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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838243/psn-pdf
    October 05, 2022 - Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology. October 5, 2022 Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility using electronic medication administration records …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837138/psn-pdf
    May 18, 2022 - Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022 Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardship for blood cultures in criticall…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867225/psn-pdf
    December 04, 2024 - Characterization of interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit patient transfers. December 4, 2024 Cole E, Duncan R, Grucz T, et al. Characterization of interventions to reduce the frequency of critical medication doses missed or delay…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846707/psn-pdf
    March 29, 2023 - Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. March 29, 2023 Agbar F, Zhang S, Wu Y, et al. Effect of patient safety education interventions on patient safety culture of health care professionals: Systematic review and …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37562/psn-pdf
    June 14, 2011 - Effectiveness and efficiency of root cause analysis in medicine. June 14, 2011 Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine Application of root c…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38485/psn-pdf
    June 23, 2017 - Impact of a comprehensive patient safety strategy on obstetric adverse events. June 23, 2017 Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.01.022. https://psnet.ahrq.gov/issu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45709/psn-pdf
    September 01, 2018 - Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. September 1, 2018 Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events: Standardized Processes, Interdisciplinary Teamwork Training,…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867444/psn-pdf
    January 08, 2025 - Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. January 8, 2025 Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medications in a paediatric hospital…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867448/psn-pdf
    January 08, 2025 - Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19). January 8, 2025 Van Poel E, Vanden Bussche P, Collins C, et al. Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19). Fam Pract. 2025;42(2):cmae059. doi:10.1093/…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867440/psn-pdf
    January 08, 2025 - How can specialist investigation agencies inform system- wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch. January 8, 2025 Crompton A, Waring J, Macrae C, et al. How can specialist investigation agencies inform system-wid…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866902/psn-pdf
    October 09, 2024 - Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review. October 9, 2024 Aunger JA, Abrams R, Westbrook JI, et al. Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist r…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46897/psn-pdf
    October 13, 2018 - An assessment of the impact of just culture on quality and safety in US hospitals. October 13, 2018 Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177/1062860618768057. https://psnet.ahrq.gov/issue/assessment-impact-just-cul…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857454/psn-pdf
    January 01, 2024 - Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. December 6, 2023 Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. BMJ Qual Saf. 2024;33(…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46163/psn-pdf
    December 06, 2017 - Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. December 6, 2017 Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. Diagnosis (Berl). 2017;4(4):…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73090/psn-pdf
    March 31, 2021 - Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. March 31, 2021 Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a systematic review of learning tools that co…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73486/psn-pdf
    July 14, 2021 - ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review. July 14, 2021 Awan M, Zagales I, McKenney M, et al. ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review. J Surg …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50773/psn-pdf
    January 08, 2020 - Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. January 8, 2020 Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the Treatment of Deteriorating Surgic…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866189/psn-pdf
    June 26, 2024 - Listen to me, I really am sick! Patient and family narratives of clinical deterioration before and during rapid response system intervention. June 26, 2024 Bucknall TK, Guinane J, McCormack B, et al. Listen to me, I really am sick! Patient and family narratives of clinical deterioration before and during rapid res…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36518/psn-pdf
    March 28, 2011 - Nurses' attitudes to a medical emergency team service in a teaching hospital. March 28, 2011 Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching hospital. Qual Saf Health Care. 2006;15(6):427-32. https://psnet.ahrq.gov/issue/nurses-attitudes-medical-emergency-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60853/psn-pdf
    August 26, 2020 - Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. August 26, 2020 Cicero MX, Adelgais K, Hoyle JD, et al. Medication dosing safety for pediatric patients: recognizi…

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