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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37155/psn-pdf
    October 06, 2011 - Classification of adverse events occurring in a surgical intensive care unit. October 6, 2011 Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32. https://psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73872/psn-pdf
    September 22, 2021 - Parenteral nutrition safety. September 22, 2021 Mirtallo JM, Ayers P. Pharmacy Practice News. September 7, 2021;48(9):17-20. https://psnet.ahrq.gov/issue/parenteral-nutrition-safety Parenteral nutrition (PN) processes contain various steps that are prone to errors resulting in patient harm. This article discusses …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34941/psn-pdf
    June 23, 2009 - Team types, perceived efficiency and team climate in Swedish cross-professional teamwork. June 23, 2009 Thylefors I, Persson O, Hellström D. Team types, perceived efficiency and team climate in Swedish cross- professional teamwork. J Interprof Care. 2005;19(2):102-14. https://psnet.ahrq.gov/issue/team-types-percei…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866528/psn-pdf
    August 14, 2024 - First with Kids: Medication Errors. August 14, 2024 First L. NBC5. First with Kids: Medication Errors. August 1, 2024. https://psnet.ahrq.gov/issue/first-kids-medication-errors Medication mistakes involving children are common. This news segment provides suggestions for parents to help improve the safety of medica…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44679/psn-pdf
    November 18, 2015 - Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. November 18, 2015 ISMP Medication Safety Alert! Acute Care Edition. November 5, 2015;20:1-5. https://psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps The perioperative environment …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73191/psn-pdf
    April 23, 2007 - The National Database of Nursing Quality Indicators(TM) (NDNQI®). April 23, 2007 Montalvo I. Online J Iss Nurs. 2007;12(3):Manuscript 2.  https://psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir The quality of nursing care can impact patient outcomes and safety culture…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42858/psn-pdf
    January 15, 2014 - Early access to a neurologist reduces the rate of missed diagnosis in young strokes. January 15, 2014 Mohamed W, Bhattacharya P, Chaturvedi S. Early access to a neurologist reduces the rate of missed diagnosis in young strokes. J Stroke Cerebrovasc Dis. 2013;22(8):e332-7. doi:10.1016/j.jstrokecerebrovasdis.2013.01…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36759/psn-pdf
    August 10, 2011 - Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. August 10, 2011 Bressler B, Paszat LF, Chen Z, et al. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. Gastroenterology. 2007;132(1):96-10…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46117/psn-pdf
    May 10, 2017 - Deep learning is a black box, but health care won't mind. May 10, 2017 Brouillette M. MIT Technol Rev. April 27, 2017. https://psnet.ahrq.gov/issue/deep-learning-black-box-health-care-wont-mind Artificial intelligence can support diagnostic decision-making. This magazine article reports on the use of algorithms to…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43411/psn-pdf
    October 01, 2014 - Analysis of medication errors in simulated pediatric resuscitation by residents. October 1, 2014 Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922. https://psnet.ahrq.gov/issue/analysis…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37658/psn-pdf
    June 14, 2011 - Applying modern error theory to the problem of missed injuries in trauma. June 14, 2011 Clarke DL, Gouveia J, Thomson SR, et al. Applying modern error theory to the problem of missed injuries in trauma. World J Surg. 2008;32(6):1176-82. doi:10.1007/s00268-008-9543-7. https://psnet.ahrq.gov/issue/applying-modern-er…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35682/psn-pdf
    July 10, 2008 - Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. July 10, 2008 Rief W, Avorn J, Barsky AJ. Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. Arch Intern Med. 2006;166(2):155-60. https://psnet.ahrq.gov/iss…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36260/psn-pdf
    May 27, 2011 - The effect of physicians' long-term use of CPOE on their test management work practices. May 27, 2011 Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test management work practices. J Am Med Inform Assoc. 2006;13(6):643-52. https://psnet.ahrq.gov/issue/effect-physic…
  14. psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
    February 01, 2014 - materials will help hospitals become familiar with RED's process and components, determine metrics for evaluating … Although it is important to continue to pursue research evaluating specific interventions, we believe
  15. psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
    September 01, 2016 - Therefore, there is a need to increase research efforts evaluating the impact of telemedicine on patient … Evaluating the impact of telepharmacy. Am J Health Syst Pharm. 2013;70:2130-2135.
  16. psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
    May 01, 2007 - We wanted to develop a program for evaluating good solutions to reduce risk, so we have a "Safety Solutions … So we've been running formally for about 3 years, and we're just starting to think about evaluating the
  17. psnet.ahrq.gov/issue/special-issue-health-information-technology
    August 22, 2007 - June 29, 2022 Scoping review of studies evaluating frailty and its association with medication
  18. psnet.ahrq.gov/issue/digital-healthcare-research
    December 24, 2008 - August 19, 2020 Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
  19. psnet.ahrq.gov/issue/grants-line-database-gold
    December 24, 2008 - September 22, 2021 Novel, High-Impact Studies Evaluating Health System and Healthcare
  20. psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
    September 30, 2009 - June 21, 2017 Medication safety at the interface: evaluating risks associated with discharge

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