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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60813/psn-pdf
    January 01, 2021 - Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. August 19, 2020 Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. BMJ Qua…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839812/psn-pdf
    November 09, 2022 - Measuring psychological safety and local learning to enable high reliability organisational change. November 9, 2022 Cartland J, Green M, Kamm D, et al. Measuring psychological safety and local learning to enable high reliability organisational change. BMJ Open Qual. 2022;11(4):e001757. doi:10.1136/bmjoq-2021-00175…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843088/psn-pdf
    January 25, 2023 - The value of learning from near misses to improve patient safety: a scoping review. January 25, 2023 Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078. https://psnet.ahrq.gov/issue/v…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46154/psn-pdf
    June 07, 2017 - Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey. June 7, 2017 Lee JS, Hu HM, Brummett CM, et al. Postoperative Opioid Prescribing and the Pain Scores on Hospital Consumer Assessment of Healthcare Providers and Systems Survey. JAMA. 201…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34677/psn-pdf
    February 09, 2011 - Patients' and physicians' attitudes regarding the disclosure of medical errors. February 9, 2011 Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA. 2003;289(8):1001-7. https://psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regar…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74761/psn-pdf
    February 09, 2022 - Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. February 9, 2022 Ziedan E, Kaestner R. Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Eval Rev. 2021;45(6):359-411. doi:1…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46252/psn-pdf
    September 24, 2017 - Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. September 24, 2017 Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.2017.2145. https://psnet.ahrq.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72478/psn-pdf
    November 18, 2020 - The impact of the use of employee functional flexibility on patient safety. November 18, 2020 Salvador RO, Gnanlet A, McDermott C. The impact of the use of employee functional flexibility on patient safety. Personnel Rev. 2020;50(3):971-984. doi:10.1108/pr-10-2019-0562. https://psnet.ahrq.gov/issue/impact-use-empl…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38993/psn-pdf
    January 04, 2010 - Relationship between call light use and response time and inpatient falls in acute care settings. January 4, 2010 Tzeng H-M, Yin C-Y. Relationship between call light use and response time and inpatient falls in acute care settings. J Clin Nurs. 2009;18(23):3333-41. doi:10.1111/j.1365-2702.2009.02916.x. https://psn…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73472/psn-pdf
    July 07, 2021 - Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. July 7, 2021 Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Jt Comm J Qual Patient Saf. 2021;47…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43257/psn-pdf
    August 14, 2014 - Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. August 14, 2014 Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int J Qual Health Care. 2014;26(4):4…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60736/psn-pdf
    July 29, 2020 - Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. July 29, 2020 Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster ra…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73987/psn-pdf
    October 20, 2021 - Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. October 20, 2021 Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. Am J Health Sy…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73373/psn-pdf
    January 01, 2022 - State medical board regulation of compounding in physician offices. June 9, 2021 Reynolds KA, Hellquist K, Ibrahim SA, et al. State medical board regulation of compounding in physician offices. Arch Dermatol Res. 2022;314(4):363-367. doi:10.1007/s00403-021-02237-8. https://psnet.ahrq.gov/issue/state-medical-board-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837894/psn-pdf
    August 24, 2022 - Identifying boundary spanning reporter roles in patient safety events. August 24, 2022 Hurley VB, Boxley C, Sloss EA, et al. Identifying boundary spanning reporter roles in patient safety events. J Patient Saf Risk Manag. 2022;27(4):181-187. doi:10.1177/25160435221103096. https://psnet.ahrq.gov/issue/identifying-b…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837149/psn-pdf
    May 18, 2022 - Human factors analysis of latent safety threats in a pediatric critical care unit. May 18, 2022 Trbovich PL, Tomasi JN, Kolodzey L, et al. Human factors analysis of latent safety threats in a pediatric critical care unit. Pediatr Crit Care Med. 2022;23(3):151-159. doi:10.1097/pcc.0000000000002832. https://psnet.ah…
  17. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-4.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.4. Chronology of Quality Improvement and Lean at Suntown Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakev…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837893/psn-pdf
    August 24, 2022 - Exploring nurses' attitudes, skills, and beliefs of medication safety practices. August 24, 2022 Arkin L, Schuermann A, Penoyer D, et al. Exploring nurses' attitudes, skills, and beliefs of medication safety practices. J Nurs Care Qual. 2022;37(4):319-326. doi:10.1097/ncq.0000000000000635. https://psnet.ahrq.gov/i…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854246/psn-pdf
    October 04, 2023 - Inpatient EHR user experience and hospital EHR safety performance. October 4, 2023 Classen DC, Longhurst CA, Davis T, et al. Inpatient EHR user experience and hospital EHR safety performance. JAMA Netw Open. 2023;6(9):e2333152. doi:10.1001/jamanetworkopen.2023.33152. https://psnet.ahrq.gov/issue/inpatient-ehr-user…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73092/psn-pdf
    March 31, 2021 - SAFER Care: improving caregiver comprehension of discharge instructions. March 31, 2021 Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031. https://psnet.ahrq.gov/issue/safer-care-improving-careg…