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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855091/psn-pdf
    November 08, 2023 - Handoff tool improves transitions from the operating room to the neonatal intensive care unit. November 8, 2023 Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695. doi:10.1097/pq9.000000000000069…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853059/psn-pdf
    August 30, 2023 - Anesthesia Risk Alert program: a proactive safety initiative. August 30, 2023 Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005. https://psnet.ahrq.gov/issue/anesthesia-risk-alert-program-pr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843411/psn-pdf
    February 01, 2023 - Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. February 1, 2023 Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. BMJ Open Qual. 2022;11(4):e002057. doi:10.1136…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853611/psn-pdf
    September 20, 2023 - Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. September 20, 2023 Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. J Patient Saf. 2023;19…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74842/psn-pdf
    February 16, 2022 - An initiative to reduce insulin-related adverse drug events in a children's hospital. February 16, 2022 Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds.2020-004937. https://psnet.ah…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43909/psn-pdf
    March 11, 2015 - Summary and frequency of barriers to adoption of CPOE in the US. March 11, 2015 Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us Although compu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47870/psn-pdf
    April 17, 2019 - Saving without compromising: teaching trainees to safely provide high value care. April 17, 2019 Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003. https://psnet.ahrq.gov/issue/saving-with…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836836/psn-pdf
    March 30, 2022 - Deficiencies after the New Electronic Health Record Go- Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. March 30, 2022 Washington, DC: VA Office of Inspector General; March 17, 2022. https://psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va- medical-cent…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50706/psn-pdf
    December 04, 2019 - Improving end-of-rotation transitions of care among ICU patients December 4, 2019 Denson JL, Knoeckel J, Kjerengtroen S, et al. Improving end-of-rotation transitions of care among ICU patients. BMJ Qual Saf. 2019;29(3):250-259. doi:10.1136/bmjqs-2019-009867. https://psnet.ahrq.gov/issue/improving-end-rotation-tran…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866937/psn-pdf
    October 09, 2024 - Improving nursing home safety through adoption of a practical resilient health care approach. October 9, 2024 Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014. doi:10.1016/j.jamda.2024.03.124. ht…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851356/psn-pdf
    July 12, 2023 - Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. July 12, 2023 Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-383. doi:10.1016/j.jcjq.2023.05.006.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47732/psn-pdf
    February 06, 2019 - Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature. February 6, 2019 Roybal J, Tsao KJ, Rangel S, et al. Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes and Review of the Literature. Pediatr Qual Saf. 2018;3(5):e108. doi:10.1097/pq9.0000000000000…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860718/psn-pdf
    January 17, 2024 - Impact of hospital accreditation on quality improvement in healthcare: a systematic review. January 17, 2024 Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.1371/journal.pone.0294180. https://…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867092/psn-pdf
    November 06, 2024 - Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. November 6, 2024 Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;239(4):387-393. doi:10.1097/xcs…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849607/psn-pdf
    May 31, 2023 - Use of technology to improve the adherence to surgical safety checklists in the operating room. May 31, 2023 Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(10):572-577. doi:10.1016/j.jcjq.202…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837675/psn-pdf
    July 13, 2022 - Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. July 13, 2022 Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):621-631. doi:10.1055/s-0042-1749598. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838013/psn-pdf
    September 07, 2022 - Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. September 7, 2022 Brösterhaus M, Hammer A, Gruber R, et al. Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. PLoS ONE. 2022;17(8):e0272853. doi:10.1371/journal.pone.0272853. https://…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43669/psn-pdf
    November 12, 2014 - Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. November 12, 2014 Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative stu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47688/psn-pdf
    March 19, 2019 - Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. March 19, 2019 Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in tho…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45653/psn-pdf
    January 25, 2017 - Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. January 25, 2017 Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058. https://psnet.ahrq.gov/issue/opio…

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