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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73867/psn-pdf
    September 22, 2021 - A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. September 22, 2021 Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. Acad Med. 2021;96(9):1268-1275. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840487/psn-pdf
    November 30, 2022 - Interprofessional team collaboration and work environment health in 68 US intensive care units. November 30, 2022 Pun BT, Jun J, Tan A, et al. Interprofessional team collaboration and work environment health in 68 US intensive care units. Am J Crit Care. 2022;31(6):443-451. doi:10.4037/ajcc2022546. https://psnet.a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50908/psn-pdf
    February 19, 2020 - Psychological safety and infection prevention practices: results from a national survey. February 19, 2020 Greene MT, Gilmartin HM, Saint S. Psychological safety and infection prevention practices: results from a national survey. Am J Infect Control. 2020;48(1):2-6. doi:10.1016/j.ajic.2019.09.027. https://psnet.ah…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61101/psn-pdf
    November 04, 2020 - Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. November 4, 2020 Farnborough, UK; Healthcare Safety Investigation Branch. October 2020 https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following- thrombol…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848089/psn-pdf
    April 26, 2023 - Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. April 26, 2023 Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. Aesthetic Plast Surg. 2023;47(3):123…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46126/psn-pdf
    June 19, 2019 - A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. June 19, 2019 Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety Educational Programs: Lessons From the VA Ch…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50738/psn-pdf
    January 01, 2020 - Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review December 11, 2019 Li R, Zaidi STR, Chen T, et al. Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decad…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46840/psn-pdf
    June 20, 2018 - Interventions to improve employee health and well-being within health care organizations: a systematic review. June 20, 2018 Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within health care organizations: A systematic review. J Healthc Risk Manag. 2018;37(4):25-51…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42547/psn-pdf
    May 19, 2014 - Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. May 19, 2014 Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration. Am J Med Qual. 2014;29(3):213-9. do…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50798/psn-pdf
    January 15, 2020 - Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care. January 15, 2020 Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel Quantitative Measure of Alertness and Implications for Worker and Patien…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859341/psn-pdf
    January 01, 2024 - Disparities in patient safety voluntary event reporting: a scoping review. December 20, 2023 Hoops K, Pittman E, Stockwell DC. Disparities in patient safety voluntary event reporting: a scoping review. Jt Comm J Qual Patient Saf. 2024;50(1):41-48. doi:10.1016/j.jcjq.2023.10.009. https://psnet.ahrq.gov/issue/dispar…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43769/psn-pdf
    December 17, 2014 - Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. December 17, 2014 Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. Int J Clin Pharm. 2014…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60303/psn-pdf
    May 06, 2020 - Using safety culture results to guide the merger of four general practices in the UK. May 6, 2020 Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-000860. https://psnet.ahrq.gov/issue…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47300/psn-pdf
    October 13, 2018 - Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study. October 13, 2018 Silva M das DG, Martins MAP, Viana L de G, et al. Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study. Br J Clin Pharmacol. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37011/psn-pdf
    September 24, 2010 - What do medical records tell us about potentially harmful co-prescribing? September 24, 2010 Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co- prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-400. https://psnet.ahrq.gov/issue/what-do-medical-records-tell-us…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43521/psn-pdf
    November 05, 2014 - From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. November 5, 2014 Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(suppl 10):S189-S296. https://psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons This companion…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861276/psn-pdf
    January 24, 2024 - Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022. January 24, 2024 Kappy B, Berkowitz D, Isbey S, et al. Characteristics and patient impact of boarding in the pediatric emergency department, 2018–2022. Am J Emerg Med. 2023;77:139-146. doi:10.1016/j.ajem.2023.12.022. h…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60955/psn-pdf
    September 30, 2020 - The emergency department trigger tool: a novel approach to screening for quality and safety events. September 30, 2020 Griffey RT, Schneider RM, Todorov AA. The emergency department trigger tool: a novel approach to screening for quality and safety events. Ann Emerg Med. 2020;76(2):230-240. doi:10.1016/j.annemergm…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46939/psn-pdf
    July 23, 2018 - Underdiagnosis of dementia: an observational study of patterns in diagnosis and awareness in US older adults. July 23, 2018 Amjad H, Roth DL, Sheehan OC, et al. Underdiagnosis of Dementia: an Observational Study of Patterns in Diagnosis and Awareness in US Older Adults. J Gen Intern Med. 2018;33(7):1131-1138. doi:…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45827/psn-pdf
    January 24, 2018 - Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. January 24, 2018 Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient safety risks related to the dispensing process in the co…

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