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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34674/psn-pdf
    December 23, 2008 - Incidence and preventability of adverse drug events in hospitalized patients. December 23, 2008 Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8(6):289-294. https://psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-even…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73332/psn-pdf
    May 26, 2021 - An evolving hospital quality star rating system from CMS: aligning the stars. May 26, 2021 Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars. JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946. https://psnet.ahrq.gov/issue/evolving-hospital-quality-star-rat…
  3. psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
    November 01, 2016 - Study Classic A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital. Citation Text: Raschke RA, Gollihare B, Wunderlich TA, et al. A Computer Alert System to Prevent Injury From Adverse …
  4. psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
    October 27, 2021 - Study Classic Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. Citation Text: Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to hospital performanc…
  5. psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
    June 16, 2021 - EMERGING INNOVATIONS eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds. Citation Text: Geva A, Albert BD, Hamilton S, et al. eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support duri…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46952/psn-pdf
    January 01, 2019 - Perspectives on patient and family engagement with reduction in harm: the forgotten voice. December 21, 2018 Schenk EC, Bryant RA, Van Son CR, et al. Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice. J Nurs Care Qual. 2019;34(1):73-79. doi:10.1097/NCQ.0000000000000333. htt…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74704/psn-pdf
    January 26, 2022 - Improving self-reported empathy and communication skills through harm in healthcare response training. January 26, 2022 Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk Manage. 2021;26(6):251-260. doi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854383/psn-pdf
    January 01, 2024 - What can safety cases offer for patient safety? A multisite case study. October 11, 2023 Liberati EG, Martin GP, Lamé G, et al. What can Safety Cases offer for patient safety? A multisite case study. BMJ Qual Saf. 2024;33(3):156-165. doi:10.1136/bmjqs-2023-016042. https://psnet.ahrq.gov/issue/what-can-safety-cases…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60729/psn-pdf
    July 29, 2020 - Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. July 29, 2020 Chun DS, Faso A, Muss HB, et al. Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. J Oncol Pharm Pract. 2020;26(5):1156-1163. doi:10.1177/1078155219892066. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38027/psn-pdf
    October 15, 2008 - Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. October 15, 2008 US Department of Health and Human Services; HHS; Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-eff…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36888/psn-pdf
    November 30, 2016 - Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. November 30, 2016 Sorra J, Nieva V, Famolaro T, et al. Rockville, MD: Agency for Healthcare; 2007. AHRQ publication, no. 07- 0025. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2007-comparative-database-report A key…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47724/psn-pdf
    March 20, 2019 - Understanding patient safety and quality outcome data. March 20, 2019 Easter K, Tamburri LM. Understanding Patient Safety and Quality Outcome Data. Crit Care Nurse. 2018;38(6):58-66. doi:10.4037/ccn2018979. https://psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data Public reporting of safet…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45736/psn-pdf
    February 01, 2017 - Disruptive behaviour in the perioperative setting: a contemporary review. February 1, 2017 Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. https://psnet.ahrq.gov/issue/disruptive…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43142/psn-pdf
    June 15, 2014 - Development and sustainability of an inpatient-to- outpatient discharge handoff tool: a quality improvement project. June 15, 2014 Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt Comm J Qual Patient Saf. 2014;40(5…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43425/psn-pdf
    July 03, 2016 - Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? July 3, 2016 Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and Safety. Acad Med. 2014;89(10):1328-1330. doi:10.1097/acm.00000000000…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74729/psn-pdf
    February 02, 2022 - Healing our own: a randomized trial to assess benefits of peer support. February 2, 2022 Rivera-Chiauzzi EY, Smith HA, Moore-Murray T, et al. Healing our own: a randomized trial to assess benefits of peer support. J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771. https://psnet.ahrq.gov/issue/h…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840144/psn-pdf
    November 16, 2022 - Dedicated teams to optimize quality and safety of surgery: a systematic review. November 16, 2022 Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078. doi:10.1093/intqhc/mzac078. ht…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44458/psn-pdf
    September 09, 2015 - Utilizing pharmacy students in transitions-of-care services. September 9, 2015 L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561. https://psnet.ahrq.gov/issue/utilizing-pharmacy-students-tran…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42536/psn-pdf
    August 13, 2014 - Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning in a single cohort over a 5 year curriculum. August 13, 2014 Ambrose LJ, Ker J. Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning i…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42672/psn-pdf
    October 23, 2013 - SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. October 23, 2013 De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Resuscitation. 2013;84(9):1192-6. …

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