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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39003/psn-pdf
    January 28, 2010 - Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. January 28, 2010 Konrad D, Jäderling G, Bell M, et al. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Intensive Care Med. 2010;36(1):100-6. doi:10.1007/s00134-00…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46922/psn-pdf
    January 01, 2019 - Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. March 21, 2018 Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/pq9.0000000000000053. https://ps…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47107/psn-pdf
    June 20, 2018 - Challenges in communication from referring clinicians to pathologists in the electronic health record era. June 20, 2018 Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists in the Electronic Health Record Era. J Pathol Inform. 2018;9:8. doi:10.4103/jpi.jpi_70_1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43006/psn-pdf
    April 02, 2014 - Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events. April 2, 2014 Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis to reduce the incidence of adverse events. Anesthesiology. 2014;120(1):97-109. doi:1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50673/psn-pdf
    November 20, 2019 - The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. November 20, 2019 Hall AJ, Toner NS, Bhatt PM. The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. Br J Neurosurg. 2019;33(5):495-499. doi:10.1080/02688697.20…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40784/psn-pdf
    September 21, 2011 - Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. September 21, 2011 Friesner DL, Scott DM, Rathke AM, et al. Do remote community telepharmacies have higher medication error rates than traditional commu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46292/psn-pdf
    August 02, 2017 - Clinical alerts to decrease high-risk medication use in older adults. August 2, 2017 Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47786/psn-pdf
    June 26, 2019 - Creating a Safe Space: Psychological Health and Safety of Healthcare Workers. June 26, 2019 Canadian Patient Safety Institute: 2019. https://psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers Structured approaches to managing negative psychological consequences of medical e…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46403/psn-pdf
    September 06, 2017 - Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program. September 6, 2017 Quality and Safety Education for Nurses. https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program Patient safety and quality improvement competencies are developed through interprof…
  11. 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…
  12. 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.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43498/psn-pdf
    October 06, 2016 - Creating a distraction simulation for safe medication administration. October 6, 2016 Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004. https://psnet.ahrq.gov/issue/creating-distraction-simulation-safe…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46289/psn-pdf
    January 01, 2021 - Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. August 9, 2017 Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washington State Hospitals. J Patient …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845649/psn-pdf
    March 08, 2023 - Medication rounds: a tool to promote medication safety for children with medical complexity. March 8, 2023 Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):226-234. doi:10.1016/j.jcjq.2023.01.003. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47087/psn-pdf
    May 02, 2018 - The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. May 2, 2018 Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisation for Economic Co-operation and Development; 2018. https://psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind The global eco…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41801/psn-pdf
    October 31, 2012 - First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes. October 31, 2012 Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes. Clin Otolaryngol. 2012;37(4):30…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45421/psn-pdf
    December 14, 2016 - The medication reconciliation process and classification of discrepancies: a systematic review. December 14, 2016 Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. doi:10.1111/bcp.13017. https://p…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39879/psn-pdf
    September 29, 2010 - The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. September 29, 2010 Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. J Trauma.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41462/psn-pdf
    July 03, 2016 - The use of patient pictures and verification screens to reduce computerized provider order entry errors. July 3, 2016 Hyman D, Laire M, Redmond D, et al. The use of patient pictures and verification screens to reduce computerized provider order entry errors. Pediatrics. 2012;130(1):e211-9. doi:10.1542/peds.2011-298…

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