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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840144/psn-pdf
    November 16, 2022 - Dedicated teams to optimize quality and safety of surgery: a systematic review. November 16, 2022 Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078. doi:10.1093/intqhc/mzac078. ht…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73481/psn-pdf
    July 07, 2021 - Leadership To Improve Diagnosis: A Call to Action. July 7, 2021 Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2021. AHRQ Publication No. 20(21)-0040-5-EF. https://psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action The mindset on diagnostic error…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46261/psn-pdf
    July 18, 2018 - Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit. July 18, 2018 Dykes PC, Duckworth M, Cunningham S, et al. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention Toolkit. Jt Comm J Qual Patient Saf. 20…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73170/psn-pdf
    April 21, 2021 - Sentinel Event Alert 63: optimizing smart infusion pump safety with DERS. April 21, 2021 Sentinel Event Alert 63: Optimizing Smart Infusion Pump Safety with DERS. Jt Comm J Qual Patient Saf. 2021;47(6):394-397. doi:10.1016/j.jcjq.2021.03.013. https://psnet.ahrq.gov/issue/sentinel-event-alert-63-optimizing-smart-in…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38306/psn-pdf
    January 07, 2009 - Impact of barcode medication administration technology on how nurses spend their time providing patient care. January 7, 2009 Poon EG, Keohane CA, Bane A, et al. Impact of Barcode Medication Administration Technology on How Nurses Spend Their Time Providing Patient Care. JONA: The Journal of Nursing Administration.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866690/psn-pdf
    September 11, 2024 - The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review. September 11, 2024 Chance EA, Florence D, Sardi Abdoul I. The effectiveness of checklists and error reporting systems in enhancing patient safety and reducin…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46354/psn-pdf
    November 21, 2017 - Controlled trial to improve resident sign-out in a medical intensive care unit. November 21, 2017 Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657. https://psnet.ahrq.gov/issue/contr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47503/psn-pdf
    October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs. October 24, 2018 Peeples L. Pharmacy Practice News. October 10, 2018. https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs Structured handoffs can reduce communication problems that contribute to medical error. This magazine article re…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847726/psn-pdf
    January 01, 2024 - Systematic review of clinical debriefing tools: attributes and evidence for use. April 19, 2023 Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-015464. https://psnet.ahrq.gov/issue…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40286/psn-pdf
    March 09, 2011 - Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. March 9, 2011 FitzHenry F, Doran J, Lobo B, et al. Medication-error alerts for warfarin orders detected by a bar-code- assisted medication administration system. Am J Health Syst Pharm. 2011;68(5):434-41. …
  11. psnet.ahrq.gov/issue/safety-risks-associated-lack-integration-and-interfacing-hospital-health-information
    December 21, 2022 - Study Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative study of hospital electronic prescribing systems in England. Citation Text: Cresswell K, Mozaffar H, Lee L, et al. Safety risks associated with the lack o…
  12. psnet.ahrq.gov/issue/patient-outcomes-dose-reduction-or-discontinuation-long-term-opioid-therapy-systematic-review
    April 08, 2019 - Review Classic Patient outcomes in dose reduction or discontinuation of long-term opioid therapy: a systematic review. Citation Text: Frank JW, Lovejoy TI, Becker WC, et al. Patient Outcomes in Dose Reduction or Discontinuation of Long-Term Opioid Therapy: A Sys…
  13. psnet.ahrq.gov/issue/effect-health-information-exchange-recognition-medication-discrepancies-interrupted-when-data
    November 16, 2022 - Study Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial. Citation Text: Boockvar K, Ho W, Pruskowski J, et al. Effect of health information exchange on recogni…
  14. psnet.ahrq.gov/issue/us-public-opinion-regarding-proposed-limits-resident-physician-work-hours
    February 18, 2011 - Study US public opinion regarding proposed limits on resident physician work hours. Citation Text: Blum AB, Raiszadeh F, Shea S, et al. US public opinion regarding proposed limits on resident physician work hours. BMC Med. 2010;8:33. doi:10.1186/1741-7015-8-33. Copy Citation Form…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72811/psn-pdf
    September 01, 2022 - Central Clinical School, Monash University  t +613 90765325  e M.Fitzgerald@alfred.org.au  Date First Implemented
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43885/psn-pdf
    January 30, 2018 - Health Information Technology. January 30, 2018 Am J Manag Care. 2014;20(spec 17):492-554,e1-e31. https://psnet.ahrq.gov/issue/health-information-technology Efforts to implement health information technology, particularly electronic health records and computerized provider order entry systems, continue at a rapid …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846764/psn-pdf
    March 29, 2023 - Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. March 29, 2023 Donovan-Smith O. Spokesman Review. March 15, 2023. https://psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer- system-tested-spokane Implementations of elec…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46926/psn-pdf
    March 07, 2018 - A comprehensive program to reduce rates of hospital- acquired pressure ulcers in a system of community hospitals. March 7, 2018 Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital- Acquired Pressure Ulcers in a System of Community Hospitals. J Patient Saf. 2018;14(1):54…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46011/psn-pdf
    January 17, 2018 - Health and Social Care Ergonomics: Patient Safety in Practice. January 17, 2018 Hignett S, Albolino S, Catchpole K, eds. Ergonomics. 2018;61:1-161. https://psnet.ahrq.gov/issue/health-and-social-care-ergonomics-patient-safety-practice Human factors engineering strategies offer a range of solutions to improve proce…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44867/psn-pdf
    March 23, 2016 - Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. March 23, 2016 Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333. https://psnet.ahrq.gov/issue/understand…

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