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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73350/psn-pdf
    June 02, 2021 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. June 2, 2021 Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. doi:10.1097/jhq.0000000000000301. h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853620/psn-pdf
    September 20, 2023 - Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. September 20, 2023 Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. J Patient Saf Risk Manag. 2023;28(6)…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863213/psn-pdf
    February 28, 2024 - Electronic medication reconciliation tools aimed at healthcare professionals to support medication reconciliation: a systematic review. February 28, 2024 Ciudad-Gutiérrez P, del Valle-Moreno P, Lora-Escobar SJ, et al. Electronic medication reconciliation tools aimed at healthcare professionals to support medicatio…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60299/psn-pdf
    May 06, 2020 - Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. May 6, 2020 Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. BMJ Qual Saf. 2020;29(10):844–853. doi:10.1136/bmjqs-2019…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866167/psn-pdf
    June 19, 2024 - Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. June 19, 2024 Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective direct observational study of pae…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60866/psn-pdf
    January 01, 2022 - Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis. September 2, 2020 Dy SM, Acton RM, Yuan CT, et al. Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis. J Patient …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837960/psn-pdf
    August 31, 2022 - Interventions to reduce the incidence of medical error and its financial burden in health care systems: a systematic review of systematic reviews. August 31, 2022 Ahsani-Estahbanati E, Sergeevich Gordeev V, Doshmangir L. Interventions to reduce the incidence of medical error and its financial burden in health care…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866242/psn-pdf
    July 10, 2024 - Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. July 10, 2024 Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Jt Comm J Qual Patient Saf. 2024;50(6…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844539/psn-pdf
    February 15, 2023 - Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. February 15, 2023 Bell SK, Dong ZJ, DesRoches CM, et al. Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36634/psn-pdf
    March 03, 2011 - Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. March 3, 2011 Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann Surg. 2007;245(2):159-69. https://psn…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72792/psn-pdf
    March 03, 2021 - Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. March 3, 2021 Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication reconciliation framework and stan…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47291/psn-pdf
    October 31, 2018 - Incidence and method of suicide in hospitals in the United States. October 31, 2018 Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002. https://psnet.ahrq.gov/issue/incidence-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60657/psn-pdf
    July 08, 2020 - Predictors of serious opioid-related adverse drug events in hospitalized patients. July 8, 2020 Minhaj FS, Rappaport SH, Foster J, et al. Predictors of serious opioid-related adverse drug events in hospitalized patients. J Patient Saf. 2020;17(8):e1585-e1588. doi:10.1097/pts.0000000000000735. https://psnet.ahrq.go…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837067/psn-pdf
    May 11, 2022 - Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. May 11, 2022 Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38749/psn-pdf
    April 08, 2011 - Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. April 8, 2011 Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10.1542/peds.2008-0854. https://psnet.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61020/psn-pdf
    October 14, 2020 - Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. October 14, 2020 Cowden JD, Flores G, Chow T, et al. Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. J Racial Ethn Health Disparities. 2020;7(5):928-936. doi:10.1007/s406…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47069/psn-pdf
    June 18, 2021 - Physical and verbal violence against health care workers. June 18, 2021 Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021). https://psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers The Joint Commission issues sentinel eve…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851919/psn-pdf
    August 02, 2023 - A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. August 2, 2023 Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. Jt Comm J Qual Pati…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35050/psn-pdf
    May 27, 2011 - High rates of adverse drug events in a highly computerized hospital. May 27, 2011 Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med. 2005;165(10):1111-6. https://psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospita…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866523/psn-pdf
    August 14, 2024 - The impact of burnout on paediatric nurses' attitudes about patient safety in the acute hospital setting: a systematic review. August 14, 2024 Flynn C, Watson C, Patton D, et al. The impact of burnout on paediatric nurses' attitudes about patient safety in the acute hospital setting: a systematic review. J Pediatr…

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