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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46763/psn-pdf
    January 27, 2019 - Human-simulation-based learning to prevent medication error: a systematic review. January 27, 2019 Sarfati L, Ranchon F, Vantard N, et al. Human-simulation-based learning to prevent medication error: A systematic review. J Eval Clin Pract. 2019;25(1):11-20. doi:10.1111/jep.12883. https://psnet.ahrq.gov/issue/human…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867049/psn-pdf
    October 30, 2024 - National Review of Maternity Services in England 2022 to 2024. October 30, 2024 National Review Of Maternity Services In England 2022 To 2024. Newcastle Upon Tyne, UK: Care Quality Commission; September 2024. https://psnet.ahrq.gov/issue/national-review-maternity-services-england-2022-2024 Maternal safety is a gl…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41087/psn-pdf
    November 26, 2014 - Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. November 26, 2014 Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2012;27(3):287-91. doi:10.1007/s…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35182/psn-pdf
    April 11, 2011 - Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. April 11, 2011 Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. Pediatrics. 2005;1…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44352/psn-pdf
    August 12, 2015 - Hospital checklists are meant to save lives—so why do they often fail? August 12, 2015 Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a. https://psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fai…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42117/psn-pdf
    March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a systematic review. March 20, 2013 Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60804/psn-pdf
    August 12, 2020 - Improved medication management with introduction of a perioperative and prescribing pharmacist service. August 12, 2020 Nguyen AD, Lam A, Banakh I, et al. Improved medication management with introduction of a perioperative and prescribing pharmacist service. J Pharm Pract. 2020;33(3):299-305. doi:10.1177/0897190018…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34990/psn-pdf
    June 22, 2009 - Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values. June 22, 2009 Haffner S, von Laue N, Wirth S, et al. Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values. …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60034/psn-pdf
    March 11, 2020 - Responding to unprofessional behavior by trainees - a "just culture" framework. March 11, 2020 Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms1912591. https://psnet.ahrq.gov/issue/resp…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862613/psn-pdf
    February 14, 2024 - Standardizing medication reconciliation in a pediatric emergency department. February 14, 2024 Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964. https://psnet.ahrq.gov/issue/st…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40308/psn-pdf
    April 22, 2011 - Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers. April 22, 2011 Braithwaite J, Westbrook MT, Robinson M, et al. Improving patient safety: the comparative views of patient- safety specialists, workforce staff and managers. BMJ Qual Saf. 2011;20(5):424-31. …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38663/psn-pdf
    May 27, 2009 - Prevention of retained surgical sponges: a decision- analytic model predicting relative cost-effectiveness. May 27, 2009 Regenbogen SE, Greenberg CC, Resch SC, et al. Prevention of retained surgical sponges: a decision- analytic model predicting relative cost-effectiveness. Surgery. 2009;145(5):527-35. doi:10.1016…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851194/psn-pdf
    July 05, 2023 - The additional cost of perioperative medication errors July 5, 2023 Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136. https://psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors Prev…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35253/psn-pdf
    April 06, 2011 - Real time patient safety audits: improving safety every day. April 6, 2011 Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care. 2005;14(4):284-289. doi:10.1136/qshc.2004.012542. https://psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day This p…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43030/psn-pdf
    March 26, 2014 - Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. March 26, 2014 ISMP Medication Safety Alert! Acute care edition. March 13, 2014;19:1-2,4-5.   https://psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based- causes-vaccine-…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44984/psn-pdf
    April 13, 2016 - Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. April 13, 2016 Williams BW, Flanders P. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Australas Psychiatry. 2016;24(2):144-147. doi:10.1177/…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46931/psn-pdf
    January 15, 2019 - Strategies for optimizing OR drug safety. January 15, 2019 Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018. https://psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety Perioperative adverse drug events are common and understudied. Reporting on the complexity of medication administration durin…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38301/psn-pdf
    February 15, 2011 - Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. February 15, 2011 Hravnak M, Edwards L, Clontz A, et al. Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated mon…

  19. Thompson, Hale M. | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/thompson-hale-m
    January 01, 2023 - Thompson, Hale M. A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatment and Prevention Among Hospitalized Patients - Final Report Citation Held M., Thompson H. A Machine Learning Health System to Integrate Care for Substance Misuse and HIV T…

  20. Held, Philip | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/held-philip
    January 01, 2023 - Held, Philip A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatment and Prevention Among Hospitalized Patients - Final Report Citation Held M., Thompson H. A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatm…
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