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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838068/psn-pdfSeptember 14, 2022 - Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. September 14, 2022 Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associated with adverse postoperati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850355/psn-pdfJune 14, 2023 - Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. June 14, 2023 Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. Am J Infect Control. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45290/psn-pdfJuly 27, 2016 - Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials. July 27, 2016 Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in Community-Dwelling Older Adults: A Systema… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73588/psn-pdfAugust 11, 2021 - Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. August 11, 2021 Lalani C, Kunwar EM, Kinard M, et al. Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. JAMA Intern Med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853066/psn-pdfAugust 30, 2023 - Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. August 30, 2023 Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. doi:10.1002/jhm.13103. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841474/psn-pdfJanuary 01, 2023 - Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. December 14, 2022 Childs E, Tano CA, Mikosz CA, et al. Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. Jt Comm J Qual Patient Saf. 2023;49(1):26… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72823/psn-pdfMarch 10, 2021 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. March 10, 2021 Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. J Gen Intern Med.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73473/psn-pdfJanuary 01, 2022 - Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events. July 7, 2021 Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a simulation-based event analysis to … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39932/psn-pdfOctober 20, 2010 - Incorrect surgical counts: a qualitative analysis. October 20, 2010 Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019. https://psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis Preventing surgical instruments from be… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847715/psn-pdfApril 19, 2023 - Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and impact. April 19, 2023 Jeffs L, Bruno F, Zeng RL, et al. Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865930/psn-pdfMay 22, 2024 - Operational failures in general practice: a consensus- building study on the priorities for improvement. May 22, 2024 Sinnott C, Alboksmaty A, Moxey JM, et al. Operational failures in general practice: a consensus-building study on the priorities for improvement. Br J Gen Pract. 2024;74(742):e339-e346. doi:10.3399… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47376/psn-pdfNovember 02, 2018 - Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. November 2, 2018 Cochon L, Lacson R, Wang A, et al. Assessing information sources to elucidate diagnostic process errors in radiologic imaging - a human factors framework. J Am Med Info Asso. 2018;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74008/psn-pdfOctober 27, 2021 - Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. October 27, 2021 Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Patient Saf. 2021;47(12):783-792. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838188/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74151/psn-pdfJanuary 01, 2022 - Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta- analysis. December 8, 2021 Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. J Pediatr Nurs. 2022;62:e13… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74152/psn-pdfDecember 08, 2021 - Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. December 8, 2021 Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. Patient Relat Outcome … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865975/psn-pdfMay 29, 2024 - A systematic review of workplace triggers of emotions in the healthcare environment, the emotions experienced, and the impact on patient safety. May 29, 2024 Sattar R, Lawton R, Janes G, et al. A systematic review of workplace triggers of emotions in the healthcare environment, the emotions experienced, and the im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73116/psn-pdfApril 07, 2021 - Communication on safe caregiving between community nurse case managers and family caregivers. April 7, 2021 Macías-Colorado ME, Rodríguez-Pérez M, Rojas-Ocaña MJ, et al. Communication on safe caregiving between community nurse case managers and family caregivers. Healthcare (Basel). 2021;9(2):205. doi:10.3390/heal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45197/psn-pdfMarch 20, 2017 - When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship. March 20, 2017 Bell SK, Mejilla R, Anselmo M, et al. When doctors share visit notes with patients: a study of patient and doctor perceptions of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73560/psn-pdfAugust 04, 2021 - Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. August 4, 2021 Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. BMJ …
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