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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837517/psn-pdf
    June 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post- pandemic NHS. June 22, 2022 Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224. https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43129/psn-pdf
    July 23, 2014 - Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. July 23, 2014 Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed- methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331. https://psnet.ahrq.gov/issue/use-d…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50782/psn-pdf
    January 08, 2020 - What can patient safety teach us about clinician burnout? January 8, 2020 Wu AW, Dzau VJ. What Can Patient Safety Teach Us About Clinician Burnout? Ann Intern Med. 2019;171(12):933-934. doi:10.7326/m19-2397. https://psnet.ahrq.gov/issue/what-can-patient-safety-teach-us-about-clinician-burnout This commentary discu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73392/psn-pdf
    June 16, 2021 - AI for radiographic COVID-19 detection selects shortcuts over signal. June 16, 2021 DeGrave AJ, Janizek JD, Lee S-I. AI for radiographic COVID-19 detection selects shortcuts over signal. Nat Mach Intell. 2021;3:610–619. doi:10.1038/s42256-021-00338-7. https://psnet.ahrq.gov/issue/ai-radiographic-covid-19-detection…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43390/psn-pdf
    July 30, 2014 - Hazards tied to medical records rush. July 30, 2014 Rowland C. https://psnet.ahrq.gov/issue/hazards-tied-medical-records-rush Government incentives have led to rapid development and adoption of electronic health records (EHRs). This newspaper article examines some of the unintended consequences of implementing ele…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849613/psn-pdf
    May 31, 2023 - Smart infusion pump investigations after an unexplained over-infusion. May 31, 2023 ISMP Patient Safety Alert! Acute care edition. May 18, 2023;28(10);1-3. https://psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion Dose error-reduction systems (DERS) and drug libraries are tool…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48133/psn-pdf
    November 01, 2024 - The NHS Patient Safety Strategy. November 1, 2024 NHS England https://psnet.ahrq.gov/issue/nhs-patient-safety-strategy The United Kingdom National Health Service (NHS) has been at the forefront of patient safety innovation. This strategy seeks to further implement approaches that explore and optimize the intersect…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46895/psn-pdf
    March 14, 2018 - Rapid response teams: what's the latest? March 14, 2018 Jackson SA. Rapid response teams: What's the latest? Nursing (Brux). 2017;47(12):34-41. doi:10.1097/01.NURSE.0000526885.10306.21. https://psnet.ahrq.gov/issue/rapid-response-teams-whats-latest Rapid response systems are an established strategy to prevent in-h…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40547/psn-pdf
    June 29, 2011 - What context features might be important determinants of the effectiveness of patient safety practice interventions? June 29, 2011 Taylor SL, Dy SM, Foy R, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions? BMJ Qual Saf. 2011;20(7):611-7. doi:…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38099/psn-pdf
    October 01, 2008 - Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. October 1, 2008 Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. Arch Surg. 2008;143(9):847-5…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47129/psn-pdf
    September 05, 2018 - Impact of medication reconciliation for improving transitions of care. September 5, 2018 Redmond P, Grimes TC, McDonnell R, et al. Impact of medication reconciliation for improving transitions of care. Cochrane Database Syst Rev. 2018;8(8):CD010791. doi:10.1002/14651858.CD010791.pub2. https://psnet.ahrq.gov/issue/…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36505/psn-pdf
    February 16, 2011 - Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. February 16, 2011 Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictions: restructuring the 80-hour w…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73507/psn-pdf
    July 21, 2021 - Systematic review of intraoperative anesthesia handoffs and handoff tools. July 21, 2021 Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. https://psnet.ahrq.gov/issue/systematic-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838014/psn-pdf
    September 07, 2022 - Effect of a rapid response team on the incidence of in- hospital mortality. September 7, 2022 Factora F, Maheshwari K, Khanna S, et al. Effect of a rapid response team on the incidence of in-hospital mortality. Anesth Analg. 2022;135(3):595-604. doi:10.1213/ane.0000000000006005. https://psnet.ahrq.gov/issue/effect…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42579/psn-pdf
    November 18, 2013 - Surgical safety checklist compliance: a job done poorly! November 18, 2013 Sparks EA, Wehbe-Janek H, Johnson RL, et al. Surgical Safety Checklist compliance: a job done poorly!. J Am Coll Surg. 2013;217(5):867-73.e1-3. doi:10.1016/j.jamcollsurg.2013.07.393. https://psnet.ahrq.gov/issue/surgical-safety-checklist-com…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38274/psn-pdf
    March 31, 2009 - Time motion study in a pediatric emergency department before and after computer physician order entry. March 31, 2009 Yen K, Shane EL, Pawar SS, et al. Time motion study in a pediatric emergency department before and after computer physician order entry. Ann Emerg Med. 2009;53(4):462-468.e1. doi:10.1016/j.annemerg…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60878/psn-pdf
    January 01, 2021 - Intervention study for the reduction of medication errors in elderly trauma patients. September 2, 2020 Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(1):160-166. doi:10.1111/jep.134…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36769/psn-pdf
    June 15, 2011 - Using incident reporting to improve patient safety: a conceptual model. June 15, 2011 Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-s…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47656/psn-pdf
    March 13, 2019 - Sleep and alertness in a duty-hour flexibility trial in internal medicine. March 13, 2019 Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:915-923. https://psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine This cluster-randomized trial compared…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43465/psn-pdf
    February 18, 2015 - Hospital Readmissions Reduction Program: implications for pharmacy. February 18, 2015 Boesen KAG, Leal S, Sheehan VC, et al. Hospital Readmissions Reduction Program: implications for pharmacy. Am J Health Syst Pharm. 2015;72(3):237-44. doi:10.2146/ajhp140177. https://psnet.ahrq.gov/issue/hospital-readmissions-redu…

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