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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60725/psn-pdf
    July 29, 2020 - The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. July 29, 2020 Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decis…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45680/psn-pdf
    February 22, 2017 - Pediatric medication safety in adult community hospital settings: a glimpse into nationwide practice. February 22, 2017 Alvarez F, Ismail L, Markowsky A. Pediatric Medication Safety in Adult Community Hospital Settings: A Glimpse Into Nationwide Practice. Hosp Pediatr. 2016;6(12):744-749. https://psnet.ahrq.gov/is…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46118/psn-pdf
    December 20, 2017 - Predictors of in-hospital postoperative opioid overdose after major elective operations: a nationally representative cohort study. December 20, 2017 Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After Major Elective Operations: A Nationally Representative Cohort S…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47080/psn-pdf
    May 02, 2018 - The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. May 2, 2018 Blau M. STAT. April 20, 2018. https://psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many- safety-violations The hidden curriculum, staff burnout, an…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39893/psn-pdf
    November 02, 2010 - Surgical safety and hospital volume across a wide range of interventions. November 2, 2010 Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6. https://psnet.ahrq.gov/issue/surgical-safety-and-h…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837428/psn-pdf
    June 15, 2022 - A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. June 15, 2022 Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. J Patient Saf. 2022;18(4):358-364. doi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35840/psn-pdf
    May 27, 2011 - Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. May 27, 2011 Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. Qual…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39462/psn-pdf
    April 21, 2010 - Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. April 21, 2010 Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010;35(2):134-146. doi:10.1097/HMR.0b0…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837031/psn-pdf
    May 04, 2022 - Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. May 4, 2022 Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36314/psn-pdf
    June 13, 2011 - Discontinuity of chronic medications in patients discharged from the intensive care unit. June 13, 2011 Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41. https://psnet.ahrq.gov/issue/discontinuity-chro…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847541/psn-pdf
    April 12, 2023 - Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. April 12, 2023 Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622. https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43192/psn-pdf
    December 15, 2014 - Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? December 15, 2014 Rosen AK, Chen Q, Borzecki A, et al. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? Health Serv Res.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37995/psn-pdf
    September 19, 2016 - Inpatient suicide and suicide attempts in Veterans Affairs hospitals. September 19, 2016 Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488. https://psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45296/psn-pdf
    September 21, 2016 - Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. September 21, 2016 Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 2016;73(15):1167-73. doi:10.214…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43125/psn-pdf
    December 12, 2014 - Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. December 12, 2014 Suarez C, Menendez MD, Alonso J, et al. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. J Am Geriatr Soc. 2014;62(5):896-900…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866280/psn-pdf
    July 10, 2024 - Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. July 10, 2024 Shennan S, Coyle N, Lockwood B, et al. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. J Patient …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851651/psn-pdf
    July 26, 2023 - Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. July 26, 2023 Gur-Arieh S, Mendlovic S, Rozenblum R, et al. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. J Patient Saf. 2023…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838188/psn-pdf
    September 28, 2022 - Changes in unprofessional behaviour, teamwork, and co- operation among hospital staff during the COVID-19 pandemic. September 28, 2022 Westbrook JI, McMullan R, Urwin R, et al. Changes in unprofessional behaviour, teamwork and co? operation among hospital staff during the COVID?19 pandemic. Intern Med J. 2022;52(1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46665/psn-pdf
    June 19, 2018 - A qualitative study of patient involvement in medicines management after hospital discharge: an under- recognised source of systems resilience. June 19, 2018 Fylan B, Armitage G, Naylor D, et al. A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35783/psn-pdf
    July 10, 2008 - Role of pharmacist counseling in preventing adverse drug events after hospitalization. July 10, 2008 Schnipper JL, Kirwin JL, Cotugno MC, et al. Role of pharmacist counseling in preventing adverse drug events after hospitalization. Arch Intern Med. 2006;166(5):565-571. https://psnet.ahrq.gov/issue/role-pharmacist-…

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