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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73635/psn-pdf
    August 25, 2021 - Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital August 25, 2021 Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital. Am J Health Syst Pharm. 2021…
  2. 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:…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44971/psn-pdf
    June 01, 2016 - Chemotherapy errors: a call for a standardized approach to measurement and reporting. June 1, 2016 Lennes IT, Bohlen N, Park ER, et al. Chemotherapy Errors: A Call for a Standardized Approach to Measurement and Reporting. J Oncol Pract. 2016;12(4):e495-501. doi:10.1200/JOP.2015.008995. https://psnet.ahrq.gov/issue…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43281/psn-pdf
    May 28, 2015 - A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. May 28, 2015 Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/jep.12272. https://psnet.ahrq.gov/issue/m…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60054/psn-pdf
    March 18, 2020 - Ensuring successful implementation of communication- and-resolution programmes. March 18, 2020 Mello MM, Roche S, Greenberg Y, et al. Ensuring successful implementation of communication-and- resolution programmes. BMJ Qual Saf. 2020;29(11):895-904. doi:10.1136/bmjqs-2019-010296. https://psnet.ahrq.gov/issue/ensuri…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837420/psn-pdf
    June 15, 2022 - The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency. June 15, 2022 Hindmarsh J, Holden K. The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service ef…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866527/psn-pdf
    August 14, 2024 - Developing, implementing, evaluating electronic apparent cause analysis across a health care system. August 14, 2024 Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2024;50(10):724-736. doi:10.1016/j…
  8. 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.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47184/psn-pdf
    August 08, 2018 - Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. August 8, 2018 Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. Acad Med. 2018;93(6):898-903. doi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44216/psn-pdf
    April 25, 2016 - Improving medication safety during hospital-based transitions of care. April 25, 2016 Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care. Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025. https://psnet.ahrq.gov/issue/improving-medication-safety-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34968/psn-pdf
    July 10, 2008 - Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units. July 10, 2008 Larson EL, Cimiotti JP, Haas JP, et al. Effect of antiseptic handwashing vs alcohol sanitizer on health care- associated infections in neonatal intensive care units. Arch Pedia…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859349/psn-pdf
    January 01, 2024 - Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. December 20, 2023 Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-an…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45299/psn-pdf
    July 20, 2016 - Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. July 20, 2016 Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilitated Discharge Counseling and Medic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50596/psn-pdf
    October 30, 2019 - Encouraging resident adverse event reporting: a qualitative study of suggestions from the front lines. October 30, 2019 Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3):e167. doi:10.1097/pq9.0000000…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846452/psn-pdf
    March 22, 2023 - The relationship between job stress and patient safety culture among nurses: a systematic review. March 22, 2023 Zabin LM, Zaitoun RSA, Sweity EM, et al. The relationship between job stress and patient safety culture among nurses: a systematic review. BMC Nurs. 2023;22(1):39. doi:10.1186/s12912-023-01198-9. https:…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38014/psn-pdf
    March 02, 2011 - The frequency and significance of discrepancies in the surgical count. March 2, 2011 Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3. https://psnet.ahrq.gov/issue/frequency-and-significanc…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50881/psn-pdf
    February 12, 2020 - Adverse events during intrahospital transport of critically ill children: a systematic review. February 12, 2020 Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review. Anesth Analg. 2020;131(4):1135-1145. doi:10.1213/ane.0000000000004585…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846759/psn-pdf
    March 29, 2023 - A contemporary analysis of closed claims related to wrong site surgery. March 29, 2023 Tan J, Ross JM, Wright D, et al. A contemporary analysis of closed claims related to wrong site surgery. Jt Comm J Qual Patient Saf. 2023;49(5):265-273. doi:10.1016/j.jcjq.2023.02.002. https://psnet.ahrq.gov/issue/contemporary-a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38491/psn-pdf
    January 31, 2011 - Diagnostic errors--The next frontier for patient safety. January 31, 2011 Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. doi:10.1001/jama.2009.249. https://psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety Studies from autopsy dat…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43154/psn-pdf
    August 22, 2016 - Root cause analysis of ambulatory adverse drug events that present to the emergency department. August 22, 2016 Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.1097/pts.0000000000000072. https:/…