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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843324/psn-pdf
    February 01, 2023 - Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. February 1, 2023 Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. JAMA Health Forum. 2023;4(…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60873/psn-pdf
    September 02, 2020 - What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. September 2, 2020 Denning M, Goh ET, Scott A, et al. What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. Int J Environ Res Public Health. 2020…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867040/psn-pdf
    October 30, 2024 - Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. October 30, 2024 Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47031/psn-pdf
    December 19, 2018 - A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. December 19, 2018 Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. J…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855096/psn-pdf
    November 08, 2023 - Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. November 8, 2023 Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s411188. https://psnet.ahrq.gov/i…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45962/psn-pdf
    April 24, 2018 - Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. April 24, 2018 Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1):9-13. doi:10.4300/JGME-D-16-00065…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40079/psn-pdf
    December 18, 2014 - Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. December 18, 2014 Shehab N, Schaefer MK, Kegler SR, et al. Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. Pediatrics. 2010;126(6):1100-7. doi:10.1542/p…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866695/psn-pdf
    September 11, 2024 - Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. September 11, 2024 Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line?associated bloodstream infections: a family?centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. doi:10.1002/pbc.31064. https:…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865925/psn-pdf
    May 22, 2024 - Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature. May 22, 2024 Finn M, Walsh A, Rafter N, et al. Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61046/psn-pdf
    October 21, 2020 - The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. October 21, 2020 Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in an emergency department on medication admin…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74132/psn-pdf
    December 01, 2021 - Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence December 1, 2021 Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35839/psn-pdf
    March 28, 2011 - Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. March 28, 2011 Cleopas A, Villaveces A, Charvet A, et al. Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. Qual Saf Health Care.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60188/psn-pdf
    January 01, 2021 - Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. April 1, 2020 Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. https://psnet.ahrq.gov/issue/uncertai…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45493/psn-pdf
    December 07, 2016 - The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. December 7, 2016 Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patient Safety. Yearb Med Inform. 2016…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47612/psn-pdf
    February 27, 2019 - The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. February 27, 2019 Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clinical decision support on pharm…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60052/psn-pdf
    March 18, 2020 - Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. March 18, 2020 Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. Int J Phar…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50655/psn-pdf
    January 01, 2020 - Reflections on implementing a hospital-wide provider- based electronic inpatient mortality review system: lessons learnt. November 13, 2019 Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. BMJ Qual Saf. 2020;…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73883/psn-pdf
    September 29, 2021 - Emergency departments are higher-risk locations for wrong blood in tube errors. September 29, 2021 Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher?risk locations for wrong blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588. https://psnet.ahrq.gov/issue/e…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60899/psn-pdf
    September 09, 2020 - Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. September 9, 2020 Vanneman MW, Balakrishna A, Lang AL, et al. Improving Transfusion Safety in the…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46903/psn-pdf
    December 04, 2018 - Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? December 4, 2018 Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Care. 2018;30(suppl 1):1-41. https://psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn- about-improvement …

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