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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46545/psn-pdf
    March 27, 2018 - Safety culture and mortality after acute myocardial infarction: a study of Medicare beneficiaries at 171 hospitals. March 27, 2018 Shahian DM, Liu X, Rossi LP, et al. Safety Culture and Mortality after Acute Myocardial Infarction: A Study of Medicare Beneficiaries at 171 Hospitals. Health Serv Res. 2018;53(2):608-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866246/psn-pdf
    July 10, 2024 - "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. July 10, 2024 Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of hospital doctors’ experiences of …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39063/psn-pdf
    December 17, 2009 - Safety and risk management interventions in hospitals: a systematic review of the literature. December 17, 2009 Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S. doi:10.1177/10775587093…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37808/psn-pdf
    February 22, 2011 - How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? February 22, 2011 Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(5):623-8. doi:10.1007/s11606-007-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42816/psn-pdf
    October 31, 2014 - Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. October 31, 2014 Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a reside…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847544/psn-pdf
    April 12, 2023 - A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. April 12, 2023 Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals acr…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45435/psn-pdf
    August 24, 2016 - Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages. August 24, 2016 Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electronic Review Messages. PLoS One. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73130/psn-pdf
    January 01, 2022 - Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. April 14, 2021 Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness and reducing device-related compl…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844766/psn-pdf
    January 01, 2020 - Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. September 11, 2019 McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for identification of in-hospital com…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48085/psn-pdf
    June 19, 2019 - A decade of preventing harm. June 19, 2019 Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007. https://psnet.ahrq.gov/issue/decade-preventing-harm Preventable patient safety problems continue to challenge health ca…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41884/psn-pdf
    December 21, 2014 - Supratherapeutic dosing of acetaminophen among hospitalized patients. December 21, 2014 Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized patients. Arch Intern Med. 2012;172(22):1721-8. https://psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospit…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40910/psn-pdf
    November 09, 2011 - The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. November 9, 2011 Kutney-Lee A, Kelly D. The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. J Nurs Adm. 2011;41(11):466-72. doi:10.1097/NNA.0b013e…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38760/psn-pdf
    July 08, 2009 - Nurses' perceptions of safety culture in long-term care settings. July 8, 2009 Wagner LM, Capezuti E, Rice JC. Nurses' perceptions of safety culture in long-term care settings. J Nurs Scholarsh. 2009;41(2):184-192. doi:10.1111/j.1547-5069.2009.01270.x. https://psnet.ahrq.gov/issue/nurses-perceptions-safety-culture…
  14. psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
    September 23, 2024 - Rescue Improvement Conference Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 23, 2024 View more articles from the same authors. Innovation Contact …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33600/psn-pdf
    June 16, 2024 - Patient Safety 101 June 16, 2024 Patient Safety 101. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/patient-safety-101 PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39491/psn-pdf
    March 22, 2011 - The published literature on handoffs in hospitals: deficiencies identified in an extensive review. March 22, 2011 Cohen MD, Hilligoss B. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19(6):493-7. doi:10.1136/qshc.2009.033480. https://p…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46334/psn-pdf
    August 09, 2017 - Maternal deaths at MetroWest hospital prompt state probes. August 9, 2017 Kowalczyk L. Boston Globe. July 29, 2017. https://psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes Maternal death is a sentinel event. This news article reports on two incidents at one hospital that prompted inves…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36360/psn-pdf
    October 28, 2010 - Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals. October 28, 2010 Casey M, Moscovice I, Davidson G. Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals. J Rural Health. 2006;22(4):321-30. https://psnet.a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45110/psn-pdf
    May 11, 2016 - Hospital discharge: it's one of the most dangerous periods for patients. May 11, 2016 Rau J. Washington Post. April 29, 2016. https://psnet.ahrq.gov/issue/hospital-discharge-its-one-most-dangerous-periods-patients Transitions in care between inpatient and outpatient settings are an increasing concern for patient s…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39421/psn-pdf
    July 19, 2010 - Hospital RNs' experiences with disruptive behavior: a qualitative study. July 19, 2010 Walrath JM, Dang D, Nyberg D. Hospital RNs' experiences with disruptive behavior: a qualitative study. J Nurs Care Qual. 2010;25(2):105-116. doi:10.1097/NCQ.0b013e3181c7b58e. https://psnet.ahrq.gov/issue/hospital-rns-experiences…

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