case Objectives Review a common process for planned direct hospital admissions. Describe challenges of prioritizing day-to-day patient care activities wi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865309/psn-pdf
    May 29, 2024 - A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024 Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post- Tracheostomy Care. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-i…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33863/psn-pdf
    August 01, 2018 - In Conversation With… Matthew Weinger, MD August 1, 2018 In Conversation With… Matthew Weinger, MD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-matthew-weinger-md Editor's note: Dr. Weinger is Director of the Center for Research and Innovation in Systems Safety and Professor of Anesthes…
  4. psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
    September 24, 2024 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement Carole Stockmeier, Sarah Mossburg, Lee Merton | September 24, 2024  Also Read the Essay View more articles from the same authors. …
  5. psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
    January 27, 2021 - Complications of ECMO During Transport Citation Text: Broman M. Complications of ECMO During Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852700/psn-pdf
    August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety August 30, 2023 McGaffigan P, Van CM, Mossburg S. In Conversation with.. Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/con…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847532/psn-pdf
    April 12, 2023 - The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. April 12, 2023 Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. Am J Obstet Gynecol MFM. 2023…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764390/psn-pdf
    March 02, 2022 - Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. March 2, 2022 Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Qual Manag Health Care. 2022;31(4):231-241. doi:10.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42696/psn-pdf
    March 21, 2017 - Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial. March 21, 2017 Joffe E, Turley JP, Hwang KO, et al. Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial. Jt Comm J Qual Pa…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36889/psn-pdf
    May 28, 2024 - Surveys on Patient Safety Culture. May 28, 2024 Rockville MD: Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/surveys-patient-safety-culture Safety culture has been described as a key to establishing high reliability organizations. The National Quality Forum's Safe Practices for Healthcare …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35856/psn-pdf
    June 16, 2011 - The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. June 16, 2011 Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res. 2006;6(1):44. doi:10.1186/1472…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867441/psn-pdf
    January 08, 2025 - Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review. January 8, 2025 DelDot M, Lau E, Rayner N, et al. Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867437/psn-pdf
    January 08, 2025 - Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. January 8, 2025 Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/ane.0000000000007261. https://psne…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60319/psn-pdf
    May 13, 2020 - Predictors of nursing home nurses' willingness to report medication near-misses. May 13, 2020 Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-03. https://psnet.ahrq.gov/issue/pre…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60224/psn-pdf
    April 15, 2020 - Information transfer at hospital discharge: a systematic review. April 15, 2020 Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.0000000000000248. https://psnet.ahrq.gov/issue/information-transfer-hospital-dis…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837640/psn-pdf
    July 06, 2022 - Identifying and reconciling patients' allergy information within the electronic health record. July 6, 2022 Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the electronic health record. Stud Health Technol Inform. 2022;290:120-124. doi:10.3233/shti220044. ht…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72682/psn-pdf
    January 27, 2021 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical center in Taiwan. January 27, 2021 Tiao C-H, Tsai L-C, Chen L-C, et al. Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effe…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46034/psn-pdf
    April 05, 2017 - Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. April 5, 2017 Eindhoven DC, Borleffs JW, Dietz MF, et al. Desig…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47877/psn-pdf
    June 15, 2019 - End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography. June 15, 2019 Ardila D, Kiraly AP, Bharadwaj S, et al. End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography. Nat Med. 2019;25(6):954-961. doi:10.1038/s4…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34043/psn-pdf
    March 11, 2011 - Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. March 11, 2011 Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med…

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