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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45684/psn-pdf
    January 01, 2020 - A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. June 29, 2017 Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture Relationships With Perceptions of Voluntary Event Reporting. J Patient Sa…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40534/psn-pdf
    March 23, 2012 - Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. March 23, 2012 Guttmann A, Schull MJ, Vermeulen MJ, et al. Association between waiting times and short term mortality and hospital admiss…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44112/psn-pdf
    November 03, 2015 - Unexpected death within 72 hours of emergency department visit: were those deaths preventable? November 3, 2015 Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s13054-015-0877-x. https://psnet…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60314/psn-pdf
    May 13, 2020 - Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. May 13, 2020 Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br J Anaesth. 2020;125(2):e236-e239. doi:10.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844790/psn-pdf
    January 01, 2020 - Effectiveness of double checking to reduce medication administration errors: a systematic review. September 18, 2019 Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603. doi:10.1136/bmjqs-2019- 00955…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46859/psn-pdf
    January 01, 2020 - Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application. June 13, 2018 Collins SA, Couture B, Smith A, et al. Mixed-Methods Evaluation of Real-Time Safety Reporting by Hospitalized Patients and Their Care Partners. J Patient Saf. 2020;16(2…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45988/psn-pdf
    April 24, 2018 - Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. April 24, 2018 Pannick S, Archer S, Johnston MJ, et al. Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. BMJ Open. 201…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47102/psn-pdf
    June 26, 2018 - Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system. June 26, 2018 Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a l…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45595/psn-pdf
    April 19, 2017 - Estimating deaths due to medical error: the ongoing controversy and why it matters. April 19, 2017 Shojania KG, Dixon-Woods M. Estimating deaths due to medical error: the ongoing controversy and why it matters. BMJ Qual Saf. 2017;26(5):423-428. doi:10.1136/bmjqs-2016-006144. https://psnet.ahrq.gov/issue/estimating…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47736/psn-pdf
    February 27, 2019 - Using a potentially aggressive/violent patient huddle to improve health care safety. February 27, 2019 Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.1016/j.jcjq.2018.08.011. https://ps…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45177/psn-pdf
    June 01, 2016 - Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review. June 1, 2016 Heneka N, Shaw T, Rowett D, et al. Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: A systematic review. Palliat Med. 2016;30(6):520…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46454/psn-pdf
    August 20, 2018 - First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. August 20, 2018 Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISBN 9781947103108. https://psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic M…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38455/psn-pdf
    January 02, 2017 - Clinical triggers: an alternative to a rapid response team. January 2, 2017 Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74. https://psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team A national cam…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39839/psn-pdf
    November 07, 2011 - The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative. November 7, 2011 Parand A, Burnett S, Benn J, et al. The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative. J Eval Clin Pract. 2011;17(6):1184-90. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42396/psn-pdf
    July 31, 2013 - Developing and implementing a standardized process for Global Trigger Tool application across a large health system. July 31, 2013 Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health system. Jt Comm J Qual Saf. 2013;39(…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44096/psn-pdf
    November 03, 2015 - Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. November 3, 2015 Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. BMJ. 2015;350:h1460. doi:10.1136…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43604/psn-pdf
    October 15, 2014 - The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. October 15, 2014 Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patient safety incidents for people…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38536/psn-pdf
    February 03, 2011 - Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. February 3, 2011 Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13). doi:10.1001/jama.2009.423. https://psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-an…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44102/psn-pdf
    May 06, 2015 - Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. May 6, 2015 Polisena J, Gagliardi AR, Urbach DR, et al. Factors that influence the recognition, reporting and resolution of incidents related to medical d…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39071/psn-pdf
    November 04, 2009 - Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. November 4, 2009 Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improve…

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