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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867040/psn-pdfOctober 30, 2024 - Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. October 30, 2024 Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47699/psn-pdfFebruary 22, 2019 - Association of opioid prescriptions from dental clinicians for US adolescents and young adults with subsequent opioid use and abuse. February 22, 2019 Schroeder AR, Dehghan M, Newman TB, et al. Association of Opioid Prescriptions From Dental Clinicians for US Adolescents and Young Adults With Subsequent Opioid Use… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865592/psn-pdfApril 17, 2024 - Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors. April 17, 2024 Sokol-Hessner L, Dechen T, Folcarelli P, et al. Associations between organizational communication and patients' experience of prolonged emotional impact following medica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838012/psn-pdfSeptember 07, 2022 - The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. September 7, 2022 Baimas-George M, Ross SW, Hetherington T, et al. The physiology of failure: identifying risk factors for mortality in emerg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836929/psn-pdfApril 13, 2022 - The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. April 13, 2022 Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensus Development Project. Nurs Open. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46041/psn-pdfSeptember 20, 2017 - The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. September 20, 2017 Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. J Adv Nurs. 2017;7… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47042/psn-pdfJune 13, 2018 - Addressing dual patient and staff safety through a team- based standardized patient simulation for agitation management in the emergency department. June 13, 2018 Wong AH, Auerbach MA, Ruppel H, et al. Addressing Dual Patient and Staff Safety Through A Team- Based Standardized Patient Simulation for Agitation Mana… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60022/psn-pdfMarch 11, 2020 - Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. March 11, 2020 Wooldridge AR, Carayon P, Hoonakker P, et al. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. App Ergon. 2020;85:103059. doi:10.1016/j.apergo.2020.103059… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46835/psn-pdfFebruary 28, 2018 - Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. February 28, 2018 Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. Am J Health Syst Pharm. 2018;75… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854824/psn-pdfOctober 25, 2023 - Toxic leadership and its relationship with outcomes on the nursing workforce and patient safety: a systematic review. October 25, 2023 Labrague LJ. Toxic leadership and its relationship with outcomes on the nursing workforce and patient safety: a systematic review. Leadersh Health Serv (Bradf Engl). 2024;37(2):192… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863752/psn-pdfMarch 06, 2024 - Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study. March 6, 2024 Gudelunas MK, Lipnick M, Hendrickson C, et al. Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study. Anesth Analg. 2023;138(3):55… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865921/psn-pdfMay 22, 2024 - Enhanced free-text search for aggregated medication error report analysis and risk detection. May 22, 2024 Valkonen V, Saano S, Haatainen K, et al. Enhanced free-text search for aggregated medication error report analysis and risk detection. J Patient Saf. 2024;20(4):259-266. doi:10.1097/pts.0000000000001218. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836957/psn-pdfApril 20, 2022 - Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. April 20, 2022 Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Health Aff (Millwood). 2022;41(4):549-55… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38309/psn-pdfDecember 23, 2016 - Safely implementing health information and converging technologies. December 23, 2016 Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies As health information techno… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61046/psn-pdfOctober 21, 2020 - The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. October 21, 2020 Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in an emergency department on medication admin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73635/psn-pdfAugust 25, 2021 - Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital August 25, 2021 Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital. Am J Health Syst Pharm. 2021… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73239/psn-pdfMay 12, 2021 - Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications. May 12, 2021 Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47654/psn-pdfFebruary 27, 2019 - The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. February 27, 2019 Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. A… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35405/psn-pdfDecember 14, 2007 - Use of administrative data to find substandard care: validation of the complications screening program. December 14, 2007 Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care. 2003;38(8):796-806. doi:10.1097/00005650-200008000-00004. https://psnet.ahrq.gov/issue/u… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35877/psn-pdfJuly 23, 2010 - National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. July 23, 2010 Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8. https://psnet.ahrq.gov/issue/national-quality-forum-30-safe-practi…
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