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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40269/psn-pdf
    January 01, 2016 - Rapid response systems in the Netherlands. March 9, 2011 Ludikhuize J, Hamming A, De Jonge E, et al. Rapid Response Systems in the Netherlands. Jt Comm J Qual Patient Saf. 2016;37(3):138-149. doi:10.1016/s1553-7250(11)37017-1. https://psnet.ahrq.gov/issue/rapid-response-systems-netherlands Nearly 80% of Dutch hosp…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36173/psn-pdf
    September 29, 2010 - The need for organizational change in patient safety initiatives. September 29, 2010 Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17. https://psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40813/psn-pdf
    July 19, 2017 - How to develop an effective obstetric checklist. July 19, 2017 Fausett B, Propst A, Van Doren K, et al. How to develop an effective obstetric checklist. Am J Obstet Gynecol. 2011;205(3):165-70. doi:10.1016/j.ajog.2011.06.003. https://psnet.ahrq.gov/issue/how-develop-effective-obstetric-checklist This commentary di…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41090/psn-pdf
    January 25, 2012 - Early warning systems: the next level of rapid response. January 25, 2012 Duncan KD, McMullan C, Mills BM. Early warning systems: the next level of rapid response. Nursing (Brux). 2012;42(2):38-45. doi:10.1097/01.NURSE.0000410304.26165.33. https://psnet.ahrq.gov/issue/early-warning-systems-next-level-rapid-response…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35371/psn-pdf
    June 17, 2014 - 2005 Quest for Quality Prize. June 17, 2014 Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hosp Health Netw. 2005;79(7):65-66. https://psnet.ahrq.gov/issue/2005-quest-quality-prize This article highlights successful practices of the 2005 …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36077/psn-pdf
    July 05, 2006 - Perinatal patient safety from the perspective of nurse executives: a round table discussion. July 5, 2006 Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J. https://psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion The authors summarize a discussion be…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40751/psn-pdf
    September 07, 2011 - Developing a programme for medication reconciliation at the time of admission into hospital. September 7, 2011 Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi:10.1007/s11096-011-9530-1. http…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41620/psn-pdf
    August 22, 2012 - Improving care transitions: optimizing medication reconciliation. August 22, 2012 Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527. https://psnet.ahrq.gov/issue/improvin…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36594/psn-pdf
    May 27, 2011 - Right tech dose helps medicine go down. May 27, 2011 Patton S. CIO Magazine. July 12, 2006. https://psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down The author describes some common mistakes involving the design and launch of computerized physician order entry (CPOE) initiatives and provides sugges…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34940/psn-pdf
    June 23, 2009 - Medication safety: look-alike/sound-alike drugs in home care. June 23, 2009 Friedman MMG. Medication safety: look-alike/sound-alike drugs in home care. Home Healthc Nurse. 2005;23(4):243-253. https://psnet.ahrq.gov/issue/medication-safety-look-alikesound-alike-drugs-home-care This article reviews the National Pat…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35686/psn-pdf
    December 23, 2016 - Using medication reconciliation to prevent errors. December 23, 2016 Using medication reconciliation to prevent errors. Sentinel Event Alert. 2006;35(35):1-4. https://psnet.ahrq.gov/issue/using-medication-reconciliation-prevent-errors This alert emphasizes the importance of reconciling medications and supports impl…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37157/psn-pdf
    October 06, 2011 - Nurses' satisfaction with medication administration point- of-care technology. October 6, 2011 Hurley A, Bane A, Fotakis S, et al. Nurses' satisfaction with medication administration point-of-care technology. J Nurs Adm. 2007;37(7-8):343-349. https://psnet.ahrq.gov/issue/nurses-satisfaction-medication-administrati…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38218/psn-pdf
    July 05, 2013 - Bedside handover: quality improvement strategy to "transform care at the bedside." July 5, 2013 Chaboyer W, McMurray A, Johnson J, et al. Bedside handover: quality improvement strategy to "transform care at the bedside". J Nurs Care Qual. 2009;24(2):136-42. doi:10.1097/01.NCQ.0000347450.90676.d9. https://psnet.ahr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42061/psn-pdf
    October 05, 2015 - Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. October 5, 2015 Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publication No. 13-0015-EF. https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38864/psn-pdf
    July 08, 2013 - Addressing the quality and safety gap—parts I-III. July 8, 2013 Princeton, NJ: Robert Wood Johnson Foundation; November 2010. https://psnet.ahrq.gov/issue/addressing-quality-and-safety-gap-parts-i-iii Part I of this three-part series examines the quality improvement experience of four health care organizations and…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867770/psn-pdf
    March 01, 2022 - Toolkit for Decolonization of Non-ICU Patients with Devices. March 1, 2022 Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices. https://psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices Healthcare associated infection is a persistent contributo…
  17. psnet.ahrq.gov/issue/impact-electronic-alert-notification-system-embedded-radiologists-workflow-closed-loop
    November 26, 2014 - Study Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. Citation Text: Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiolo…
  18. psnet.ahrq.gov/issue/biases-detection-apparent-weekend-effect-outcome-administrative-coding-data-population-based
    September 23, 2020 - Study Classic Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. Citation Text: Li L, Rothwell PM, Study OV. Biases in detection of apparent "weekend effect" on outcome with administrati…
  19. psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
    December 07, 2011 - Study Emerging Classic Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. Citation Text: Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…
  20. psnet.ahrq.gov/issue/pharmacist-physician-communications-highly-computerised-hospital-sign-and-action-electronic
    February 27, 2019 - Study Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages. Citation Text: Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electr…

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