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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865871/psn-pdf
    May 15, 2024 - Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. May 15, 2024 Osei-Poku GK, Prentice JC, Easter SR, et al. Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. Am J Obstet Gynecol. 2024;231(5):e1-546.e520. doi:10.1016/j.ajog.20…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45879/psn-pdf
    July 02, 2017 - A hybrid methodology for modeling risk of adverse events in complex health-care settings. July 2, 2017 Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. https://psnet.ahrq.gov/issue/hybrid-m…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838136/psn-pdf
    September 21, 2022 - Exploration of a rapid response team model of care: a descriptive dual methods study. September 21, 2022 Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294. https://psnet.a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60274/psn-pdf
    April 29, 2020 - Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis. April 29, 2020 Long Y, Hu T, Liu L, et al. Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis. J Evid Based Med. 2020. doi:10.1111/jebm.12381.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47793/psn-pdf
    June 12, 2019 - Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. June 12, 2019 Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. Transl Behav Med. 2019;9(2):187-201. doi:10.1093/t…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60708/psn-pdf
    July 22, 2020 - Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. July 22, 2020 Hardie JA, Brennan PA. Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. Br J Oral Maxillofac Surg. 2020;58(7):843-847. doi:10.1016/j.bjoms…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73714/psn-pdf
    September 15, 2021 - Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. September 15, 2021 Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. Report No. 21-01502-240. https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-f…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43472/psn-pdf
    September 03, 2014 - Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. September 3, 2014 Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J Respir Crit Care Med. 2014;189(1…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44534/psn-pdf
    April 25, 2016 - Addressing disease-related malnutrition in hospitalized patients: a call for a national goal. April 25, 2016 Guenter P, Jensen G, Patel V, et al. Addressing Disease-Related Malnutrition in Hospitalized Patients: A Call for a National Goal. Jt Comm J Qual Patient Saf. 2015;41(10):469-473. https://psnet.ahrq.gov/iss…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50620/psn-pdf
    November 06, 2019 - Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals. November 6, 2019 Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on Inpatient Psychiatric Units at Veterans Health…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43812/psn-pdf
    January 14, 2015 - Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. January 14, 2015 Daigh JD Jr. Washington, DC: VA Office of the Inspector General; December 15, 2014. Report No. 14- 04705-62. https://psnet.ahrq.gov/issue/healthcare-inspection-evalua…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867015/psn-pdf
    October 23, 2024 - Supporting perioperative safety during a disaster through clinical crisis education. October 23, 2024 Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. https://psnet.ahrq.gov/issue/supporting-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46099/psn-pdf
    May 31, 2017 - A quality improvement approach to standardization and sustainability of the hand-off process. May 31, 2017 Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u222156.w8291. https:…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853612/psn-pdf
    September 20, 2023 - Pharmacy e-prescription dispensing before and after CancelRx implementation. September 20, 2023 Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192. https://psnet.ahrq.gov/issue…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47183/psn-pdf
    May 11, 2019 - Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. May 11, 2019 Davis JJ, Price DW, Kraft W, et al. Incorporation of Quality and Safety Principles in Maintenance of Certification: A Qualitative Analysis of A…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852462/psn-pdf
    August 16, 2023 - American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. August 16, 2023 American Geriatrics Society Beers Criteria® Update Expert Panel. J Am Geriatr Soc. 2023;71(7):2052- 2081. https://psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37294/psn-pdf
    May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47510/psn-pdf
    June 30, 2019 - Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. June 30, 2019 Guttman O, Keebler JR, Lazzara EH, et al. J Patient Saf Risk Manag. 2019;24:127–133. https://psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45308/psn-pdf
    September 28, 2016 - Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. September 28, 2016 Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with r…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46113/psn-pdf
    July 12, 2017 - Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. July 12, 2017 Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-in…

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