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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867183/psn-pdf
    November 20, 2024 - Exploration of factors associated with reported medication administration errors in North Carolina public school districts. November 20, 2024 Best NC, Nichols AO, Pierre-Louis B, et al. Exploration of factors associated with reported medication administration errors in North Carolina public school districts. J Sch…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851448/psn-pdf
    July 19, 2023 - Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. July 19, 2023 Pradeda AM, Pérez MSA, Oliveira CF, et al. Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. Farm Hosp. 2023;47(3):121-126. doi:10.1016/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867228/psn-pdf
    December 04, 2024 - Risk factors for wrong-patient medication orders in the emergency department. December 4, 2024 Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103. https://psnet.ahrq.gov/issue/risk-factor…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74200/psn-pdf
    January 01, 2022 - Association of surgeon-patient sex concordance with postoperative outcomes. December 22, 2021 Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339. https://psnet.ahrq.gov/issue/association-s…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61059/psn-pdf
    October 28, 2020 - Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. October 28, 2020 Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867591/psn-pdf
    January 22, 2025 - Biased language in simulated handoffs and clinician recall and attitudes. January 22, 2025 Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. https://psnet.ahrq.gov/issue/bias…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837145/psn-pdf
    May 18, 2022 - Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. May 18, 2022 Savva G, Papastavrou E, Charalambous A, et al. Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73211/psn-pdf
    May 05, 2021 - The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. May 5, 2021 Cerqueira O, Gill M, Swar B, et al. The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. BMJ Qual Saf. 2021;30…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34651/psn-pdf
    March 04, 2011 - Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 4, 2011 Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. BMJ. 2000;320(7237):741-4. https://psnet.ahrq.g…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50746/psn-pdf
    December 18, 2019 - The influence of organizational culture, climate and commitment on speaking up about medical errors. December 18, 2019 Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical errors. J Nurs Manag. 2019;28(1):130-138. doi:10.1111/jonm.12906. https:…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73484/psn-pdf
    July 14, 2021 - The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. July 14, 2021 Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34888/psn-pdf
    March 11, 2019 - "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. March 11, 2019 Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary care. Arch Intern Med. 2004;164(20):…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60637/psn-pdf
    July 01, 2020 - Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. July 1, 2020 Balsom C, Pittman N, King R, et al. Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. Int J Clin Pharm. 2020;4…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61122/psn-pdf
    January 01, 2022 - Implementing high-reliability organization principles into practice: a rapid evidence review. November 11, 2020 Veazie S, Peterson K, Bourne D, et al. Implementing high-reliability organization principles into practice: a rapid evidence review. J Patient Saf. 2022;18(1):e320-e328. doi:10.1097/pts.0000000000000768. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46121/psn-pdf
    January 01, 2021 - Quality of handoffs in community pharmacies. May 10, 2017 Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2021;17(6):405-411. doi:10.1097/PTS.0000000000000382. https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies Handoffs present a significant patient …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45362/psn-pdf
    January 23, 2017 - Capturing essential information to achieve safe interoperability. January 23, 2017 Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. https://psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability T…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845636/psn-pdf
    March 08, 2023 - The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. March 8, 2023 Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. Health Care Manage Rev. 2023;48(2):…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35551/psn-pdf
    June 08, 2010 - Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. June 8, 2010 Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthesiology. 2005;103(6):1121-1129. https…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74754/psn-pdf
    February 09, 2022 - Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. February 9, 2022 Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. Am J Emerg Med. 2022;52:13-19. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73184/psn-pdf
    April 28, 2021 - Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. April 28, 2021 Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Jt Comm J Qual Patient Saf. 2021;47(4):242-249. doi:10.101…

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