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7981. Danger in Disruption | PSNet
      psnet.ahrq.gov/web-mm/danger-disruption
      July 29, 2020 - Danger in Disruption Citation Text: Fontaine DK. Danger in Disruption. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

7982. A Real Heartache | PSNet
      psnet.ahrq.gov/web-mm/real-heartache
      October 01, 2018 - A Real Heartache Citation Text: Polevoi SK. A Real Heartache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

7983. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73953/psn-pdf
      October 27, 2021 - Deprescribing as a Patient Safety Strategy October 27, 2021 Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy Background Polypharmacy is defined as the act of taking five or more medications on a regular basis…

7984. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73370/psn-pdf
      June 09, 2021 - Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses. June 9, 2021 Kakemam E, Chegini Z, Rouhi A, et al. Burnout and its relationship to self?reported quality of patient care and adverse events during COVID?19: a cros…

7985. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43191/psn-pdf
      December 12, 2018 - Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. December 12, 2018 Braithwaite J, Marks D, Taylor N. Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. Int J Qual Health C…

7986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44982/psn-pdf
      April 06, 2016 - Use of maternal early warning trigger tool reduces maternal morbidity. April 6, 2016 Shields LE, Wiesner S, Klein C, et al. Use of Maternal Early Warning Trigger tool reduces maternal morbidity. Am J Obstet Gynecol. 2016;214(4):527.e1-527.e6. doi:10.1016/j.ajog.2016.01.154. https://psnet.ahrq.gov/issue/use-materna…

7987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40341/psn-pdf
      November 30, 2016 - Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report. November 30, 2016 Sorra J, Famolaro T, Dyer N, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2011. AHRQ Publication No. 11-0030. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2011-user-…

7988. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37531/psn-pdf
      February 22, 2011 - Patient safety and telephone medicine: some lessons from closed claim case review. February 22, 2011 Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-007-0491-y. https://psnet.ahrq.g…

7989. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46720/psn-pdf
      January 23, 2019 - Persistent opioid use among pediatric patients after surgery. January 23, 2019 Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery. Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439. https://psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-…

7990. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41028/psn-pdf
      May 14, 2018 - Health care worker fatigue and patient safety. May 14, 2018 Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018). https://psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety The Joint Commission issues sentinel event alerts to emphasize pressing safety issues and provide guideli…

7991. When is a doctor too old for the job? | PSNet
      psnet.ahrq.gov/issue/when-doctor-too-old-job
      March 04, 2020 - Newspaper/Magazine Article When is a doctor too old for the job? Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 18, 2019 Potential deterioration of an aging surgeon's…

7992. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73206/psn-pdf
      May 05, 2021 - Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). May 5, 2021 Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). Ann Intern Med. 2021;174(7):927-…

7993. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837424/psn-pdf
      June 15, 2022 - Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. June 15, 2022 Phadke NA, Wickner PG, Wang L, et al. Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. J Allergy Clin Im…

7994. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61060/psn-pdf
      October 28, 2020 - Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic. October 28, 2020 Stall NM, Johnstone J, McGeer AJ, et al. Finding the right balance: an evidence-informed guidance d…

7995. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42299/psn-pdf
      November 09, 2015 - Safety climate and its association with office type and team involvement in primary care. November 9, 2015 Gehring K, Schwappach DLB, Battaglia M, et al. Safety climate and its association with office type and team involvement in primary care. Int J Qual Health Care. 2013;25(4):394-402. doi:10.1093/intqhc/mzt036. …

7996. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44951/psn-pdf
      March 02, 2016 - Using the Targeted Solutions Tool® to improve emergency department handoffs in a community hospital. March 2, 2016 Benjamin MF, Hargrave S, Nether K. Using the Targeted Solutions Tool® to Improve Emergency Department Handoffs in a Community Hospital. Jt Comm J Qual Patient Saf. 2016;42(3):107-118. https://psnet.ah…

7997. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36163/psn-pdf
      September 29, 2010 - Improving the bar-coded medication administration system at the Department of Veterans Affairs. September 29, 2010 Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):1442-7. https://psnet.ahrq.gov/iss…

7998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36577/psn-pdf
      January 12, 2011 - Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. January 12, 2011 Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Obstet Gyneco…

7999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39768/psn-pdf
      August 18, 2010 - Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. August 18, 2010 Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration; assessment and impact on the first 32 facilities in…

8000. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46696/psn-pdf
      January 10, 2018 - Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department. January 10, 2018 Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department.…