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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36186/psn-pdf
    September 30, 2010 - Findings of the first consensus conference on medical emergency teams. September 30, 2010 DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e. https://psnet.ahrq.gov/issue/findings-first-c…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866684/psn-pdf
    September 11, 2024 - Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic review and narrative synthesis. September 11, 2024 Craske ME, Hardeman W, Steel N, et al. Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic review and narrative synthesis.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836712/psn-pdf
    March 09, 2022 - Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study. March 9, 2022 Pérez Zapata AI, Rodríguez Cuéllar E, de la Fuente Bartolomé M, et al. Predictive power of the "Trigger Tool" for the detection of adverse events in general sur…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859302/psn-pdf
    December 20, 2023 - Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. December 20, 2023 Aunger JA, Maben J, Abrams R, et al. Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. BMC Health Serv Res. 2023;23(1):1326. doi:10.1186/s12913-023-10291-3. http…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848036/psn-pdf
    April 26, 2023 - Using a learning system approach to improve safety for prone-position ventilation patients. April 26, 2023 Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone- position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.1097/pts.0000000000001108. https:/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866157/psn-pdf
    June 19, 2024 - Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. June 19, 2024 Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized con…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72757/psn-pdf
    February 17, 2021 - Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. February 17, 2021 Zhou Y, Walter FM, Singh H, et al. Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and k…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39216/psn-pdf
    January 13, 2010 - How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? January 13, 2010 White RH, Sadeghi B, Tancredi DJ, et al. How Valid is the ICD-9-CM Based AHRQ Patient Safety Indicator for Postoperative Venous Thromboembolism? Med Care. 2009;47(12):1237-1243. doi:10.1097/mlr.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45674/psn-pdf
    September 29, 2017 - Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. September 29, 2017 Forstag EH; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse; Health and Medicine Division. Washington, DC: National Academy …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60317/psn-pdf
    May 13, 2020 - The nurse's experience of decision-making processes in missed nursing care: a qualitative study. May 13, 2020 Abdelhadi N, Drach?Zahavy A, Srulovici E. The nurse’s experience of decision?making processes in missed nursing care: a qualitative study. J Adv Nurs. 2020;76(8):2161-2170. doi:10.1111/jan.14387. https://p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37400/psn-pdf
    June 30, 2011 - Errors in cancer diagnosis: current understanding and future directions. June 30, 2011 Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J Clin Oncol. 2007;25(31):5009-18. https://psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41920/psn-pdf
    October 08, 2013 - Review of computerized physician handoff tools for improving the quality of patient care. October 8, 2013 Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988. https://psnet.ahrq.gov/issue/review-com…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847534/psn-pdf
    April 12, 2023 - Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. April 12, 2023 Auerbach AD, Astik GJ, O’Leary KJ, et al. Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. J Gen Intern Med. 2023;38(8):1902-1910. doi:10.1007/s11…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838024/psn-pdf
    September 07, 2022 - Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. September 7, 2022 Villa Zapata L, Subbian V, Boyce RD, et al. Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. Stud Health Technol Inform. 2022;290:380-384. doi:10.3233/sht…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60958/psn-pdf
    September 30, 2020 - Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retrospective case series. September 30, 2020 Bergrath S, Aretz O, Haake H, et al. Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retr…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60873/psn-pdf
    September 02, 2020 - What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. September 2, 2020 Denning M, Goh ET, Scott A, et al. What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. Int J Environ Res Public Health. 2020…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34070/psn-pdf
    February 18, 2011 - Effect of reducing interns' work hours on serious medical errors in intensive care units. February 18, 2011 Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med. 2004;351(18):1838-48. https://psnet.ahrq.gov/issue/effec…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45268/psn-pdf
    September 27, 2016 - The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery. September 27, 2016 Inaba K, Okoye O, Aksoy H, et al. The Role of Radio Frequency Detection System Embedded Surgical Sponges in Preventi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60182/psn-pdf
    April 01, 2020 - Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. April 1, 2020 Kannampallil TG, Abraham J. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. JAMIA Open. 2020;3(1):87-93. doi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842768/psn-pdf
    January 18, 2023 - Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. January 18, 2023 Goekcimen K, Schwendimann R, Pfeiffer Y, et al. Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. J Patient Saf. 2023;19(1):e1-e8. doi:10.1097…

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