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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853245/psn-pdfSeptember 06, 2023 - Intraoperative communications between pathologists and surgeons: do we understand each other? September 6, 2023 Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arpa.2020-0632-oa. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843082/psn-pdfJanuary 25, 2023 - Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. January 25, 2023 Jadwin DF, Fenderson PG, Friedman MT, et al. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Jt Comm J Qual Patient Saf. 2023;49(1):42-52. doi:10.1016/j.jcjq.2022.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43918/psn-pdfSeptember 27, 2017 - Medication-administration errors in an urban mental health hospital: a direct observation study. September 27, 2017 Cottney A, Innes J. Medication-administration errors in an urban mental health hospital: a direct observation study. Int J Ment Health Nurs. 2015;24(1):65-74. doi:10.1111/inm.12096. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50452/psn-pdfOctober 09, 2019 - Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study October 9, 2019 Scott J, Heavey E, Waring J, et al. Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study. BMC Health Serv Re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46899/psn-pdfMarch 21, 2018 - Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital. March 21, 2018 Disability Law Center. Boston, MA: February 2018. https://psnet.ahrq.gov/issue/patient-deaths-arbour-health-systems-westwood-lodge-hospital-and- pembroke-hospital Patients with mental health concerns are vulnerab… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47206/psn-pdfJanuary 01, 2021 - Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. October 17, 2018 Kellogg KM, Puthumana JS, Fong A, et al. Understanding the Types and Effects of Clinical Interruptions and Distractions Recorded in a Multihospital Patient Sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837902/psn-pdfAugust 24, 2022 - Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. August 24, 2022 Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;5(3):ooac070. doi:10.1093/jamiaop… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40541/psn-pdfJuly 22, 2011 - Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes. July 22, 2011 Lapane KL, Hughes C, Daiello LA, et al. Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35112/psn-pdfJune 22, 2009 - Medication safety in older adults: home-based practice patterns. June 22, 2009 Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc. 2005;53(6):976-982. https://psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns This s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44317/psn-pdfAugust 19, 2015 - Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. August 19, 2015 Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-24. doi:10.1016/j.ssci.2015.03.01… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50936/psn-pdfFebruary 26, 2020 - Sitters as a patient safety strategy to reduce hospital falls: a systematic review. February 26, 2020 Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628. https://psnet.ahrq.gov/issue/sitters-patient-safety-st… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50552/psn-pdfOctober 16, 2019 - Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse events October 16, 2019 Dodek P, Norena M, Ayas N, et al. Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34868/psn-pdfFebruary 03, 2011 - Role of computerized physician order entry systems in facilitating medication errors. February 3, 2011 Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):1197-203. https://psnet.ahrq.gov/issue/role-computerized-physician-ord… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836963/psn-pdfApril 20, 2022 - Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement. April 20, 2022 Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision? making and judgement. Int J Mental Health Nurs. 2022;31(4):897-907. doi:10.1111/inm.12997. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47593/psn-pdfDecember 12, 2018 - Multi-level analysis of national nursing students' disclosure of patient safety concerns. December 12, 2018 Palese A, Gonella S, Grassetti L, et al. Multi-level analysis of national nursing students' disclosure of patient safety concerns. Med Educ. 2018;52(11):1156-1166. doi:10.1111/medu.13716. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74212/psn-pdfJanuary 01, 2022 - Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. December 22, 2021 Weber L, Schulze I, Jaehde U. Using Failure Mode and Effects Analysis to increase patient safety in cancer chemotherapy. Res Social Adm Pharm. 2022;18(8):3386-3393. doi:10.1016/j.sapharm.2021.11.009. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43504/psn-pdfDecember 15, 2014 - Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive model. December 15, 2014 Van De Steeg L, Langelaan M, Wagner C. Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34890/psn-pdfFebruary 17, 2011 - Electronic alerts to prevent venous thromboembolism among hospitalized patients. February 17, 2011 Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969-77. https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73658/psn-pdfSeptember 01, 2021 - Predicting self-intercepted medication ordering errors using machine learning. September 1, 2021 King CR, Abraham J, Fritz BA, et al. Predicting self-intercepted medication ordering errors using machine learning. PLoS One. 2021;16(7):e0254358. doi:10.1371/journal.pone.0254358. https://psnet.ahrq.gov/issue/predicti… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37298/psn-pdfDecember 14, 2016 - Enhancing pediatric safety: using simulation to assess radiology resident preparedness for anaphylaxis from intravenous contrast media. December 14, 2016 Gaca AM, Frush DP, Hohenhaus SM, et al. Enhancing pediatric safety: using simulation to assess radiology resident preparedness for anaphylaxis from intravenous c…
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