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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38759/psn-pdf
    April 05, 2010 - Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. April 5, 2010 Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. J Eval Cl…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848035/psn-pdf
    April 26, 2023 - Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. April 26, 2023 Herasevich S, Soleimani J, Huang C, et al. Diagnostic error among vulnerable populations presenting to the emergency department…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849596/psn-pdf
    May 31, 2023 - Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. May 31, 2023 Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867089/psn-pdf
    November 06, 2024 - Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents. November 6, 2024 Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45944/psn-pdf
    August 15, 2018 - Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. August 15, 2018 Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. J Am Med Inform Assoc. 2017;24(5):9…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848315/psn-pdf
    May 03, 2023 - Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study. May 3, 2023 Zaranko B, Sanford NJ, Kelly E, et al. Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study. BMJ Qual Saf. 2023;32(5):254-263. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38205/psn-pdf
    November 12, 2008 - Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. November 12, 2008 Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatri…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42854/psn-pdf
    March 20, 2014 - Medication event huddles: a tool for reducing adverse drug events. March 20, 2014 Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37499/psn-pdf
    January 10, 2017 - Medicare's decision to withhold payment for hospital errors: the devil is in the details. January 10, 2017 Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23. https://psnet.ahrq.gov/issue/medicares-deci…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74139/psn-pdf
    December 01, 2021 - Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. December 1, 2021 Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associated with patient deterioration: a…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60812/psn-pdf
    January 01, 2021 - A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. August 19, 2020 Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. JBI Ev…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74864/psn-pdf
    February 23, 2022 - Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. February 23, 2022 Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospit…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857453/psn-pdf
    December 06, 2023 - Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. December 6, 2023 Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. J Am M…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72500/psn-pdf
    January 01, 2021 - Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic. November 25, 2020 BrintzenhofeSzoc K. Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic. J Geriatr Onco. 2021;12(2):196-205. doi:10.1016/j.jg…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38608/psn-pdf
    January 02, 2017 - Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. January 2, 2017 Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862608/psn-pdf
    February 14, 2024 - Communication and birth experiences among Black birthing people who experienced preterm birth. February 14, 2024 Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:10.1370/afm.3048. https://psne…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39748/psn-pdf
    August 11, 2010 - Information transfer and communication in surgery: a systematic review. August 11, 2010 Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review. Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2. https://psnet.ahrq.gov/issue/information-transfer-and-comm…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837807/psn-pdf
    August 10, 2022 - Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. August 10, 2022 Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral guidelines in patients presenting …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42515/psn-pdf
    October 24, 2013 - Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. October 24, 2013 Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39(9):396-403. https://psnet.ahrq.g…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40993/psn-pdf
    December 14, 2011 - Anticoagulation-associated adverse drug events. December 14, 2011 Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med. 2011;124(12). doi:10.1016/j.amjmed.2011.06.009. https://psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events Warfarin and other anticoagulan…

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