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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38309/psn-pdf
    December 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61046/psn-pdf
    October 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73635/psn-pdf
    August 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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73239/psn-pdf
    May 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47654/psn-pdf
    February 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35405/psn-pdf
    December 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. 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-…
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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.…
  18. 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 …
  19. 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…
  20. 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…