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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44334/psn-pdf
    November 20, 2015 - Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. November 20, 2015 Tridandapani S, Olsen K, Bhatti P. Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient Photographs in Their Interpre…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50622/psn-pdf
    November 06, 2019 - Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. November 6, 2019 Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J Thorac Cardiovasc Surg. 2019. d…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38995/psn-pdf
    March 04, 2011 - Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. March 4, 2011 Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. J Am Med Inform Assoc. 2009;16(5):613-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72474/psn-pdf
    January 01, 2021 - Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. November 18, 2020 Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform Assoc. 2021;28(6):1074-1080. do…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47385/psn-pdf
    April 27, 2019 - Reasons for repeat rapid response team calls, and associations with in-hospital mortality. April 27, 2019 Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005. h…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37903/psn-pdf
    May 09, 2013 - Safe Surgery. May 9, 2013 World Health Organization. https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge This initiative provides a surgical safety checklist and related educational and training materials building on the Second Global Patient Safety Challenge vision to enco…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843461/psn-pdf
    January 01, 2024 - The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. February 1, 2023 Kwon CS, Duzyj C. The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. Am J…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866866/psn-pdf
    October 02, 2024 - New Analysis Shows Hospitals Improving Performance on Key Patient Safety Measures Surpassing Pre- pandemic Levels. October 2, 2024 New Analysis Shows Hospitals Improving Performance On Key Patient Safety Measures Surpassing Pre- Pandemic Levels. Chicago, IL: American Hospital Association; September 2024. https://…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866938/psn-pdf
    October 09, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception towards Co-Design. October 9, 2024 Epstein HM, Haskell H, Hemmelgarn C, et al. The Patient’s Role In Diagnostic Safety And Excellence: From Passive Reception Towards Co-Design. Rockville, MD: Agency for Healthcare Research and Quality; …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838195/psn-pdf
    September 28, 2022 - National Plan for Health Workforce Well-Being. September 28, 2022 Dzau VJ, Kirch D, Murthy V, Nasca T, eds; NAM’s Action Collaborative on Clinician Well-Being and Resilience. Washington DC: The National Academies Press; 2022. ISBN 9780309694674. https://psnet.ahrq.gov/issue/national-plan-health-workforce-well-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837672/psn-pdf
    July 13, 2022 - Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. July 13, 2022 Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. J Appl…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867687/psn-pdf
    March 05, 2025 - Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis. March 5, 2025 Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospe…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867693/psn-pdf
    March 05, 2025 - Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions. March 5, 2025 Taylor RA, Sangal RB, Smith ME, et al. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future di…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46818/psn-pdf
    April 18, 2018 - Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework. April 18, 2018 Mekonnen AB, McLachlan AJ, Brien J-AE, et al. Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a q…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47440/psn-pdf
    April 07, 2019 - Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. April 7, 2019 Sulkers H, Tajirian T, Paterson J, et al. JAMIA Open. 2019;2:35–39. https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process- obtaining-himss-sta…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866351/psn-pdf
    July 24, 2024 - Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. July 24, 2024 Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Int J Qual Health Care. 2024;36(3):mzae057. doi:10.1…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73488/psn-pdf
    July 14, 2021 - Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. July 14, 2021 Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method inve…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35398/psn-pdf
    February 24, 2011 - Residency work-hours reform: a cost analysis including preventable adverse events. February 24, 2011 Nuckols TK, Escarce JJ. Residency work-hours reform. A cost analysis including preventable adverse events. J Gen Intern Med. 2005;20(10):873-8. https://psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46455/psn-pdf
    April 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert Medications. April 24, 2018 Horsham, PA: Institute for Safe Medication Practices; 2017. https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications High-alert medications have the potential to cause substantial patient harm if adm…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60232/psn-pdf
    April 15, 2020 - Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. April 15, 2020 Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000…

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