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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43627/psn-pdfNovember 12, 2014 - The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. November 12, 2014 Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48044/psn-pdfJune 12, 2019 - What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. June 12, 2019 Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS? Lessons from aviation to improve patient safety. Br J Oral Maxillofac Surg. 2019;57(5):407-411. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45317/psn-pdfAugust 17, 2016 - Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens. August 17, 2016 Tong EY, Roman C, Mitra B, et al. Partnered pharmacist charting on admission in the General Medical and Emergency Shor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853238/psn-pdfSeptember 06, 2023 - Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. September 6, 2023 Lockery JE, Collyer TA, Woods RL, et al. Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. J Am Geria… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74179/psn-pdfJanuary 01, 2022 - Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. December 12, 2021 Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst Pharm. 2022;79(4):297-305. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853239/psn-pdfSeptember 06, 2023 - In their own words: safety and quality perspectives from families of hospitalized children with medical complexity. September 6, 2023 Mauskar S, Ngo T, Haskell H, et al. In their own words: safety and quality perspectives from families of hospitalized children with medical complexity. J Hosp Med. 2023;18(9):777-786… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45969/psn-pdfJanuary 07, 2019 - The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. January 7, 2019 Han K, Bohnen JD, Peponis T, et al. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. J Am Coll Surg. 2017;224(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45417/psn-pdfJuly 01, 2017 - A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important? July 1, 2017 Brown CL, Reygate K, Slee A, et al. A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important? In… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45240/psn-pdfJune 15, 2016 - Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. June 15, 2016 Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. Nurs Inq. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60670/psn-pdfJuly 08, 2020 - Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. July 8, 2020 Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. Patient Saf. 2020;2(2):16-27. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60618/psn-pdfJune 24, 2020 - Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. June 24, 2020 Härkänen M, Turunen H, Vehviläinen-Julkunen K. Differences between methods of detecting medication errors: a … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837033/psn-pdfMay 04, 2022 - Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. May 4, 2022 Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. JAMA… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47582/psn-pdfDecember 12, 2018 - Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. December 12, 2018 Smith S, Snyder A, McMahon LF, et al. Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. Health Aff (Millwood). 2018;37(11):1787-1796. doi:10.1377/hlthaff.2018.0712. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854990/psn-pdfNovember 01, 2023 - Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. November 1, 2023 Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a pragmatic electronic health rec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47382/psn-pdfAugust 29, 2018 - Parenteral opioid shortage—treating pain during the opioid-overdose epidemic. August 29, 2018 Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med. 2018;379(7):601-603. doi:10.1056/NEJMp1807117. https://psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867044/psn-pdfOctober 30, 2024 - "Near miss": a mixed-methods analysis of medical student assignments in patient safety. October 30, 2024 Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73120/psn-pdfApril 07, 2021 - Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study. April 7, 2021 Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital- home interface: an observational retrospective study. J Patient Saf. 2021… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45350/psn-pdfOctober 21, 2016 - A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. October 21, 2016 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2016. https://psnet.ahrq.gov/issue/national-trauma-care-system-inte… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853057/psn-pdfAugust 30, 2023 - Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients. August 30, 2023 Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48191/psn-pdfAugust 28, 2019 - To catch a killer: electronic sepsis alert tools reaching a fever pitch? August 28, 2019 Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463. https://psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools…
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