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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852455/psn-pdf
    August 16, 2023 - A quality improvement initiative to improve pediatric discharge medication safety and efficiency. August 16, 2023 Ring LM, Cinotti J, Hom LA, et al. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Pediatr Qual Saf. 2023;8(4):e671. doi:10.1097/pq9.0000000000000671. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46421/psn-pdf
    November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient room. November 8, 2017 Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840481/psn-pdf
    November 30, 2022 - Psychosocial factors and safety in high-risk industries: a systematic literature review. November 30, 2022 Derdowski LA, Mathisen GE. Psychosocial factors and safety in high-risk industries: a systematic literature review. Safety Sci. 2022;157:105948. doi:10.1016/j.ssci.2022.105948. https://psnet.ahrq.gov/issue/ps…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73600/psn-pdf
    August 18, 2021 - Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. August 18, 2021 Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised contr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837332/psn-pdf
    June 08, 2022 - Influence of psychological safety and organizational support on the impact of humiliation on trainee well- being. June 8, 2022 Appelbaum NP, Santen SA, Perera RA, et al. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. J Patient Saf. 2022;18(4):370-37…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41643/psn-pdf
    September 05, 2012 - A Randomized Field Study of a Leadership WalkRounds- Based Intervention. September 5, 2012 Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113. https://psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention Leadership WalkRounds h…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45729/psn-pdf
    September 20, 2017 - Maximize benefits of IV workflow management systems by addressing workarounds and errors. September 20, 2017 ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4. https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing- workarounds-and-errors Workflow process…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47651/psn-pdf
    December 12, 2018 - Are national efforts to reduce drug name confusion paying off? December 12, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6. https://psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying Look-alike and sound-alike medications present a recurring threat to patie…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45860/psn-pdf
    July 21, 2017 - Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. July 21, 2017 Zohar D, Werber YT, Marom R, et al. Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. B…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37892/psn-pdf
    July 09, 2008 - Multi-dose drug dispensing and inappropriate drug use: a nationwide register-based study of over 700 000 elderly. July 9, 2008 Johnell K, Fastbom J. Multi-dose drug dispensing and inappropriate drug use: A nationwide register-based study of over 700,000 elderly. Scand J Prim Health Care. 2008;26(2):86-91. doi:10.1…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866434/psn-pdf
    August 07, 2024 - Measuring the overall development of patient safety in a new hospital using trigger tools. August 7, 2024 Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10.1093/intqhc/mzae064. https://psn…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72775/psn-pdf
    February 24, 2021 - Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non- randomized controlled study. February 24, 2021 Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriateness in nursing homes via s…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60981/psn-pdf
    October 07, 2020 - Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, October 7, 2020 Bartholomew AJ, Zeymo A, Chan KS, et al. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,. Ann Surg. 2020;272(4):612-619. doi:10.109…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837846/psn-pdf
    August 17, 2022 - Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. August 17, 2022 Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administration. JAMA Network Open. 2022;5(8):e2…
  15. www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.html
    October 01, 2014 - Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations Technical Assistance Document This document was developed as part of an Agency for Healthcare Research and Quality (AHRQ) initiative to increase the use of the U.S. Preventive Services Task Force (USPSTF) recommendations and resources i…
  16. www.uspreventiveservicestaskforce.org/home/getfilebytoken/Dc-SXXyDD_xt3jmdaKFKKd
    Screening for Iron Deficiency Anemia in Young Children: Clinical Summary Screening for Iron Deficiency Anemia in Young Children: Clinical Summary Population Asymptomatic U.S. children ages 6 to 24 months Recommendation No recommendation. Grade: I statement (insufficient evidence) Risk Assessme…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60872/psn-pdf
    September 02, 2020 - How incident reporting systems can stimulate social and participative learning: a mixed-methods study. September 2, 2020 de Kam D, Kok J, Grit K, et al. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Health Policy (New York). 2020;124(8):834-841. doi:10.1016/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40338/psn-pdf
    March 23, 2011 - Nurse staffing and inpatient hospital mortality. March 23, 2011 Needleman J, Buerhaus P, Pankratz S, et al. Nurse staffing and inpatient hospital mortality. New Engl J Med. 2011;364(11):1037-1045. doi:10.1056/NEJMsa1001025. https://psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality Several studie…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43179/psn-pdf
    July 28, 2014 - The effect of the electronic transmission of prescriptions on dispensing errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge study. July 28, 2014 Franklin BD, Reynolds M, Sadler S, et al. The effect of the electronic transmission of prescriptions on dispensing e…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42638/psn-pdf
    October 09, 2013 - Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. October 9, 2013 Schildmeijer K, Nilsson L, Perk J, et al. Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus…