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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845357/psn-pdf
    March 29, 2023 - Reducing hospital harm: establishing a command centre to foster situational awareness. March 29, 2023 Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885. https://psnet.ahrq.gov/innovation/reducing-hospital-harm-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48095/psn-pdf
    June 26, 2019 - Exposure to incivility hinders clinical performance in a simulated operative crisis. June 26, 2019 Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;28(9):750-757. doi:10.1136/bmjqs-2019-009598. https://psnet.ahrq.gov/issue/ex…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38674/psn-pdf
    February 17, 2011 - Cost implications of reduced work hours and workloads for resident physicians. February 17, 2011 Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for resident physicians. N Engl J Med. 2009;360(21):2202-15. doi:10.1056/NEJMsa0810251. https://psnet.ahrq.gov/issue/c…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41226/psn-pdf
    April 22, 2012 - Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. April 22, 2012 Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. BMJ Qual Saf. 2012;21(5):391-8. do…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42150/psn-pdf
    July 03, 2014 - Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. July 3, 2014 Sen S, Kranzler HR, Didwania AK, et al. Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. JAMA Intern Med. 2013;173(8):657-62; discus…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847717/psn-pdf
    April 19, 2023 - Quality improvement initiative to decrease central line- associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. April 19, 2023 Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line- associated bloodstream infections during the COVID-19 pan…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42900/psn-pdf
    September 19, 2016 - Suicide attempts and completions on medical-surgical and intensive care units. September 19, 2016 Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141. https://psnet.ahrq.gov/issue/suicide-attempts-and-compl…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39143/psn-pdf
    February 14, 2011 - Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. February 14, 2011 Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. doi:10.1001/archinternmed.2009.398…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39551/psn-pdf
    May 26, 2010 - Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. May 26, 2010 Bruppacher HR, Alam SK, LeBlanc VR, et al. Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. Anest…
  10. psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
    October 31, 2023 - disclose relevant financial relationships with commercial interests related to the subject matter of this educational
  11. psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
    March 01, 2018 - Our research shows that variation in nurse staffing and the educational qualifications of nurses
  12. psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
    March 01, 2018 - Our research shows that variation in nurse staffing and the educational qualifications of nurses
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33566/psn-pdf
    September 15, 2024 - Teamwork Training September 15, 2024 Teamwork Training. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/teamwork-training 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 safety field. Last reviewed …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49445/psn-pdf
    May 01, 2004 - No Blood, Please May 1, 2004 Liang BA. No Blood, Please. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/no-blood-please The Case A young woman, about 30 years of age, was injured in an automobile collision. She was brought to the emergency department (ED) via ambulance, where she was found to be suffering …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33743/psn-pdf
    December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit December 1, 2012 Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit. PSNet [internet]. 2012. https://psnet.ahrq.gov…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33883/psn-pdf
    July 01, 2019 - In Conversation With… Suchi Saria, PhD July 1, 2019 In Conversation With… Suchi Saria, PhD. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-suchi-saria-phd Editor's note: Dr. Saria is the John C. Malone Assistant Professor of computer science, statistics, and health policy at Johns Hopkins …
  17. psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
    May 27, 2020 - Hyponatremia Secondary to Home Parenteral Nutrition Error Citation Text: Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49630/psn-pdf
    July 01, 2011 - Watch the Warfarin! July 1, 2011 Khanna R, Fang MC. Watch the Warfarin!. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/watch-warfarin Case Objectives Understand best practices for safe discharge of patients on warfarin. Describe recent advances in anticoagulation monitoring for ambulatory patients. Discu…
  19. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
    January 01, 2020 - Editor: Meghan Weyrich, MPH 2 https://psnet.ahrq.gov/webmm Objectives At the conclusion of this educational
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45279/psn-pdf
    September 27, 2016 - Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. September 27, 2016 Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int J Qual Health Care. 2016;28(4)…

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