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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866344/psn-pdfJanuary 01, 2025 - Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. July 24, 2024 Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. J Nurs Scholarsh. 2025;5… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46715/psn-pdfMay 02, 2018 - Filling the gap: simulation-based crisis resource management training for emergency medicine residents. May 2, 2018 Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg Med. 2018;19(1):205-210. doi:10.5811/wes… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44844/psn-pdfMarch 02, 2016 - From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. March 2, 2016 Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1002/jhrm.21205. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47042/psn-pdfJune 13, 2018 - Addressing dual patient and staff safety through a team- based standardized patient simulation for agitation management in the emergency department. June 13, 2018 Wong AH, Auerbach MA, Ruppel H, et al. Addressing Dual Patient and Staff Safety Through A Team- Based Standardized Patient Simulation for Agitation Mana… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73914/psn-pdfOctober 06, 2021 - Is there a mismatch between the perspectives of patients and regulators on healthcare quality? A survey study. October 6, 2021 Bouwman R, Bomhoff M, Robben PB, et al. Is there a mismatch between the perspectives of patients and regulators on healthcare quality? A survey study. J Patient Saf. 2021;17(7):473-482. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72476/psn-pdfNovember 18, 2020 - Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. November 18, 2020 Mazzola SM, Grous C. Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. AORN J. 2020;112(4):397-405. doi:10.1002/aorn.13195. https://psnet.ahrq.gov/issue/maintainin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46103/psn-pdfSeptember 23, 2017 - Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. September 23, 2017 Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0911. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73466/psn-pdfJuly 07, 2021 - COVID-19 and open notes: a new method to enhance patient safety and trust. July 7, 2021 Blease CR, Salmi L, Hägglund M, et al. COVID-19 and open notes: a new method to enhance patient safety and trust. JMIR Ment Health. 2021;8(6):e29314. doi:10.2196/29314. https://psnet.ahrq.gov/issue/covid-19-and-open-notes-new-m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866527/psn-pdfAugust 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844548/psn-pdfFebruary 15, 2023 - Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. February 15, 2023 Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital adm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41646/psn-pdfSeptember 05, 2012 - Interventions to increase clinical incident reporting in health care. September 5, 2012 Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2. https://psnet.ahrq.gov/issue/in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45299/psn-pdfJuly 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72658/psn-pdfJanuary 20, 2021 - “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. January 20, 2021 Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(2):236-245. doi:10.1111/jep.1353… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46903/psn-pdfDecember 04, 2018 - Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? December 4, 2018 Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Care. 2018;30(suppl 1):1-41. https://psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn- about-improvement … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35300/psn-pdfMarch 04, 2011 - How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. March 4, 2011 Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative ? blockers in non-cardiac surgery? Sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852285/psn-pdfAugust 09, 2023 - Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. August 9, 2023 ISMP Medication Safety Alert! Acute care edition. July 13, 2023;(4):1-3;July 27, 2023;(5):1-5. https://psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety- part… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45805/psn-pdfApril 12, 2017 - 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. April 12, 2017 Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract. 2017;64(6):e26484. doi:10.1002/pbc.2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46312/psn-pdfAugust 15, 2018 - Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. August 15, 2018 Liebschutz JM, Xuan Z, Shanahan CW, et al. Improving Adherence to Long-term Opioid Therapy Guidelines to Reduce Opioid Misuse in Primary Care. JAMA Intern Med. 2017;177(9)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39046/psn-pdfOctober 28, 2009 - Medication reconciliation in ambulatory care: attempts at improvement. October 28, 2009 Nassaralla CL, Naessens JM, Hunt VL, et al. Medication reconciliation in ambulatory care: attempts at improvement. Qual Saf Health Care. 2009;18(5):402-7. doi:10.1136/qshc.2007.024513. https://psnet.ahrq.gov/issue/medication-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37784/psn-pdfMay 27, 2011 - A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. May 27, 2011 Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safety. J Am Med Inform Assoc. 2008;15(4):…
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