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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73239/psn-pdf
    May 12, 2021 - Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications. May 12, 2021 Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843083/psn-pdf
    January 25, 2023 - Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. January 25, 2023 Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60522/psn-pdf
    May 27, 2020 - Nursing turbulence in critical care: relationships with nursing workload and patient safety. May 27, 2020 Browne J, Braden CJ. Nursing turbulence in critical care: relationships with nursing workload and patient safety. Am J Crit Care. 2020;29(3):182-191. doi:10.4037/ajcc2020180. https://psnet.ahrq.gov/issue/nursi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47566/psn-pdf
    January 30, 2019 - Important factors for effective patient safety governance auditing: a questionnaire survey. January 30, 2019 van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. doi:10.1186/s12913-018-3577-9. h…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35405/psn-pdf
    December 14, 2007 - Use of administrative data to find substandard care: validation of the complications screening program. December 14, 2007 Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care. 2003;38(8):796-806. doi:10.1097/00005650-200008000-00004. https://psnet.ahrq.gov/issue/u…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845348/psn-pdf
    February 02, 2012 - Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. February 2, 2012 Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Am…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35877/psn-pdf
    July 23, 2010 - National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. July 23, 2010 Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8. https://psnet.ahrq.gov/issue/national-quality-forum-30-safe-practi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839321/psn-pdf
    November 02, 2022 - What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review. November 2, 2022 Punj E, Collins A, Agravedi N, et al. What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46979/psn-pdf
    January 01, 2021 - Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns. April 4, 2018 Ackerman SL, Gourley G, Le G, et al. Improving Patient Safety in Public Hospitals: Developing Standard Measures to Track Medical Errors and Process Breakdowns. J Patient Saf. 202…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61095/psn-pdf
    November 04, 2020 - Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. November 4, 2020 Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. J Manipulative P…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43644/psn-pdf
    April 22, 2015 - SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. April 22, 2015 Sarfati L, Ranchon F, Vantard N, et al. SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. J Clin Pharm Ther. 2015;40(1):55…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47046/psn-pdf
    April 18, 2018 - Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. April 18, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 5, 2018;23:1-5. https://psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization- challenging Smart pumps are co…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43281/psn-pdf
    May 28, 2015 - A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. May 28, 2015 Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/jep.12272. https://psnet.ahrq.gov/issue/m…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60054/psn-pdf
    March 18, 2020 - Ensuring successful implementation of communication- and-resolution programmes. March 18, 2020 Mello MM, Roche S, Greenberg Y, et al. Ensuring successful implementation of communication-and- resolution programmes. BMJ Qual Saf. 2020;29(11):895-904. doi:10.1136/bmjqs-2019-010296. https://psnet.ahrq.gov/issue/ensuri…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837498/psn-pdf
    June 22, 2022 - Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. June 22, 2022 Fawzy A, Wu TD, Wang K, et al. Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. JAMA Inter…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60015/psn-pdf
    March 04, 2020 - Uncertainty in decision making in medicine: a scoping review and thematic analysis of conceptual models. March 4, 2020 Helou MA, DiazGranados D, Ryan MS, et al. Uncertainty in Decision Making in Medicine. Acad Med. 2020;95(1):157-165. doi:10.1097/acm.0000000000002902. https://psnet.ahrq.gov/issue/uncertainty-decis…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50655/psn-pdf
    January 01, 2020 - Reflections on implementing a hospital-wide provider- based electronic inpatient mortality review system: lessons learnt. November 13, 2019 Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. BMJ Qual Saf. 2020;…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851450/psn-pdf
    July 19, 2023 - Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. July 19, 2023 Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Dementia (London). 2023;22(5):1057-1076. doi:10.1177/147…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838068/psn-pdf
    September 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852796/psn-pdf
    August 23, 2023 - Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stroke centers. August 23, 2023 Tariq MB, Ali I, Salazar?Marioni S, et al. Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stroke centers. J Am Heart Assoc. 20…

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