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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852276/psn-pdf
    August 09, 2023 - Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis. August 9, 2023 Kieren MQ, Kelly MM, Garcia MA, et al. Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34845/psn-pdf
    June 30, 2011 - The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. June 30, 2011 Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. In…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43463/psn-pdf
    October 06, 2016 - Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. October 6, 2016 Donaldson N, Aydin C, Fridman M. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. J Nurs Adm. 2014;44(6):353-61. doi:10.1097/NNA.0000000000000…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46684/psn-pdf
    January 24, 2018 - Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. January 24, 2018 Hays R, Daker-White G, Esmail A, et al. Threats to patient safety in primary care reported by older people with multim…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36853/psn-pdf
    June 07, 2016 - Potential drug interactions and duplicate prescriptions among cancer patients. June 7, 2016 Riechelmann RP, Tannock IF, Wang L, et al. Potential drug interactions and duplicate prescriptions among cancer patients. J Natl Cancer Inst. 2007;99(8):592-600. https://psnet.ahrq.gov/issue/potential-drug-interactions-and-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47612/psn-pdf
    February 27, 2019 - The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. February 27, 2019 Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clinical decision support on pharm…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47046/psn-pdf
    April 18, 2018 - Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. April 18, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 5, 2018;23:1-5. https://psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization- challenging Smart pumps are co…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851910/psn-pdf
    August 02, 2023 - Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. August 2, 2023 Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital performance on 30-Day all-cause mortality and r…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851193/psn-pdf
    July 05, 2023 - Overlapping surgery in arthroplasty - a systematic review and meta-analysis. July 5, 2023 Kim RG, An VVG, Lee SLK, et al. Overlapping surgery in arthroplasty – a systematic review and meta- analysis. Orthop Traumatol Surg Res. 2023;109(4):103299. doi:10.1016/j.otsr.2022.103299. https://psnet.ahrq.gov/issue/overlap…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836822/psn-pdf
    March 30, 2022 - Leveraging a safety event management system to improve organizational learning and safety culture. March 30, 2022 Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021- 006…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74183/psn-pdf
    December 15, 2021 - Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. December 15, 2021 Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Gen Pract. 2021;71(713):e931-e940…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854385/psn-pdf
    October 11, 2023 - Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. October 11, 2023 Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. 2023;4(3):e321. doi:10.1097/as9.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60726/psn-pdf
    January 01, 2021 - User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. July 29, 2020 Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. BMJ Qual …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42379/psn-pdf
    August 08, 2013 - Prevalence and nature of adverse medical device events in hospitalized children. August 8, 2013 Brady PW, Varadarajan K, Peterson LE, et al. Prevalence and nature of adverse medical device events in hospitalized children. J Hosp Med. 2013;8(7):390-3. doi:10.1002/jhm.2058. https://psnet.ahrq.gov/issue/prevalence-an…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853068/psn-pdf
    August 30, 2023 - Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study. August 30, 2023 Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867235/psn-pdf
    December 04, 2024 - HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016- 2021. December 4, 2024 Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient Characteristics, 2016-2021. Rockville, MD: Agency for Healthcare Research and Qu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45720/psn-pdf
    April 13, 2017 - Medical morbidity and mortality conferences: past, present and future. April 13, 2017 George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J. 2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103. https://psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conference…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37454/psn-pdf
    January 09, 2008 - Quantifying nursing workflow in medication administration. January 9, 2008 Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc. https://psnet.ahrq.gov/issue/quantifying-nursing-workflow-medicatio…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46078/psn-pdf
    June 14, 2017 - Prescription opioid exposures among children and adolescents in the United States: 2000–2015. June 14, 2017 Allen JD, Casavant MJ, Spiller HA, et al. Prescription Opioid Exposures Among Children and Adolescents in the United States: 2000-2015. Pediatrics. 2017;139(4). doi:10.1542/peds.2016-3382. https://psnet.ahrq…
  20. 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-…