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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866249/psn-pdfJuly 10, 2024 - Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. July 10, 2024 Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system in the Veterans Health Administration’s … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865806/psn-pdfMay 08, 2024 - Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. May 8, 2024 Hedqvist A?T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patient… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45350/psn-pdfOctober 21, 2016 - A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. October 21, 2016 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2016. https://psnet.ahrq.gov/issue/national-trauma-care-system-inte… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50832/psn-pdfJanuary 01, 2021 - Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study. January 29, 2020 Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quant… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74834/psn-pdfFebruary 16, 2022 - Evaluating incident learning systems and safety culture in two radiation oncology departments. February 16, 2022 Adamson L, Beldham?Collins R, Sykes J, et al. Evaluating incident learning systems and safety culture in two radiation oncology departments. J Med Radiat Sci. 2022;69(2):208-217. doi:10.1002/jmrs.563. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43787/psn-pdfJune 22, 2016 - Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. June 22, 2016 Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional stud… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45651/psn-pdfNovember 16, 2016 - Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. November 16, 2016 Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60025/psn-pdfMarch 11, 2020 - Association of work environment with missed and rushed care: tasks among care aides in nursing homes. March 11, 2020 Song Y, Hoben M, Norton PG, et al. Association of work environment with missed and rushed care: tasks among care aides in nursing homes. JAMA Netw Open. 2020;3(1):e1920092. doi:10.1001/jamanetworkop… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37875/psn-pdfJuly 08, 2008 - Impact of adverse events on outcomes in intensive care unit patients. July 8, 2008 Orgeas MG, Timsit JF, Soufir L, et al. Impact of adverse events on outcomes in intensive care unit patients. Crit Care Med. 2008;36(7):2041-2047. doi:10.1097/CCM.0b013e31817b879c. https://psnet.ahrq.gov/issue/impact-adverse-events-o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865809/psn-pdfMay 08, 2024 - Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta- analysis. May 8, 2024 Schiavo G, Forgerini M, Varallo FR, et al. Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. Res Social Adm Pharm.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72548/psn-pdfJanuary 01, 2021 - Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests. December 9, 2020 Brooks Carthon M, Brom H, McHugh MD, et al. Better nurse staffing is associated with survival for black patients and diminishes racial disparities i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836824/psn-pdfMarch 30, 2022 - Collaborative case review: a systems-based approach to patient safety event investigation and analysis. March 30, 2022 Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. J Patient Saf. 2022;18(2):e522-e527. doi:10.1097/pt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852446/psn-pdfAugust 16, 2023 - Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. August 16, 2023 Barlow M, Morse KJ, Watson B, et al. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Adv Simul (Lond). 2023;8(1):17. doi:10.1186… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44746/psn-pdfJanuary 20, 2016 - Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. January 20, 2016 Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework. J Nurs Adm. 2016;46(1):30-7. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34683/psn-pdfFebruary 10, 2011 - Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. February 10, 2011 Leape L, Cullen DJ, Clapp M, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA. 1999;282(3):267-70. https://psnet.ahrq.gov/issue/pharmacist-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860714/psn-pdfJanuary 17, 2024 - Diagnostic errors in hospitalized adults who died or were transferred to intensive care. January 17, 2024 Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Intern Med. 2024:184(2):164-173. https://psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-tr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/858168/psn-pdfDecember 13, 2023 - A resilience view on health system resilience: a scoping review of empirical studies and reviews. December 13, 2023 Copeland S, Hinrichs-Krapels S, Fecondo F, et al. A resilience view on health system resilience: a scoping review of empirical studies and reviews. BMC Health Serv Res. 2023;23(1):1297. doi:10.1186/s1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39236/psn-pdfMay 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60520/psn-pdfMay 27, 2020 - Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. May 27, 2020 Chou R, Dana T, Buckley DI, et al. Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. Ann Intern Med. 2020;173(2):120-136. doi:10.7326/m20-163… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837761/psn-pdfAugust 03, 2022 - The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. August 3, 2022 Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review. Adv …
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