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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44028/psn-pdf
    April 01, 2015 - Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. April 1, 2015 Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. BMJ Qual Saf. 2015;24(…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50748/psn-pdf
    December 18, 2019 - Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients December 18, 2019 Frazer A, Rowland J, Mudge A, et al. Eur J Clin Pharmacol. 2019;75(12):1645-1657. https://psnet.ahrq.gov/issue/systematic-review-interventions-imp…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45965/psn-pdf
    April 19, 2017 - Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. April 19, 2017 Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh Nhs: The Longitudinal Welsh National Adverse Events Study. Southampton, UK: NIH…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74208/psn-pdf
    December 22, 2021 - Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. December 22, 2021 McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836995/psn-pdf
    April 27, 2022 - Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients. April 27, 2022 Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after fa…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867759/psn-pdf
    March 12, 2025 - Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. March 12, 2025 Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. APSF Newsletter. 2025;40(1):24-26. ht…
  7. psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
    April 24, 2024 - In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, CCT | April 24, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Leary KB. In Con…
  8. psnet.ahrq.gov/issue/characterising-physician-listening-behaviour-during-hospitalist-handoffs-using-hear-checklist
    March 11, 2013 - Study Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. Citation Text: Greenstein EA, Arora V, Staisiunas PG, et al. Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. BMJ Qual Saf. 2013;22…
  9. psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating-room
    November 16, 2022 - Study Effect of noise on auditory processing in the operating room. Citation Text: Way J, Long A, Weihing J, et al. Effect of noise on auditory processing in the operating room. J Am Coll Surg. 2013;216(5):933-8. doi:10.1016/j.jamcollsurg.2012.12.048. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/anatomy-cyberattack-part-4-quality-assurance-and-error-reduction-billing-and-compliance
    April 27, 2022 - Study Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. Citation Text: Frisch NK, Gibson PC, Stowman AM, et al. Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition…
  11. psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
    February 12, 2020 - Study The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. Citation Text: Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusi…
  12. psnet.ahrq.gov/issue/variation-detected-adverse-events-using-trigger-tools-systematic-review-and-meta-analysis
    January 25, 2023 - Review Variation in detected adverse events using trigger tools: a systematic review and meta-analysis. Citation Text: Eggenschwiler LC, Rutjes AWS, Musy SN, et al. Variation in detected adverse events using trigger tools: a systematic review and meta-analysis. PLoS ONE. 2022;17(9):e0273…
  13. psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-issues
    February 24, 2011 - Study Tying up loose ends: discharging patients with unresolved medical issues. Citation Text: Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med. 2007;167(12):1305-11. Copy Citation Format: Google Scholar …
  14. psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care-description-4846
    March 09, 2010 - Study Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. Citation Text: Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.…
  15. psnet.ahrq.gov/issue/prospective-study-factors-influencing-outcome-patients-after-medical-emergency-team-review
    March 05, 2010 - Study A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. Citation Text: Calzavacca P, Licari E, Tee A, et al. A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. Intensive Care …
  16. psnet.ahrq.gov/issue/how-does-environment-influence-consumers-perceptions-safety-acute-mental-health-units
    December 16, 2020 - Study How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study. Citation Text: Cutler NA, Halcomb E, Sim J, et al. How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative …
  17. psnet.ahrq.gov/issue/pictograms-units-and-dosing-tools-and-parent-medication-errors-randomized-study
    December 14, 2016 - Study Pictograms, units and dosing tools, and parent medication errors: a randomized study. Citation Text: Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3…
  18. psnet.ahrq.gov/issue/e-prescribing-and-medication-safety-community-settings-rapid-scoping-review
    January 22, 2025 - Review E-prescribing and medication safety in community settings: a rapid scoping review. Citation Text: Cassidy CE, Boulos L, McConnell E, et al. E-prescribing and medication safety in community settings: a rapid scoping review. Explor Res Clin Soc Pharm. 2023;12:100365. doi:10.1016/j.r…
  19. psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-different
    November 11, 2020 - Commentary Another medical malpractice crisis?: Try something different. Citation Text: Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. Copy Citation Format: DOI Goo…
  20. psnet.ahrq.gov/issue/protocol-based-computer-reminders-quality-care-and-non-perfectability-man
    April 24, 2018 - Study Classic Protocol-based computer reminders, the quality of care and the non-perfectability of man. Citation Text: McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5. C…

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