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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837338/psn-pdf
    June 08, 2022 - Healthcare-related infections within nursing homes (NHS): a qualitative study of care practices based on a systemic approach. June 8, 2022 Lefosse G, Rasero L, Bellandi T, et al. Healthcare-related infections within nursing homes (NHS): A qualitative study of care practices based on a systemic approach. J Patient …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34921/psn-pdf
    February 27, 2009 - A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. February 27, 2009 Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Crit Care Med. 2005;33(3):533-540. https://psnet.ahrq.go…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72590/psn-pdf
    December 23, 2020 - Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. December 23, 2020 Althoff FC, Wachtendorf LJ, Rostin P, et al. Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. BMJ Qual Saf. 2020;30(8):678-688. doi:10.1136/bmjqs-2020-011684…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845302/psn-pdf
    March 01, 2023 - Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. March 1, 2023 Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional communication skills – results of an int…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838913/psn-pdf
    October 26, 2022 - Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. October 26, 2022 Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and op…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46575/psn-pdf
    December 13, 2017 - Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. December 13, 2017 Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res. 2017;17(5):431-439. doi:10.108…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73485/psn-pdf
    July 14, 2021 - The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. July 14, 2021 Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;96(7):997-1001. doi:10.1097/acm.00…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45768/psn-pdf
    July 02, 2017 - What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. July 2, 2017 Mattarozzi K, Sfrisi F, Caniglia F, et al. What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative resea…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857456/psn-pdf
    December 06, 2023 - When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. December 6, 2023 Schlesinger M, Grob R. When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. Hastings Cent Rep. 2023;53(S2):s22-s32. doi:10.1002/hast.1520. https://…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42626/psn-pdf
    October 02, 2013 - Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. October 2, 2013 Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification of Missing Safety Barriers Using t…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44950/psn-pdf
    March 02, 2016 - Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets. March 2, 2016 Schwartz A, Weiner SJ, Binns-Calvey A, et al. Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46184/psn-pdf
    January 01, 2018 - A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. December 19, 2017 Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. Ergonomics. 2018;61(1):104…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844545/psn-pdf
    February 15, 2023 - Providers' and patients' perspectives on diagnostic errors in the acute care setting. February 15, 2023 Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.1016/j.jcjq.2022.11.009. https://…
  14. www.ahrq.gov/evidencenow/tools/health-it-tools.html
    April 01, 2022 - Using Health Information Technology (IT) for Primary Care Quality Improvement (QI) Resource: Using Health Information Technology to Support Quality Improvement in Primary Care  (PDF, 795 KB, 25 pages) Using electronic health records and other types of health information technology improves primary care pract…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838911/psn-pdf
    October 26, 2022 - Medication adverse events in the ambulatory setting: a mixed-methods analysis. October 26, 2022 Wong J, Lee S-Y, Sarkar U, et al. Medication adverse events in the ambulatory setting: a mixed-methods analysis. Am J Health Syst Pharm. 2022;79(24):2230-2243. doi:10.1093/ajhp/zxac253. https://psnet.ahrq.gov/issue/medi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45518/psn-pdf
    January 01, 2021 - Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review. October 5, 2016 Ensaldo-Carrasco E, Suarez-Ortegon MF, Carson-Stevens A, et al. Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. J Patient Saf. 2021;17(5):381-391. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849605/psn-pdf
    May 31, 2023 - Identification of patient safety threats in a post-intensive care clinic. May 31, 2023 Karlic KJ, Valley TS, Cagino LM, et al. Identification of patient safety threats in a post-intensive care clinic. Am J Med Qual. 2023;38(3):117-121. doi:10.1097/jmq.0000000000000118. https://psnet.ahrq.gov/issue/identification-p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851656/psn-pdf
    July 26, 2023 - Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. July 26, 2023 Peard LM, Teplitsky S, Annabathula A, et al. Can J Urol. 2023;30(2):11467-11472. https://psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis- national…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844046/psn-pdf
    February 08, 2023 - Patient safety culture: the impact on workplace violence and health worker burnout. February 8, 2023 Kim S, Kitzmiller R, Baernholdt MB, et al. Patient safety culture: the impact on workplace violence and health worker burnout. Workplace Health Saf. 2022;71(2):78-88. doi:10.1177/21650799221126364. https://psnet.ah…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865666/psn-pdf
    April 24, 2024 - Why do nurses miss nursing care? A qualitative meta- synthesis. April 24, 2024 Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta?synthesis. Jpn J Nurs Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578. https://psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthe…