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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854630/psn-pdf
    October 18, 2023 - Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. October 18, 2023 Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. J Hosp Med. 20…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850158/psn-pdf
    June 07, 2023 - Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. June 7, 2023 Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveilla…

  3. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet

    psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
    September 27, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up Citation Text: Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74120/psn-pdf
    November 30, 2021 - Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care November 30, 2021 Spero H, Usher AE, Howard B, et al. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care . PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/culture-clash-no-mo…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867428/psn-pdf
    December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls December 18, 2024 Dykes PC, Sousane Z, Mossburg SE. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-patricia-dykes-a…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841467/psn-pdf
    December 14, 2022 - A framework for assessing reasoning about controversial end-of-life clinical decisions. December 14, 2022 Fedyk M, Fairman N, Romano PS, et al. A framework for assessing reasoning about controversial end-of- life clinical decisions. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/framework-assessing-reasonin…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846126/psn-pdf
    March 09, 2023 - Medication Handling and Compounding Errors in the Operating Room. March 15, 2023 Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating Room. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room The Case A 62-y…

  8. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet

    psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
    July 01, 2017 - SPOTLIGHT CASE “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event Citation Text: Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72911/psn-pdf
    March 15, 2021 - The Impact of Communication on Medication Errors March 15, 2021 Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors The Case   A 93-year-old man with a history of chronic systolic heart failure…

  10. Medication Handling and Compounding Errors in the Operating Room. | PSNet

    psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
    May 16, 2022 - Medication Handling and Compounding Errors in the Operating Room. Citation Text: Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating Room.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855086/psn-pdf
    November 08, 2023 - Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. November 8, 2023 Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. Acad Radiol. 2023;30(12):3137-314…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41993/psn-pdf
    April 21, 2015 - Simulation-based trial of surgical-crisis checklists. April 21, 2015 Arriaga AF, Bader AM, Wong JM, et al. Simulation-based trial of surgical-crisis checklists. N Engl J Med. 2013;368(3):246-53. doi:10.1056/NEJMsa1204720. https://psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists Surgical check…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866643/psn-pdf
    September 04, 2024 - Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients. September 4, 2024 Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic method for finding missed and…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50824/psn-pdf
    January 22, 2020 - Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training. January 22, 2020 Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30?day in?hospital mortality in hospitals with and without crew?resource?management safety training. Res Nurs Health. 201…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44699/psn-pdf
    December 16, 2015 - Suicide attempts after emergency room visits: the effect of patient safety goals. December 16, 2015 Robst J. Suicide Attempts After Emergency Room Visits: The Effect of Patient Safety Goals. Psych Q. 2015;86(4):497-504. doi:10.1007/s11126-015-9345-7. https://psnet.ahrq.gov/issue/suicide-attempts-after-emergency-ro…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43694/psn-pdf
    November 17, 2015 - Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. November 17, 2015 McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. J Hosp Med. 2014;9(12):7…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46434/psn-pdf
    December 21, 2018 - Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. December 21, 2018 Bourne RS, Shulman R, Jennings JK. Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. In J Pharm P…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43965/psn-pdf
    July 16, 2015 - Decision making in trauma settings: simulation to improve diagnostic skills. July 16, 2015 Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073. https://psnet.ahrq.gov/issue/decision…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39729/psn-pdf
    September 20, 2011 - Contextual errors and failures in individualizing patient care: a multicenter study. September 20, 2011 Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010;153(2):69-75. doi:10.7326/0003-4819-153-2-201007200-00002. https…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73177/psn-pdf
    April 28, 2021 - The association of nursing home characteristics and quality with adverse events after a hospitalization. April 28, 2021 Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with adverse events after a hospitalization. J Am Med Dir Assoc. 2021;22(10):2196-2200. doi:10.…
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