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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46182/psn-pdf
    June 28, 2017 - What we know about designing an effective improvement intervention (but too often fail to put into practice). June 28, 2017 Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practice). BMJ Qual Saf. 2016;26(7). doi:10.113…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866314/psn-pdf
    July 17, 2024 - Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. July 17, 2024 Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. Am J Clin Pathol.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866640/psn-pdf
    September 04, 2024 - Improving resident physician participation in reporting patient safety and quality concerns. September 4, 2024 Craig SR, Smith HL, Shaeffer PJ. Improving resident physician participation in reporting patient safety and quality concerns. Ochsner J. 2024;24(2):118-123. doi:10.31486/toj.24.0016. https://psnet.ahrq.go…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764399/psn-pdf
    March 02, 2022 - Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. March 2, 2022 Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. J Surg Res. 2022;274:136-144. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35497/psn-pdf
    June 30, 2011 - Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. June 30, 2011 Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16. https://psnet.ahr…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844754/psn-pdf
    September 18, 2019 - How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. September 18, 2019 Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45432/psn-pdf
    September 14, 2016 - Clinical decision support: a 25 year retrospective and a 25 year vision. September 14, 2016 Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. https://psnet.ahrq.gov/issue/clinical-decision-s…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72476/psn-pdf
    November 18, 2020 - Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. November 18, 2020 Mazzola SM, Grous C. Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. AORN J. 2020;112(4):397-405. doi:10.1002/aorn.13195. https://psnet.ahrq.gov/issue/maintainin…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60188/psn-pdf
    January 01, 2021 - Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. April 1, 2020 Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. https://psnet.ahrq.gov/issue/uncertai…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73313/psn-pdf
    May 26, 2021 - Maintaining maternal-newborn safety during the COVID- 19 pandemic. May 26, 2021 Patrick NA, Johnson TS. Maintaining maternal-newborn safety during the COVID-19 pandemic. Nurs Womens Health. 2021;25(3):212-220. doi:10.1016/j.nwh.2021.03.003. https://psnet.ahrq.gov/issue/maintaining-maternal-newborn-safety-during-co…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73560/psn-pdf
    August 04, 2021 - Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. August 4, 2021 Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. BMJ …
  12. 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…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73133/psn-pdf
    April 14, 2021 - A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward. April 14, 2021 Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward. BMC Health Serv Res. 2021;21(1):11…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60892/psn-pdf
    September 09, 2020 - Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care. September 9, 2020 Drey N, Gould D, Purssell E, et al. Applying thematic synthesis to interpretation and commentary in epidemiol…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60184/psn-pdf
    April 01, 2020 - Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. April 1, 2020 Nelson CA, Pérez-Chada LM, Creadore A, et al. Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. JAMA Dermatol. 2020;156(5):501-512. doi:1…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46347/psn-pdf
    December 22, 2018 - Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. December 22, 2018 M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Anesth Analg. 2017;125(3):936-942. do…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73085/psn-pdf
    January 01, 2022 - Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error. March 31, 2021 Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences of a dual element training interve…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851358/psn-pdf
    July 12, 2023 - Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. July 12, 2023 Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. J Grad Med Educ. 2023;15(3):348-355. doi:10.4300/jgme-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837794/psn-pdf
    August 10, 2022 - Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. August 10, 2022 Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed. BMC Health Serv Res. 2022;22(1):958. doi:1…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840479/psn-pdf
    January 01, 2023 - A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. November 30, 2022 Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient Saf. 2023;49(1):3-13. doi:10.…

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