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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837599/psn-pdf
    June 29, 2022 - Differences in medication reconciliation interventions between six hospitals: a mixed method study. June 29, 2022 Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions between six hospitals: a mixed method study. BMC Health Serv Res. 2022;22(1):722. doi:10.1186/s12…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34707/psn-pdf
    September 29, 2017 - National Patient Safety Foundation agenda for research and development in patient safety. September 29, 2017 Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and development in patient safety. MedGenMed. 2000;2(3):E38. https://psnet.ahrq.gov/issue/national-patient-safe…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838917/psn-pdf
    October 26, 2022 - The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. October 26, 2022 Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-436. doi:10.1515/dx-2022-0083. https:/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840171/psn-pdf
    November 16, 2022 - Critical care resource nurse team: a patient safety and quality outcomes model. November 16, 2022 https://psnet.ahrq.gov/innovation/critical-care-resource-nurse-team-patient-safety-and-quality-outcomes- model Rapid response teams (RRTs) are intended to improve timely identification and management of clinically de…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45268/psn-pdf
    September 27, 2016 - The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery. September 27, 2016 Inaba K, Okoye O, Aksoy H, et al. The Role of Radio Frequency Detection System Embedded Surgical Sponges in Preventi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60297/psn-pdf
    January 01, 2021 - A call for the application of patient safety culture in medical humanitarian action: a literature review. May 6, 2020 Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737. doi:10.10…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47853/psn-pdf
    April 10, 2019 - Does a unit shift report "blackout" period improve patient safety? April 10, 2019 Olmstead J. Does a unit shift report "blackout" period improve patient safety? Nurs Manage. 2019;50(3):8- 10. doi:10.1097/01.NUMA.0000553500.85897.51. https://psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patien…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836960/psn-pdf
    April 20, 2022 - Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. April 20, 2022 Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. doi:10.1097/pq9.0000000000000539. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60295/psn-pdf
    May 06, 2020 - 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. May 6, 2020 Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. mSystems. 2020;5(2):e00245-20. doi:10.1128/msystems.00245-20. http…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45106/psn-pdf
    August 16, 2017 - The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff. August 16, 2017 MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45680/psn-pdf
    February 22, 2017 - Pediatric medication safety in adult community hospital settings: a glimpse into nationwide practice. February 22, 2017 Alvarez F, Ismail L, Markowsky A. Pediatric Medication Safety in Adult Community Hospital Settings: A Glimpse Into Nationwide Practice. Hosp Pediatr. 2016;6(12):744-749. https://psnet.ahrq.gov/is…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60637/psn-pdf
    July 01, 2020 - Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. July 1, 2020 Balsom C, Pittman N, King R, et al. Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. Int J Clin Pharm. 2020;4…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45605/psn-pdf
    November 30, 2016 - Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. November 30, 2016 Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. J Interprof Ca…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37348/psn-pdf
    March 28, 2012 - Impact of duty hours restrictions on quality of care and clinical outcomes. March 28, 2012 Bhavsar J, Montgomery D, Li J, et al. Impact of duty hours restrictions on quality of care and clinical outcomes. Am J Med. 2007;120(11):968-74. https://psnet.ahrq.gov/issue/impact-duty-hours-restrictions-quality-care-and-cl…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853236/psn-pdf
    September 06, 2023 - Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. September 6, 2023 Garcia-Jorda D, Nikitovic D, Gilfoyle E. Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. Simul Healthc. 2023;18(4…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43815/psn-pdf
    February 04, 2015 - Patient safety skills in primary care: a national survey of GP educators. February 4, 2015 Ahmed M, Arora S, McKay J, et al. Patient safety skills in primary care: a national survey of GP educators. BMC Fam Pract. 2014;15:206. doi:10.1186/s12875-014-0206-5. https://psnet.ahrq.gov/issue/patient-safety-skills-primar…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837677/psn-pdf
    July 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022 Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186. https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41245/psn-pdf
    March 29, 2012 - The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. March 29, 2012 James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. J …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45374/psn-pdf
    April 24, 2018 - Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist? April 24, 2018 Hanauer DA, Branford GL, Greenberg G, et al. Two-year longitudinal assessment of physicians' perceptions after replacement…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72523/psn-pdf
    December 02, 2020 - Clinical decision support improves the appropriateness of laboratory test ordering in primary care without increasing diagnostic error: the ELMO cluster randomized trial. December 2, 2020 Delvaux N, Piessens V, Burghgraeve TD, et al. Clinical decision support improves the appropriateness of laboratory test orderi…

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