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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60340/psn-pdf
    May 20, 2020 - Association between cancer-specific adverse event triggers and mortality: a validation study. May 20, 2020 Weingart SN, Nelson J, Koethe B, et al. Association between cancer?specific adverse event triggers and mortality: A validation study. Cancer Med. 2020;9(12):4447-4459. doi:10.1002/cam4.3033. https://psnet.ahr…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852285/psn-pdf
    August 09, 2023 - Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. August 9, 2023 ISMP Medication Safety Alert! Acute care edition. July 13, 2023;(4):1-3;July 27, 2023;(5):1-5. https://psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety- part…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844548/psn-pdf
    February 15, 2023 - Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. February 15, 2023 Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital adm…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853066/psn-pdf
    August 30, 2023 - Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. August 30, 2023 Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. doi:10.1002/jhm.13103. https://psn…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44599/psn-pdf
    December 09, 2015 - Association between day of delivery and obstetric outcomes: observational study. December 9, 2015 Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774. https://psnet.ahrq.gov/issue/association-between-day-delivery-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866433/psn-pdf
    August 07, 2024 - Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta- analysis. August 7, 2024 Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823. doi:10…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845630/psn-pdf
    March 08, 2023 - The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review. March 8, 2023 Oksholm T, Gissum KR, Hunskår I, et al. The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60518/psn-pdf
    May 27, 2020 - Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. May 27, 2020 Washington, DC: United States Government Accountability Office; May 20, 2020. Publication GAO-20- 576R.    https://psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespre…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764403/psn-pdf
    March 02, 2022 - Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. March 2, 2022 Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Emerg Radiol. 2021;28(6):1135-1141. doi:10.1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866119/psn-pdf
    June 12, 2024 - Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. June 12, 2024 Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An American College of Physicians Policy Position Paper. Ann Intern Med. 2024;177(7):964…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47725/psn-pdf
    March 06, 2019 - Overcoming human barriers to safety event reporting in radiology. March 6, 2019 Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50622/psn-pdf
    November 06, 2019 - Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. November 6, 2019 Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J Thorac Cardiovasc Surg. 2019. d…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43927/psn-pdf
    December 04, 2015 - Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial. December 4, 2015 Parshuram CS, Amaral ACKB, Ferguson ND, et al. Patient safety, resident well-being and continuity of care with different resident duty schedules in the …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34085/psn-pdf
    February 09, 2011 - Discussion of medical errors in morbidity and mortality conferences. February 9, 2011 Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842. https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-confer…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60232/psn-pdf
    April 15, 2020 - Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. April 15, 2020 Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866693/psn-pdf
    September 11, 2024 - Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. September 11, 2024 Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48080/psn-pdf
    June 12, 2019 - Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. June 12, 2019 Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861289/psn-pdf
    January 01, 2025 - Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. January 24, 2024 Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72664/psn-pdf
    January 20, 2021 - Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. January 20, 2021 Pryce A, Unwin M, Kinsman L, et al. Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow. Int Emerg Nurs. 2020;54:100956. doi:10.1016/j.ienj.2020…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60203/psn-pdf
    April 08, 2020 - Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge. April 8, 2020 Sanson G, Marino C, Valenti A, et al. Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as …

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