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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48018/psn-pdf
    July 31, 2019 - PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. July 31, 2019 Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342. doi:10.1097/SIH.0000000000…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44968/psn-pdf
    January 23, 2017 - Financial incentives and mortality: taking pay for performance a step too far. January 23, 2017 Gupta K, Wachter R, Kachalia A. Financial incentives and mortality: taking pay for performance a step too far. BMJ Qual Saf. 2017;26(2):164-168. doi:10.1136/bmjqs-2015-004835. https://psnet.ahrq.gov/issue/financial-ince…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43727/psn-pdf
    January 28, 2015 - Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors. January 28, 2015 Bank I, Snell L, Bhanji F. Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to m…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73987/psn-pdf
    October 20, 2021 - Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. October 20, 2021 Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. Am J Health Sy…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45961/psn-pdf
    June 23, 2017 - Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. June 23, 2017 Poudel DR, Acharya P, Ghimire S, et al. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. Pharmacoe…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48062/psn-pdf
    August 07, 2019 - Ten ways to improve medication safety in community pharmacies. August 7, 2019 Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003). 2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018. https://psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies Med…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45131/psn-pdf
    July 20, 2016 - Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. July 20, 2016 Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational interventions designed to improve medication administr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45138/psn-pdf
    May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover (WOOSH). May 25, 2016 Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47161/psn-pdf
    July 25, 2018 - Quality and the health system: becoming a high reliability organization. July 25, 2018 Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010. https://psnet.ahrq.gov/issue/quality-and-health-system-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47553/psn-pdf
    July 10, 2019 - Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. July 10, 2019 Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisational resilience. Safety Sci. 2019;117:490-500. doi:10.1016/j.ssci.2016.10.019. h…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861283/psn-pdf
    January 24, 2024 - What and when to debrief: a scoping review examining interprofessional clinical debriefing. January 24, 2024 Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1136/bmjqs-2023-016730. https://p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838641/psn-pdf
    October 19, 2022 - Optimizing Pediatric Patient Safety in the Emergency Care Setting. October 19, 2022 Joseph MM, Mahajan P, Snow SK, et al. Optimizing Pediatric Patient Safety in the Emergency Care Setting. Pediatrics. 2022;150(5):e2022059673. doi:10.1542/peds.2022-059673. https://psnet.ahrq.gov/issue/optimizing-pediatric-patient-s…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44049/psn-pdf
    September 12, 2016 - A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. September 12, 2016 Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 2015;157(4):752-63. doi:10.1016/j…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46994/psn-pdf
    October 31, 2018 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. October 31, 2018 Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm. 2018;75(16):1203-1226. doi:10.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866857/psn-pdf
    October 02, 2024 - Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. October 2, 2024 Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. Pediatr Qual Saf. 202…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60676/psn-pdf
    July 15, 2020 - Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand. July 15, 2020 Rockville, MD; Agency for Healthcare Research and Quality: 2020. https://psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator- and-ppe-1-30 The COVI…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43715/psn-pdf
    November 26, 2014 - An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. November 26, 2014 Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3. https://psnet.ahrq.gov/issue/inter…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48010/psn-pdf
    May 22, 2019 - In-situ interprofessional perinatal drills: the impact of a structured debrief on maximizing training while sensing patient safety threats. May 22, 2019 Greer JA, Haischer-Rollo G, Delorey D, et al. In-situ Interprofessional Perinatal Drills: The Impact of a Structured Debrief on Maximizing Training While Sensing …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47832/psn-pdf
    February 27, 2019 - Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. February 27, 2019 ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24. https://psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly- overrides-just-cultu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72832/psn-pdf
    March 10, 2021 - Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. March 10, 2021 Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicine; 2021. doi:10.31478/202103a. https:/…

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