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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865480/psn-pdf
    April 03, 2024 - A narrative review of the well-being and burnout of U.S. community pharmacists. April 3, 2024 Wash A, Moczygemba LR, Brown CM, et al. A narrative review of the well-being and burnout of U.S. community pharmacists. J Am Pharm Assoc (2003). 2023;64(2):337-349. doi:10.1016/j.japh.2023.11.017. https://psnet.ahrq.gov/i…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47520/psn-pdf
    February 06, 2019 - Improving patient safety in developing countries—moving towards an integrated approach. February 6, 2019 Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2054270418786112. https://psnet.a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46176/psn-pdf
    October 04, 2017 - Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit. October 4, 2017 Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in Parenteral Nutrition for Pediatric Inpatients at a Neonat…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837895/psn-pdf
    August 24, 2022 - Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. August 24, 2022 Keil O, Brunsmann K, Boethig D, et al. Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. Paediatr Anaesth. 2022;32(10):1144-1150. doi:10.1111/pan.14535.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40602/psn-pdf
    December 31, 2014 - How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. December 31, 2014 Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47438/psn-pdf
    June 02, 2019 - Developing an intervention to reduce harm in hospitalized patients: patients and families in research. June 2, 2019 Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research. J Nurs Care Qual. 2019;34(3):273-278. doi:10.1097/NCQ.0…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40324/psn-pdf
    April 14, 2011 - To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports? April 14, 2011 Christiaans-Dingelhoff I, Smits M, Zwaan L, et al. To what extent are adverse events found in patient records reported by patients and healthcare …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34803/psn-pdf
    January 05, 2017 - Systematic root cause analysis of adverse drug events in a tertiary referral hospital. January 5, 2017 Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv. 2016;26(10). doi:10.1016/s1070-3241(00)26048-3. https://psnet.ah…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837149/psn-pdf
    May 18, 2022 - Human factors analysis of latent safety threats in a pediatric critical care unit. May 18, 2022 Trbovich PL, Tomasi JN, Kolodzey L, et al. Human factors analysis of latent safety threats in a pediatric critical care unit. Pediatr Crit Care Med. 2022;23(3):151-159. doi:10.1097/pcc.0000000000002832. https://psnet.ah…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47912/psn-pdf
    April 24, 2019 - A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. April 24, 2019 Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. BMC Health Serv Res. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60275/psn-pdf
    April 29, 2020 - Misreading injectable medications—causes and solutions: an integrative literature review. April 29, 2020 Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020.01.007. https://psnet.ahrq.gov/is…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843321/psn-pdf
    February 01, 2023 - Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. February 1, 2023 ISMP Medication Safety Alert! Acute care edition. January 12, 2023;28(1):1-4. https://psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event- reach-patient …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853970/psn-pdf
    September 27, 2023 - Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. September 27, 2023 Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologist…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48018/psn-pdf
    July 31, 2019 - PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. July 31, 2019 Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342. doi:10.1097/SIH.0000000000…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47636/psn-pdf
    December 12, 2018 - Learning from tragedy: the Julia Berg story. December 12, 2018 Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067. https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story This commentary provides a clinical review of …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47652/psn-pdf
    February 20, 2019 - Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. February 20, 2019 Washington, DC: Office of the National Coordinator for Health Information Technology; November 28, 2018. https://psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relatin…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845300/psn-pdf
    March 01, 2023 - The impact of medication reconciliation and review in patients using oral chemotherapy. March 1, 2023 Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.1177/10781552211066959. https://psnet…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844780/psn-pdf
    September 11, 2019 - Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety. September 11, 2019 Kaba A, Barnes S. Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety. Adv Simul (Lond). 2019;4:1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60918/psn-pdf
    September 16, 2020 - Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. September 16, 2020 Dharamsi A, Hayman K, Yi S, et al. Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. J Hosp Infect. 2020;105(4):604-607. doi:10.1016/j.jhin.2020.06.020. https://psnet.ahrq.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43667/psn-pdf
    November 12, 2014 - Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. November 12, 2014 Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. J R Soc Med. 2014;107(9):365-75. doi:10.1177/0141076814532394…

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