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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45154/psn-pdf
    May 25, 2016 - The effect of a program to shorten the decision-to- delivery interval for emergent cesarean section on maternal and neonatal outcome. May 25, 2016 Weiner E, Bar J, Fainstein N, et al. The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60880/psn-pdf
    September 02, 2020 - Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. September 2, 2020 Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. Pe…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838927/psn-pdf
    October 26, 2022 - Survey results from pharmacists provide support to enhance the organizational response to codes. October 26, 2022 ISMP Medication Safety Alert! Acute care edition. October 6, 2022;27(20):1-5. https://psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response- codes Patient res…

  4. Diagnostic Delay in the Emergency Department | PSNet

    psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
    September 18, 2024 - SPOTLIGHT CASE Diagnostic Delay in the Emergency Department Citation Text: Marshall K, Singh H. Diagnostic Delay in the Emergency Department. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format:…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853081/psn-pdf
    August 30, 2023 - In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing August 30, 2023 Sanford K, Schuelke S, Lee M, et al. In Conversation with.. Kathleen Sanford and Sue Schuelke about Virtual Nursing. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schue…

  6. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet

    psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
    June 28, 2023 - SPOTLIGHT CASE A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care Citation Text: Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research…

  7. Beeline to Spine | PSNet

    psnet.ahrq.gov/web-mm/beeline-spine
    March 01, 2014 - SPOTLIGHT CASE Beeline to Spine Citation Text: Smetana GW. Beeline to Spine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837910/psn-pdf
    August 24, 2022 - How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. August 24, 2022 Jefs L, Kuluski K, MacLaurin A, et al. Ottawa, Ontario, Canada: Healthcare Excellence Canada; 2022. https://psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-thr…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73474/psn-pdf
    July 07, 2021 - Resident and family engagement in medication management in aged care facilities: a systematic review. July 7, 2021 Manias E, Bucknall T, Hutchinson AM, et al. Resident and family engagement in medication management in aged care facilities: a systematic review. Expert Opin Drug Saf. 2021:1-19. doi:10.1080/14740338.…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867683/psn-pdf
    March 05, 2025 - Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. March 5, 2025 Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine- related malpractice cases from 2011 to 2021. J Patient Saf. 2025;21(2):111-117. doi:10…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47116/psn-pdf
    August 15, 2018 - Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth. August 15, 2018 Lyndon A, Malana J, Hedli LC, et al. Thematic Analysis of Women's Perspectives on the Meaning of Safety During Hospital-Based Birth. J Obstet Gynecol Neonatal Nurs. 2018;47(3):324-332. doi:10.1016/j.jogn…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836752/psn-pdf
    March 16, 2022 - The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations. March 16, 2022 Logan?Athmer AL. The necessary leadership skillsets for the high?reliability organization framework adoption within acute healthcare organizations. J Healthc Risk Manag.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73416/psn-pdf
    June 23, 2021 - An observational study of postoperative handoff standardization failures. June 23, 2021 Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458. https://psnet.ahrq.gov/issue/observational-study…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863225/psn-pdf
    February 28, 2024 - Revealing Disparities: Health Care Workers’ Observations of Discrimination Against Patients. February 28, 2024 Fernandez H, Ayo-Vaughan M, Zephyrin LC, et al. New York, NY: The Commonwealth Fund; February 15, 2024. https://psnet.ahrq.gov/issue/revealing-disparities-health-care-workers-observations-discrimination-a…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838082/psn-pdf
    September 14, 2022 - Organizational factors that promote error reporting in healthcare: a scoping review. September 14, 2022 Wawersik D, Palaganas J. Organizational factors that promote error reporting in healthcare: a scoping review. J Healthc Manag. 2022;67(4):283-301. doi:10.1097/jhm-d-21-00166. https://psnet.ahrq.gov/issue/organiz…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866166/psn-pdf
    June 19, 2024 - Understanding risk factors for complaints against pharmacists: a content analysis. June 19, 2024 Wang Y, Ram S (S), Scahill S. Understanding risk factors for complaints against pharmacists: a content analysis. J Patient Saf. 2024;20(4):e18-e28. doi:10.1097/pts.0000000000001217. https://psnet.ahrq.gov/issue/underst…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35207/psn-pdf
    December 19, 2009 - Patient safety concerns arising from test results that return after hospital discharge. December 19, 2009 Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143(2):121-128. https://psnet.ahrq.gov/issue/patient-safety-concer…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45579/psn-pdf
    November 01, 2017 - Factors influencing patient safety during postoperative handover. November 1, 2017 Rose M, Newman SD. AANA J. 2016;84:329-338. https://psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover Patient handoffs between care teams are vulnerable to error. This scoping review explored the …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36088/psn-pdf
    September 28, 2010 - Impact and implications of disruptive behavior in the perioperative arena. September 28, 2010 Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105. https://psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperat…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35977/psn-pdf
    February 17, 2011 - Making patient safety the centerpiece of medical liability reform. February 17, 2011 Clinton HR, Obama B. Making Patient Safety the Centerpiece of Medical Liability Reform. New England Journal of Medicine. 2006;354(21). doi:10.1056/nejmp068100. https://psnet.ahrq.gov/issue/making-patient-safety-centerpiece-medical…
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