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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47629/psn-pdf
    July 11, 2019 - How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. July 11, 2019 Martin G, Ozieranski P, Leslie M, et al. How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. J Health Serv Res Policy. 2019;24(3):145-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845297/psn-pdf
    January 01, 2024 - An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference. March 1, 2023 Kazi R, Hoyle JD, Huffman C, et al. An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing refe…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60033/psn-pdf
    March 11, 2020 - Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta- analysis. March 11, 2020 Tecklenborg S, Byrne C, Cahir C, et al. Interventions to Reduce Adverse Drug Event-Related Outcomes in Older Adults: A Systematic Review and Meta-analysis. Drugs Aging. 2020;37(2):91-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74692/psn-pdf
    January 26, 2022 - Changes made to orders placed by overnight admitting residents on teaching rounds the next day. January 26, 2022 Chiel L, Freiman E, Yarahuan J, et al. Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Hosp Pediatr. 2021;12(1):e35-e38. doi:10.1542/hpeds.2021-005823. ht…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41570/psn-pdf
    August 27, 2012 - Exploring relationships between patient safety culture and patients' assessments of hospital care. August 27, 2012 Sorra J, Khanna K, Dyer N, et al. Exploring relationships between patient safety culture and patients' assessments of hospital care. J Patient Saf. 2012;8(3):131-9. doi:10.1097/PTS.0b013e318258ca46. h…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46871/psn-pdf
    July 14, 2018 - Understanding diagnostic safety in emergency medicine: a case?by?case review of closed ED malpractice claims. July 14, 2018 Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case- by-case review of closed ED malpractice claims. J Healthc Risk Manag. 2018;38(1):48-53. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843415/psn-pdf
    February 01, 2023 - Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands. February 1, 2023 Van der Voorden M, Ahaus K, Franx A. Explaining the negative effects of patient participation in patient safety: an exploratory…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36605/psn-pdf
    January 14, 2011 - Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study. January 14, 2011 Samoy LJ, Zed PJ, Wilbur K, et al. Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study. Pharmacotherapy. 2006;2…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836756/psn-pdf
    March 16, 2022 - Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. March 16, 2022 Wang E, Arnold S, Jones S, et al. Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. JAMA Netw Open. 2022;5(1):e2142382. doi:10.1001/jamanetwor…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866745/psn-pdf
    September 18, 2024 - State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. September 18, 2024 Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Pu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46194/psn-pdf
    September 22, 2017 - Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016. September 22, 2017 Mitchell B, Cristancho S, Nyhof BB, et al. Mobilising or standing still?A narrative review of Surgical Safety Checklist knowledge as developed in 25 h…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36902/psn-pdf
    June 09, 2010 - Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. June 9, 2010 Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36962/psn-pdf
    June 15, 2011 - Rates and types of events reported to established incident reporting systems in two US hospitals. June 15, 2011 Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007;16(3):164-8. https://psnet.ahrq.gov/issue/ra…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865662/psn-pdf
    April 24, 2024 - Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes. April 24, 2024 Balanean A, Bland E, Gajra A, et al. Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47291/psn-pdf
    October 31, 2018 - Incidence and method of suicide in hospitals in the United States. October 31, 2018 Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002. https://psnet.ahrq.gov/issue/incidence-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47283/psn-pdf
    January 27, 2019 - Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. January 27, 2019 Stucke RS, Kelly JL, Mathis KA, et al. Association of the Use of a Mandatory Prescription Drug Monitoring Program With Prescribing Practices for Patients …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38176/psn-pdf
    October 29, 2008 - Human error, not communication and systems, underlies surgical complications. October 29, 2008 Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011. https://psnet.ahrq.gov/issue/human-e…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849340/psn-pdf
    May 24, 2023 - Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. May 24, 2023 Massachusetts Protection and Advocacy. Boston, MA:  Disability Law Center; May 8, 2023. https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treat…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844758/psn-pdf
    September 18, 2019 - The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. September 18, 2019 Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. https://psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours Early recognition of clinica…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45428/psn-pdf
    January 25, 2017 - Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. January 25, 2017 Wauters M, Elseviers M, Vaes B, et al. Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a …

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