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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47119/psn-pdf
    September 19, 2018 - A usability and safety analysis of electronic health records: a multi-center study. September 19, 2018 Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi- center study. J Am Med Inform Assoc. 2018;25(9):1197-1201. doi:10.1093/jamia/ocy088. https://psnet.ahrq.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39102/psn-pdf
    January 04, 2010 - Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. January 4, 2010 Kreckler S, Catchpole K, New SJ, et al. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Ann Surg. 2009;250(6):1035-40. doi:10.1097/SLA.0b013e3181bd54c2.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39270/psn-pdf
    February 03, 2010 - Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. February 3, 2010 Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. BMC Med Info…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46057/psn-pdf
    September 24, 2017 - Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. September 24, 2017 Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety che…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43412/psn-pdf
    May 28, 2015 - An observational study of how patients are identified before medication administrations in medical and surgical wards. May 28, 2015 Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before medication administrations in medical and surgical wards. Nurs Health Sci. 2015;1…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39351/psn-pdf
    March 10, 2010 - Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions. March 10, 2010 Hall LW, Scott SD, Cox KR, et al. Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73112/psn-pdf
    April 07, 2021 - Smartphone distraction during nursing care: systematic literature review. April 7, 2021 Fiorinelli M, Di Mario S, Surace A, et al. Smartphone distraction during nursing care: systematic literature review. Appl Nurs Res. 2021;58:151405. doi:10.1016/j.apnr.2021.151405. https://psnet.ahrq.gov/issue/smartphone-distrac…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73575/psn-pdf
    August 04, 2021 - Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. August 4, 2021 Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.  https://psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs Lack of appropriate follow up o…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39707/psn-pdf
    January 07, 2015 - Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests. January 7, 2015 Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anesth Analg. 2010;111(3):679-86. do…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42002/psn-pdf
    May 10, 2013 - National efforts to improve health information system safety in Canada, the United States of America and England. May 10, 2013 Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and England. Int J Med Inform. 2013;82(5):…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44320/psn-pdf
    October 28, 2015 - Interventions for reducing medication errors in children in hospital. October 28, 2015 Maaskant JM, Vermeulen H, Apampa B, et al. Interventions for reducing medication errors in children in hospital. Cochrane Database Syst Rev. 2015;(3):CD006208. doi:10.1002/14651858.CD006208.pub3. https://psnet.ahrq.gov/issue/int…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73589/psn-pdf
    August 11, 2021 - Suicide and suicide attempts on hospital grounds and clinic areas. August 11, 2021 Mills PD, Watts BV, Hemphill RR. Suicide and suicide attempts on hospital grounds and clinic areas. J Patient Saf. 2021;17(5):e423-e428. doi:10.1097/pts.0000000000000356. https://psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hos…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39773/psn-pdf
    August 18, 2010 - Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system. August 18, 2010 Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order e…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45298/psn-pdf
    April 22, 2017 - The problem with root cause analysis. April 22, 2017 Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417- 422. doi:10.1136/bmjqs-2016-005511. https://psnet.ahrq.gov/issue/problem-root-cause-analysis Root cause analysis (RCA) is a strategy to investigate incident…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72708/psn-pdf
    February 03, 2021 - How communication "failed" or "saved the day": counterfactual accounts of medical errors. February 3, 2021 Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1177/2374373520925270. https://p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36734/psn-pdf
    March 10, 2011 - Integrating incident reporting into an electronic patient record system. March 10, 2011 Haller G, Myles PS, Stoelwinder J, et al. Integrating incident reporting into an electronic patient record system. J Am Med Inform Assoc. 2007;14(2):175-81. https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837739/psn-pdf
    July 27, 2022 - Support methods for healthcare professionals who are second victims: an integrative review. July 27, 2022 Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.  https://psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative- review Healthcare workers who ar…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43469/psn-pdf
    August 27, 2014 - Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. August 27, 2014 Gillespie BM, Chaboyer W, Thalib L, et al. Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. Anesthesiology. 2014;120(6):1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44856/psn-pdf
    September 29, 2017 - Antibiotic Stewardship in Acute Care: A Practical Playbook. September 29, 2017 National Quality Partners. Washington, DC: National Quality Forum; 2016. https://psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook Antimicrobial stewardship has been promoted as a strategy to improve patient safe…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38174/psn-pdf
    November 05, 2008 - National Surgical Quality Improvement Program. November 5, 2008 American College of Surgeons. https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program During the 1980s, the Department of Veterans Affairs (VA) received significant public scrutiny over the quality of surgical care in their hospital…

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