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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50453/psn-pdf
    October 09, 2019 - Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness October 9, 2019 Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and Medication Use among Hospitalized Children Post Critical Illness. J Pediatr Nurs. 2019…
  3. 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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43937/psn-pdf
    May 05, 2018 - Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. May 5, 2018 ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1-5. https://psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices Benchmarks tracking a wide spectru…
  5. 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.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42996/psn-pdf
    March 19, 2014 - The "physician-led chart audit": engaging providers in fortifying a culture of safety. March 19, 2014 Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000000000000057. https://psnet.ahrq.go…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74065/psn-pdf
    November 10, 2021 - AHRQ announces interest in research on digital healthcare safety. November 10, 2021 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021 Publication No. NOT-HS-22-004. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety Digital in…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46222/psn-pdf
    June 21, 2017 - Enhanced time out: an improved communication process. June 21, 2017 Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014. https://psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process The Universal Protocol requires hospitals t…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43142/psn-pdf
    June 15, 2014 - Development and sustainability of an inpatient-to- outpatient discharge handoff tool: a quality improvement project. June 15, 2014 Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt Comm J Qual Patient Saf. 2014;40(5…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41466/psn-pdf
    June 20, 2012 - Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. June 20, 2012 Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longit…
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43159/psn-pdf
    May 07, 2014 - Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. May 7, 2014 Jenkins RC, Smillov AE, Goodwin MA. Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. J Healthc Risk Manag. 2014;33(4):15-22. doi:10.1002/jhrm.21138. https://psnet.ahrq.gov/is…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42048/psn-pdf
    July 01, 2013 - Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. July 1, 2013 Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and respon…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47355/psn-pdf
    September 05, 2018 - Preventing medication errors in the information age. September 5, 2018 Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56- 58. doi:10.1097/01.NURSE.0000544230.51598.38. https://psnet.ahrq.gov/issue/preventing-medication-errors-information-age Failure to consider…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47913/psn-pdf
    April 10, 2019 - Improving standardization of paging communication using quality improvement methodology. April 10, 2019 Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1362. https://psnet.ahrq.gov/issue…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36558/psn-pdf
    May 27, 2011 - The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. May 27, 2011 Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entry. J Patient Saf. 2008;2(4). doi:10.10…
  17. 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…
  18. 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43736/psn-pdf
    April 24, 2017 - Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. April 24, 2017 Szymczak JE. Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Soc Sci Med. 2014;120:252-9. doi:10.1016/j.socscimed.2014.09.023. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47057/psn-pdf
    July 14, 2018 - A framework for operationalizing risk: a practical approach to patient safety.  July 14, 2018 Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317. https://psnet.ahrq.gov/issue/frame…

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