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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853611/psn-pdf
    September 20, 2023 - Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. September 20, 2023 Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. J Patient Saf. 2023;19…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50884/psn-pdf
    February 12, 2020 - Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. February 12, 2020 Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC Heart Fail. 2019;8(1):25-34. do…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47541/psn-pdf
    March 04, 2019 - Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. March 4, 2019 Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in Nursing Homes: A Systematic Review and Meta-analysis. J Amer Med Direct Asso…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47992/psn-pdf
    January 01, 2020 - Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. May 8, 2019 Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Delivery Units: Using Design Thinking …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47833/psn-pdf
    March 20, 2019 - Americans' growing exposure to clinician quality information: insights and implications. March 20, 2019 Schlesinger MJ, Rybowski L, Shaller D, et al. Americans' Growing Exposure To Clinician Quality Information: Insights And Implications. Health Aff (Millwood). 2019;38(3):374-382. doi:10.1377/hlthaff.2018.05006. …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43208/psn-pdf
    July 18, 2014 - System-based interprofessional simulation-based training program increases awareness and use of rapid response teams. July 18, 2014 Wehbe-Janek H, Pliego J, Sheather S, et al. System-based interprofessional simulation-based training program increases awareness and use of rapid response teams. Jt Comm J Qual Patien…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42662/psn-pdf
    October 16, 2013 - Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. October 16, 2013 de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44742/psn-pdf
    January 06, 2016 - A piece of my mind. From shame to guilt to love. January 6, 2016 Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507- 2508. doi:10.1001/jama.2015.11521. https://psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love While numerous studies have examined the psychological i…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47568/psn-pdf
    March 06, 2019 - Trends in anesthesia-related liability and lessons learned. March 6, 2019 Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-l…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60334/psn-pdf
    May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. May 13, 2020 National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies Press: 2020. ISBN 9780309676250. https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837758/psn-pdf
    August 03, 2022 - Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. August 3, 2022 Burns ML, Saager L, Cassidy RB, et al. Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. JAMA Surg. 2022;157(9):807-815. doi:10.1001/jamasurg.2022.2804. https://p…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837313/psn-pdf
    June 01, 2022 - Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. June 1, 2022 ISMP Medication Safety Alert! Acute care edition. May 19, 2022;27(10):1-5. https://psnet.ahrq.gov/issue/are-you-well-positioned-resolve-co…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836836/psn-pdf
    March 30, 2022 - Deficiencies after the New Electronic Health Record Go- Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. March 30, 2022 Washington, DC: VA Office of Inspector General; March 17, 2022. https://psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va- medical-cent…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853073/psn-pdf
    August 30, 2023 - Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. August 30, 2023 Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197. https://psnet.ahrq.gov/issue/mind-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838136/psn-pdf
    September 21, 2022 - Exploration of a rapid response team model of care: a descriptive dual methods study. September 21, 2022 Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294. https://psnet.a…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74091/psn-pdf
    November 17, 2021 - Patients went into the hospital for care. After testing positive there for Covid, some never came out. November 17, 2021 Jewett C. Kaiser Health News. November 4, 2021. https://psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never- came-out Nosocomial infection is a primar…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850173/psn-pdf
    June 07, 2023 - A national safety board made transportation safer and could do the same for health care, advocates say. June 7, 2023 Jaklevic MC. CNN. May 30, 2023. https://psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health- care-advocates-say Patient safety has long drawn from aviation…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848378/psn-pdf
    May 04, 2023 - Ensuring competency and safety when onboarding newly hired professional staff. May 3, 2023 ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;23(9):1-3. https://psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional- staff Psychological sa…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60701/psn-pdf
    July 22, 2020 - Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. July 22, 2020 Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43774/psn-pdf
    March 06, 2015 - A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. March 6, 2015 Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency d…
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