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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44122/psn-pdfJanuary 01, 2016 - Best practices: an electronic drug alert program to improve safety in an accountable care environment. November 16, 2015 Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment. J Manag Care Spec Pharm. 2016;21(4):330-336. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47361/psn-pdfApril 07, 2019 - Implementing bedside handoff in the emergency department: a practice improvement project. April 7, 2019 Campbell D, Dontje K. Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project. J Emerg Nurs. 2019;45(2):149-154. doi:10.1016/j.jen.2018.09.007. https://psnet.ahrq.gov/issue/imple… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44033/psn-pdfApril 22, 2015 - Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. April 22, 2015 Wang H-F, Jin J-F, Feng X-Q, et al. Quality improv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60022/psn-pdfMarch 11, 2020 - Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. March 11, 2020 Wooldridge AR, Carayon P, Hoonakker P, et al. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. App Ergon. 2020;85:103059. doi:10.1016/j.apergo.2020.103059… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47592/psn-pdfJuly 17, 2019 - Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. July 17, 2019 Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Setting. J Gerontol Nurs. 2019;45(7):5… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35328/psn-pdfMay 19, 2015 - Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. May 19, 2015 Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis to Healthcare Epidemiology: Evaluation of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43289/psn-pdfJuly 09, 2014 - Designing a critical care nurse–led rapid response team using only available resources: 6 years later. July 9, 2014 Mitchell A, Schatz M, Francis H. Designing a critical care nurse-led rapid response team using only available resources: 6 years later. Crit Care Nurse. 2014;34(3):41-55; quiz 56. doi:10.4037/ccn20144… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50654/psn-pdfNovember 13, 2019 - Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. November 13, 2019 Etherington N, Usama A, Patey AM, et al. Exploring stakeholder perceptions around implementation of the Operating Room… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47187/psn-pdfSeptember 05, 2018 - Supporting clinicians after adverse events: development of a clinician peer support program. September 5, 2018 Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program. J Patient Saf. 2018;14(3):e56-e60. doi:10.1097/PTS.0000000000000508. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47909/psn-pdfMay 29, 2019 - Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. May 29, 2019 Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. Diagnosis (Berl). 2019;6(2):179-185. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839827/psn-pdfDecember 20, 2020 - Racial bias in pulse oximetry measurement. December 20, 2020 Sjoding MW, Dickson RP, Iwashyna TJ, et al. Racial bias in pulse oximetry measurement. N Engl J Med. 2020;383(25):2477-2478. doi:10.1056/nejmc2029240. https://psnet.ahrq.gov/issue/racial-bias-pulse-oximetry-measurement Pulse oximetry is used to triage pa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45524/psn-pdfJanuary 03, 2017 - Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. January 3, 2017 Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial Engineering Methods to Improve Accuracy and Speed of Drug Sel… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48019/psn-pdfJune 26, 2019 - Please reconcile, not wait a while. June 26, 2019 Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356. https://psnet.ahrq.gov/issue/please-reconcile-not-wait-while Medication reconciliation to ensure ac… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866525/psn-pdfAugust 14, 2024 - Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study. August 14, 2024 Jennings AA, Doherty AS, Clyne B, et al. Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study. Age Ageing. 2024… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866351/psn-pdfJuly 24, 2024 - Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. July 24, 2024 Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Int J Qual Health Care. 2024;36(3):mzae057. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60521/psn-pdfMay 27, 2020 - Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. May 27, 2020 Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Open. 2020;3(4). doi:10.1001/jamanetwo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45805/psn-pdfApril 12, 2017 - 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. April 12, 2017 Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract. 2017;64(6):e26484. doi:10.1002/pbc.2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41132/psn-pdfMarch 13, 2012 - Spreading a medication administration intervention organizationwide in six hospitals. March 13, 2012 Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. https://psnet.ahrq.gov/issue/spreading-medi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41814/psn-pdfMarch 04, 2015 - Autopsy as a quality control measure for radiology, and vice versa. March 4, 2015 Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386. https://psnet.ahrq.gov/issue/autopsy-quality-control-mea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836748/psn-pdfMarch 16, 2022 - Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. March 16, 2022 Cheng MKW, Collins S, Baron RB, et al. Analysis of the interprofessional clinical learning environment for quality improvement and patient safety f…
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