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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74262/psn-pdf
    January 19, 2022 - Associations between safety outcomes and communication practices among pediatric nurses in the United States. January 19, 2022 Gampetro PJ, Segvich JP, Hughes AM, et al. Associations between safety outcomes and communication practices among pediatric nurses in the United States. J Pediatr Nurs. 2022;63:20-27. doi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36205/psn-pdf
    May 27, 2011 - Physician characteristics, attitudes, and use of computerized order entry. May 27, 2011 Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized order entry. J Hosp Med. 2006;1(4):221-30. https://psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computeri…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46034/psn-pdf
    April 05, 2017 - Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. April 5, 2017 Eindhoven DC, Borleffs JW, Dietz MF, et al. Desig…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34671/psn-pdf
    June 15, 2011 - Confidential clinician-reported surveillance of adverse events among medical inpatients. June 15, 2011 Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2003;15(7). doi:10.1046/j.1525-1497.2000.06269.x. https://psnet.ahrq.go…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60657/psn-pdf
    July 08, 2020 - Predictors of serious opioid-related adverse drug events in hospitalized patients. July 8, 2020 Minhaj FS, Rappaport SH, Foster J, et al. Predictors of serious opioid-related adverse drug events in hospitalized patients. J Patient Saf. 2020;17(8):e1585-e1588. doi:10.1097/pts.0000000000000735. https://psnet.ahrq.go…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837067/psn-pdf
    May 11, 2022 - Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. May 11, 2022 Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865585/psn-pdf
    April 17, 2024 - Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. April 17, 2024 Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription information in the English NHS. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836984/psn-pdf
    April 27, 2022 - A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. April 27, 2022 Beed M, Hussain S, Woodier N, et al. A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. J Pat…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39233/psn-pdf
    August 02, 2013 - Rapid response teams: a systematic review and meta- analysis. August 2, 2013 Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis. Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424. https://psnet.ahrq.gov/issue/rapid-response-teams-systematic-review…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841480/psn-pdf
    December 14, 2022 - Patient safety culture as a space of social struggle: understanding infection prevention practice and patient safety culture within hospital isolation settings - a qualitative study. December 14, 2022 Hunt J, Gammon J, Williams S, et al. Patient safety culture as a space of social struggle: understanding infectio…
  11. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
    June 01, 2011 - Spotlight Case July 2008 Spotlight Case The ECG is Not Normal * * Source and Credits This presentation is based on the June 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Abigail Zuger, MD, Columbia University Editor, AHRQ WebM&M: Robe…
  12. psnet.ahrq.gov/web-mm/harm-alarm-fatigue
    February 14, 2018 - SPOTLIGHT CASE Harm From Alarm Fatigue Citation Text: Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…
  13. psnet.ahrq.gov/web-mm/ecg-not-normal
    November 10, 2015 - SPOTLIGHT CASE The ECG Is Not Normal Citation Text: Zuger A. The ECG Is Not Normal. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
  14. psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
    May 01, 2014 - In Conversation With… Didier Pittet, MD, MS May 1, 2014  Also Read an Essay Citation Text: In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49687/psn-pdf
    August 21, 2013 - Emergency Error August 21, 2013 Symons NRA. Emergency Error. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/emergency-error Case Objectives State that emergency surgery is high risk and has high mortality. Appreciate that emergency laparotomy is a particularly high-risk procedure with a high likelihood of …
  16. psnet.ahrq.gov/issue/successful-implementation-standardized-multidisciplinary-bedside-rounds-including-daily-goals
    September 03, 2011 - Study Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. Citation Text: Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediat…
  17. psnet.ahrq.gov/issue/physicians-training-attitudes-patient-safety-2003-2008
    May 04, 2022 - Study Physicians-in-training attitudes on patient safety: 2003 to 2008. Citation Text: Sorokin R, Riggio JM, Moleski S, et al. Physicians-in-training attitudes on patient safety: 2003 to 2008. J Patient Saf. 2011;7(3):133-138. doi:10.1097/PTS.0b013e31822a9c5e. Copy Citation Forma…
  18. psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care
    November 16, 2022 - Study The Human Factors Analysis Classification System (HFACS) applied to health care. Citation Text: Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623. …
  19. psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
    December 19, 2012 - Commentary As she lay dying: how I fought to stop medical errors from killing my mom. Citation Text: Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833. Copy Citation For…
  20. psnet.ahrq.gov/issue/effect-communication-errors-during-calls-antimicrobial-stewardship-program
    June 22, 2022 - Study Effect of communication errors during calls to an antimicrobial stewardship program. Citation Text: Linkin DR, Fishman NO, Landis R, et al. Effect of communication errors during calls to an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2007;28(12):1374-1381. …

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