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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73425/psn-pdf
    June 23, 2021 - A qualitative study of what care workers do to provide patient safety at home through telecare. June 23, 2021 Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at home through telecare. BMC Health Serv Res. 2021;21(1):553. doi:10.1186/s12913-021-06556-4. htt…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836955/psn-pdf
    April 20, 2022 - The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. April 20, 2022 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022. ISBN: 9780309686259 https://psnet.ahrq.gov/issue/national-imperative-imp…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838243/psn-pdf
    October 05, 2022 - Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology. October 5, 2022 Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility using electronic medication administration records …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851453/psn-pdf
    July 19, 2023 - Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. July 19, 2023 Mohamed MR, Mohile SG, Juba KM, et al. Association of polypharmacy and potential drug?drug interactions with adverse treatment outcomes in older adults with advanced …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854987/psn-pdf
    January 01, 2024 - Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. November 1, 2023 Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. Prehosp Em…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846707/psn-pdf
    March 29, 2023 - Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. March 29, 2023 Agbar F, Zhang S, Wu Y, et al. Effect of patient safety education interventions on patient safety culture of health care professionals: Systematic review and …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47007/psn-pdf
    May 02, 2018 - Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. May 2, 2018 Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of the Human Factors Engineering Literature. Hum Factors. 2018;60(3):281-292. doi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865817/psn-pdf
    May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. May 8, 2024 Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatie…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45631/psn-pdf
    July 02, 2017 - Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. July 2, 2017 Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate Improvements in the Safety and Quality of Surgical Care. Ann Surg. 2017;265(6):1104-1112. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42724/psn-pdf
    December 06, 2013 - Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications. December 6, 2013 Kanaan AO, Donovan JL, Duchin NP, et al. Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers Criteria Medications. J Am …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838186/psn-pdf
    September 28, 2022 - Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews. September 28, 2022 Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews…
  12. 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…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841152/psn-pdf
    December 07, 2022 - Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. December 7, 2022 Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department…
  14. 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860390/psn-pdf
    January 10, 2024 - Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review. January 10, 2024 Guerra-Paiva S, Lobão MJ, Simões DG, et al. Key factors for effective implementation of healthcare workers support interventions after pati…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867445/psn-pdf
    January 08, 2025 - Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. January 8, 2025 Militello LG, Diiulio J, Wilson DL, et al. Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. J Am Med Inform Assoc. 2025;32(2):398-403. doi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867440/psn-pdf
    January 08, 2025 - How can specialist investigation agencies inform system- wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch. January 8, 2025 Crompton A, Waring J, Macrae C, et al. How can specialist investigation agencies inform system-wid…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867594/psn-pdf
    January 22, 2025 - A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. January 22, 2025 Giebel C, Silva?Ribeiro W, Watson J, et al. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Int J Geriat Psychiatry. 2024;39(10):e615…
  19. 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61112/psn-pdf
    November 11, 2020 - Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. November 11, 2020 Chin DL, Wilson MH, Trask AS, et al. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. J Med Syst. 2020;44(10):185. doi:10.1…

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