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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47745/psn-pdf
    March 06, 2019 - "I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. March 6, 2019 Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red Tabards Preventing Interruptions as Perceived by Surgical Patients. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44929/psn-pdf
    February 08, 2017 - The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study. February 8, 2017 Rafter N, Hickey A, Conroy RM, et al. The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals-a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867222/psn-pdf
    December 04, 2024 - How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. December 4, 2024 Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. Ac…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867096/psn-pdf
    November 06, 2024 - Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021. November 6, 2024 Miller MA, Lin L, Calfee DP, et al. Hospital Differences In Adult Inpatient Stays With Healthcare-Associated Infections, 2019 And 2021. Rockville, MD: Agency for Healthcare Research and Quality; Octo…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46878/psn-pdf
    June 25, 2018 - Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study. June 25, 2018 Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family activated escalation systems-A qualitative study. J Clin Nurs. 2018;27(7-8):1621-1631. doi:10…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866070/psn-pdf
    June 05, 2024 - Large language models for preventing medication direction errors in online pharmacies. June 5, 2024 Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8. https://psnet.ahrq.gov/issue/large…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39772/psn-pdf
    December 21, 2014 - Communication discrepancies between physicians and hospitalized patients. December 21, 2014 Olson DP, Windish DM. Communication discrepancies between physicians and hospitalized patients. Arch Intern Med. 2010;170(15):1302-1307. doi:10.1001/archinternmed.2010.239. https://psnet.ahrq.gov/issue/communication-discrep…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866433/psn-pdf
    August 07, 2024 - Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta- analysis. August 7, 2024 Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823. doi:10…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850354/psn-pdf
    June 14, 2023 - The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study. June 14, 2023 Tataei A, Rahimi B, Afshar HL, et al. The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 inten…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47721/psn-pdf
    April 24, 2019 - Effects of chemotherapy prescription clinical decision- support systems on the chemotherapy process: a systematic review. April 24, 2019 Rahimi R, Moghaddasi H, Rafsanjani KA, et al. Effects of chemotherapy prescription clinical decision- support systems on the chemotherapy process: A systematic review. Int J Med …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47890/psn-pdf
    June 15, 2019 - Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. June 15, 2019 Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. J Am Med Inform Ass…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846709/psn-pdf
    March 29, 2023 - The safety and acceptability of using telehealth for follow- up of patients following cancer surgery: a systematic review. March 29, 2023 Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review. Eur J Surg Oncol. 2023;49(…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46509/psn-pdf
    May 17, 2018 - Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. May 17, 2018 Han L, Sutton M, Clough S, et al. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. BMJ Qual Saf. 2018;27(6):445-454. doi:10.1136/bmjqs-201…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47216/psn-pdf
    July 11, 2018 - Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. July 11, 2018 Washington, DC: United States Government Accountability Office; May 2018. Publication GAO-18-380. https://psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-effort…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866637/psn-pdf
    September 04, 2024 - Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta- analysis. September 4, 2024 MacKinnon KM, Seshadri S, Mailman JF, et al. Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis. Crit Care Explor. 202…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47465/psn-pdf
    October 17, 2018 - Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. October 17, 2018 ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4. https://psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery- units-continue-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47269/psn-pdf
    August 15, 2018 - AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis. August 15, 2018 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. August 2, 2018. Publication No. NOT-HS-18-015. https://psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-address…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841474/psn-pdf
    January 01, 2023 - Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. December 14, 2022 Childs E, Tano CA, Mikosz CA, et al. Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. Jt Comm J Qual Patient Saf. 2023;49(1):26…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60541/psn-pdf
    May 01, 2013 - Targeted versus universal decolonization to prevent ICU infection. May 1, 2013 Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa1207290. https://psnet.ahrq.gov/issue/targeted-versus-universal-decoloni…
  20. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-residents.pdf
    June 01, 2021 - Four Questions To Ask Your Doctor or Nurse About Antibiotics Question 1 Do I need an antibiotic? Question 2 Is this the right antibiotic? Question 3 How long do I need to be on antibiotics? Question 4 Do I still need to take anti…