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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73206/psn-pdf
    May 05, 2021 - Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). May 5, 2021 Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). Ann Intern Med. 2021;174(7):927-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838305/psn-pdf
    October 12, 2022 - Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. October 12, 2022 Boamah SA, Hamadi HY, Spaulding AC. Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. J Patient Saf. 202…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42588/psn-pdf
    September 18, 2013 - Cognitive debiasing; part 1 and part 2. September 18, 2013 Croskerry P, Singhal G, Mamede S. Cognitive debiasing 1: origins of bias and theory of debiasing. BMJ Qual Saf. 2013;22 Suppl 2:ii58-ii64. doi:10.1136/bmjqs-2012-001712. https://psnet.ahrq.gov/issue/cognitive-debiasing-part-1-and-part-2 Experienced diagnos…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865876/psn-pdf
    May 15, 2024 - Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. May 15, 2024 Hammoud S, Alsabek L, Rogers L, et al. Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. BMC Health Serv Res. 2024…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842760/psn-pdf
    January 18, 2023 - Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. January 18, 2023 Sterling MR, Lau J, Rajan M, et al. Self?reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. J Am Geriatr Soc. 2023…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865878/psn-pdf
    May 15, 2024 - Testing an intervention to improve health care worker well-being during the COVID-19 pandemic: a cluster randomized clinical trial. May 15, 2024 Meredith LS, Ahluwalia SC, Chen PG, et al. Testing an intervention to improve health care worker well- being during the COVID-19 pandemic: a cluster randomized clinical t…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42669/psn-pdf
    September 27, 2017 - Patient-reported missed nursing care correlated with adverse events. September 27, 2017 Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J Med Qual. 2014;29(5):415-22. doi:10.1177/1062860613501715. https://psnet.ahrq.gov/issue/patient-reported-missed-nursing-car…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60933/psn-pdf
    September 23, 2020 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020 Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network - 1…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43191/psn-pdf
    December 12, 2018 - Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. December 12, 2018 Braithwaite J, Marks D, Taylor N. Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. Int J Qual Health C…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50702/psn-pdf
    December 04, 2019 - Smart pumps improve medication safety but increase alert burden in neonatal care December 4, 2019 Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-019-0945-2. https://psnet.ahrq.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47322/psn-pdf
    September 12, 2018 - Crossing the Global Quality Chasm: Improving Health Care Worldwide. September 12, 2018 Committee on Improving the Quality of Health Care Globally. National Academies of Sciences, Engineering, and Medicine. Washington DC: National Academies Press; August 2018. ISBN: 9780309483087. https://psnet.ahrq.gov/issue/cros…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44965/psn-pdf
    February 15, 2017 - Identification and Prioritization of Health IT Patient Safety Measures. February 15, 2017 Washington, DC: National Quality Forum; February 2016. https://psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures Health information technology (IT) has transformed health care and improv…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47225/psn-pdf
    November 02, 2018 - Preventable adverse drug events among inpatients: a systematic review. November 2, 2018 Gates PJ, Meyerson SA, Baysari M, et al. Preventable Adverse Drug Events Among Inpatients: A Systematic Review. Pediatrics. 2018;142(3):e20180805. doi:10.1542/peds.2018-0805. https://psnet.ahrq.gov/issue/preventable-adverse-dru…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865344/psn-pdf
    March 27, 2024 - Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review. March 27, 2024 Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical decision support to prevent dose errors in pedia…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73064/psn-pdf
    March 24, 2021 - Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. March 24, 2021 Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin?related adverse events due to mix?up errors: Findings from two national surveillance systems, United S…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50793/psn-pdf
    January 15, 2020 - Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit. January 15, 2020 Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit. JAMA Pe…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43446/psn-pdf
    May 06, 2015 - A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project." May 6, 2015 Russ SJ, Sevdalis N, Moorthy K, et al. A qualitative evaluation of the barriers and facilitator…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73434/psn-pdf
    June 30, 2021 - The Consequences of Miscommunication Regarding a Possible Artifact June 30, 2021 Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact Disclosure of Relevant Financial Relationships…
  19. psnet.ahrq.gov/periodic-issue/periodic-issue-469
    December 31, 2024 - January 8, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports…
  20. psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
    April 10, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Patient and Family Engagement in Long Term Care  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, C…

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