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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46655/psn-pdf
    December 13, 2017 - Gender, power and leadership: the effect of a superior's gender on respiratory therapists' ability to challenge leadership during a life-threatening emergency. December 13, 2017 Pattni N, Bould MD, Hayter MA, et al. Gender, power and leadership: the effect of a superior's gender on respiratory therapists' ability …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50589/psn-pdf
    October 30, 2019 - Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. October 30, 2019 Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecific Diagnoses of Headache or Back …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838183/psn-pdf
    September 28, 2022 - Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. September 28, 2022 Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;158(2):212-215. doi:10.1093/ajc…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45781/psn-pdf
    July 02, 2017 - Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. July 2, 2017 Harada S, Suzuki A, Nishida S, et al. Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. J Eval Clin Pract. 2017;23(3):582-5…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36583/psn-pdf
    January 14, 2011 - The effect of workload on infection risk in critically ill patients. January 14, 2011 Hugonnet S, Chevrolet J-C, Pittet D. The effect of workload on infection risk in critically ill patients. Crit Care Med. 2007;35(1):76-81. https://psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients Lower…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50884/psn-pdf
    February 12, 2020 - Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. February 12, 2020 Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC Heart Fail. 2019;8(1):25-34. do…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44921/psn-pdf
    March 02, 2016 - Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. March 2, 2016 Mannion R, Freeman T, Millar R, Davies H. Health and Social Care Delivery Research…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45217/psn-pdf
    June 15, 2016 - Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. June 15, 2016 Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project, 2000-2008. J Patient Saf. 2016;12…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45563/psn-pdf
    October 19, 2016 - Using a change model to reduce the risk of surgical site infection. October 19, 2016 Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949- 955. https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection Surgical site infections can resul…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43780/psn-pdf
    September 09, 2015 - Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors. September 9, 2015 Kitto S, Marshall SD, McMillan SE, et al. Rapid response systems and collective (in)competence: An exploratory analysis of intraprofessional and interprofes…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843412/psn-pdf
    February 01, 2023 - Patient and hospital characteristics associated with delayed diagnosis of appendicitis. February 1, 2023 Reyes AM, Royan R, Feinglass J, et al. Patient and hospital characteristics associated with delayed diagnosis of appendicitis. JAMA Surg. 2023;158(3):e227055. doi:10.1001/jamasurg.2022.7055. https://psnet.ahrq.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865679/psn-pdf
    October 10, 2015 - Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. October 10, 2015 Vogelsmeier A, Anbari A, Ganong L, et al. Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. J Nurs Reg. 2015;6(3):48-56. doi:10.1016/s2155-8256(15)30785-7. https://psnet.ahrq.gov/i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72650/psn-pdf
    January 20, 2021 - A roadmap to advance patient safety in ambulatory care. January 20, 2021 Singh H, Carayon P. A roadmap to advance patient safety in ambulatory care. JAMA. 2020;324(24):2481- 2482. doi:10.1001/jama.2020.18551. https://psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care Preventable harm, such as diag…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45559/psn-pdf
    November 09, 2016 - Differentiating between detrimental and beneficial interruptions: a mixed-methods study. November 9, 2016 Myers RA, McCarthy MC, Whitlatch A, et al. Differentiating between detrimental and beneficial interruptions: a mixed-methods study. BMJ Qual Saf. 2016;25(11):881-888. doi:10.1136/bmjqs-2015- 004401. https://p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848043/psn-pdf
    April 26, 2023 - Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. April 26, 2023 Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open Med. 2023;11:205031212311642. doi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841472/psn-pdf
    December 14, 2022 - Reducing potential errors associated with insulin administration: an integrative review. December 14, 2022 Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668. https://psnet.ahrq.gov/issue/reducing-pote…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47298/psn-pdf
    September 24, 2018 - Physician engagement in malpractice risk reduction: a UPHS case study. September 24, 2018 Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.009. https://psnet.ahrq.gov/issue/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46601/psn-pdf
    January 25, 2018 - Night-time communication at Stanford University Hospital: perceptions, reality and solutions. January 25, 2018 Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjqs-2017-006727. https://psnet.ah…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45104/psn-pdf
    June 08, 2016 - Implementing a distraction-free practice with the Red Zone Medication Safety initiative. June 8, 2016 Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24. doi:10.1097/DCC.0000000000000179. https:/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45090/psn-pdf
    July 01, 2016 - Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. July 1, 2016 Wang DE, Tsugawa Y, Figueroa JF, et al. Association Between the Centers for Medicare and Medicaid Services Hospital Star Rating and Patient Outcomes. JAMA Intern Med. 2016;176(6):848-50. doi:…

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