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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72670/psn-pdfJanuary 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50863/psn-pdfFebruary 05, 2020 - Patient safety in inpatient mental health settings: a systematic review. February 5, 2020 Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic review. BMJ Open. 2019;9(12):e030230. doi:10.1136/bmjopen-2019-030230. https://psnet.ahrq.gov/issue/patient-safety-inpat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42759/psn-pdfApril 24, 2017 - A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. April 24, 2017 Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J Healthc Manag. 2013;58(5):369-85. https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73083/psn-pdfMarch 31, 2021 - Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. March 31, 2021 Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45328/psn-pdfJuly 27, 2018 - Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. July 27, 2018 Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes. J Gen Intern Med. 2017;32(1):42-48. doi:10.1007/s11606-016-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39985/psn-pdfNovember 10, 2010 - Establishing a global learning community for incident- reporting systems. November 10, 2010 Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739. https://psnet.ahrq.gov/issue/establishing-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853428/psn-pdfSeptember 13, 2023 - Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. September 13, 2023 Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 2023;18(4):279-282. doi:10.1097/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42568/psn-pdfDecember 29, 2014 - Hospital readmission and parent perceptions of their child's hospital discharge. December 29, 2014 Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital discharge. Int J Qual Health Care. 2013;25(5):573-81. doi:10.1093/intqhc/mzt051. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74126/psn-pdfDecember 01, 2021 - Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. December 1, 2021 Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncont… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61018/psn-pdfOctober 14, 2020 - Association of current opioid use with serious adverse events among older adult survivors of breast cancer. October 14, 2020 Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open. 2020;3(9):e2016858. doi:10.100… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867082/psn-pdfNovember 06, 2024 - Learning in radiation oncology: 12-month experience with a new incident learning system. November 6, 2024 Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866111/psn-pdfJune 12, 2024 - Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. June 12, 2024 Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standardized flowsheet to document commu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46529/psn-pdfNovember 08, 2017 - Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. November 8, 2017 Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. J Am Med Inform Assoc. 2017;24(6):1204-1210. doi:10.10… -
psnet.ahrq.gov/issue/when-doctor-too-old-jobMarch 04, 2020 - Newspaper/Magazine Article When is a doctor too old for the job? Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 18, 2019 Potential deterioration of an aging surgeon's…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862611/psn-pdfFebruary 14, 2024 - Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units. February 14, 2024 Olesen AE, Juhl MH, Deilkås ET, et al. Review: application of the Safety Attitudes Questionnaire (SA… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37923/psn-pdfJuly 23, 2008 - Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. July 23, 2008 Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260. doi:10.2146/ajhp0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60642/psn-pdfJuly 01, 2020 - Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. July 1, 2020 Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid- Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414. doi:10.7326/m19-3805. https://psn… -
PSNet Curated Library (pdf file)
psnet.ahrq.gov/print/pdf/node/867659July 10, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Rapid Response Systems Curated Library Primers Rapid Response Systems UC Davis PSNet Editorial Team | September, 15 2024 Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of imminent clinical de… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33591/psn-pdfMarch 15, 2025 - Triggers and Trigger Tools March 15, 2025 Triggers and Trigger Tools. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/triggers-and-trigger-tools PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33604/psn-pdfDecember 15, 2024 - Pharmacist's Role in Medication Safety December 15, 2024 The Pharmacist's Role in Medication Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current res…
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