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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37585/psn-pdf
    April 29, 2010 - Medication errors involving patient-controlled analgesia.   April 29, 2010 Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. https://psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-a…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850354/psn-pdf
    June 14, 2023 - The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study. June 14, 2023 Tataei A, Rahimi B, Afshar HL, et al. The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 inten…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866194/psn-pdf
    June 26, 2024 - Patient safety and satisfaction with fully remote management of radiation oncology care. June 26, 2024 Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570. doi:10.1001/jamanetworkopen.2024.16570. https://…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35497/psn-pdf
    June 30, 2011 - Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. June 30, 2011 Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16. https://psnet.ahr…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45432/psn-pdf
    September 14, 2016 - Clinical decision support: a 25 year retrospective and a 25 year vision. September 14, 2016 Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. https://psnet.ahrq.gov/issue/clinical-decision-s…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46987/psn-pdf
    August 01, 2018 - Between demarcation and discretion: the medical- administrative boundary as a locus of safety in high- volume organisational routines. August 1, 2018 Grant S, Guthrie B. Between demarcation and discretion: The medical-administrative boundary as a locus of safety in high-volume organisational routines. Soc Sci Med.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60793/psn-pdf
    August 12, 2020 - Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. August 12, 2020 He M, Li Y, Fang F. Is There a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. J Am Med Dir Assoc. 2020;…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46550/psn-pdf
    November 15, 2017 - "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. November 15, 2017 Wu MS, Rawal S. "It's the difference between life and death": The views of professional medical interpreters on th…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37992/psn-pdf
    August 20, 2008 - Medication errors reported by US family physicians and their office staff. August 20, 2008 Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. https://psnet.ahrq.gov/issue/medic…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36227/psn-pdf
    August 30, 2006 - Does crew resource management training work? An update, an extension, and some critical needs. August 30, 2006 Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412. doi:10.1518/001872006777724444. https:…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867234/psn-pdf
    December 04, 2024 - Survey results reveal tubing misconnections are common and underreported—Parts I and II. December 4, 2024 Survey results reveal tubing misconnections are common and underreported—Parts I and II. ISMP Medication Safety Alert! Acute Care. October 31, 2024;29(22 & 23):1-5;1-4. https://psnet.ahrq.gov/issue/survey-resu…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866639/psn-pdf
    September 04, 2024 - Relationship between patient safety culture and patient experience in hospital settings: a scoping review. September 4, 2024 Alabdaly A, Hinchcliff R, Debono D, et al. Relationship between patient safety culture and patient experience in hospital settings: a scoping review. BMC Health Serv Res. 2024;24(1):906. doi…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866280/psn-pdf
    July 10, 2024 - Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. July 10, 2024 Shennan S, Coyle N, Lockwood B, et al. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. J Patient …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842427/psn-pdf
    January 11, 2023 - Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. January 11, 2023 Svedahl ER, Pape K, Austad B, et al. Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further hea…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844765/psn-pdf
    September 18, 2019 - Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. September 18, 2019 Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting. Crit Care Med. 2019;47(7):e597-e601…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848036/psn-pdf
    April 26, 2023 - Using a learning system approach to improve safety for prone-position ventilation patients. April 26, 2023 Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone- position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.1097/pts.0000000000001108. https:/…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47536/psn-pdf
    March 09, 2019 - Evaluation of wound photography for remote postoperative assessment of surgical site infections. March 9, 2019 Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124. doi:10.1001/jamasurg.2018.3861. htt…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74184/psn-pdf
    May 05, 2017 - Systematic review of the impact of physician implicit racial bias on clinical decision making. May 5, 2017 Dehon E, Weiss N, Jones J, et al. Systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895-904. doi:10.1111/acem.13214. https://psnet.ahrq.…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73980/psn-pdf
    October 20, 2021 - Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. October 20, 2021 Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. J Patient Saf…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854385/psn-pdf
    October 11, 2023 - Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. October 11, 2023 Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. 2023;4(3):e321. doi:10.1097/as9.…
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