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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73159/psn-pdf
    April 21, 2021 - Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. April 21, 2021 Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. Drugs Aging. 2021;38(4):341-346…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74840/psn-pdf
    February 16, 2022 - Addressing mistreatment of providers by patients and family members as a patient safety event. February 16, 2022 Hatfield M, Ciaburri R, Shaikh H, et al. Addressing mistreatment of providers by patients and family members as a patient safety event. Hosp Pediatr. 2022;12(2):181-190. doi:10.1542/hpeds.2021-006267. h…
  3. 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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39236/psn-pdf
    May 25, 2010 - Do emergency physicians attribute drug-related emergency department visits to medication-related problems? May 25, 2010 Hohl CM, Zed PJ, Brubacher JR, et al. Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Ann Emerg Med. 2010;55(6):493-502.e4. doi:10.1016…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74162/psn-pdf
    December 08, 2021 - Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. December 8, 2021 Tzeng H-M, Raji MA, Chou L-N, et al. Impact of state nurse practitioner regulations on potentially inappropriate me…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867338/psn-pdf
    December 11, 2024 - Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. December 11, 2024 Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf. 2024;20(8):556-563. doi:10.10…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36833/psn-pdf
    March 03, 2011 - Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. March 3, 2011 Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. Ann S…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867594/psn-pdf
    January 22, 2025 - A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. January 22, 2025 Giebel C, Silva?Ribeiro W, Watson J, et al. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Int J Geriat Psychiatry. 2024;39(10):e615…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837427/psn-pdf
    June 15, 2022 - Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. June 15, 2022 Schiavo G, Forgerini M, Lucchetta RC, et al. Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. J Am Pharm Assoc (2003). 2022;62(5):1463-1476.e14. d…
  10. 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…
  11. 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.…
  12. 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…
  13. 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 …
  14. 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…
  15. 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.…
  16. 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…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837507/psn-pdf
    June 22, 2022 - Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: a comparative cross- sectional study. June 22, 2022 Falk A-C, Nymark C, Göransson KE, et al. Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: A comparative cross-sectional study. Intensive…
  18. 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…
  19. 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73628/psn-pdf
    August 25, 2021 - Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in 142 simulated prehospital pediatric patient encounters. August 25, 2021 Hoyle JD, Ekblad G, Woodwyk A, et al. Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in 1…

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