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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839829/psn-pdf
    November 09, 2022 - Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long? November 9, 2022 McFarling UL. STAT. November 1, 2022. https://psnet.ahrq.gov/issue/pulse-oximeters-and-their-inaccuracies-will-get-fda-scrutiny-today-what-took- so-long Evidence is building to delineate the effect of systemic …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42681/psn-pdf
    December 13, 2013 - Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. December 13, 2013 Fitzgibbon M, Lorenz R, Lach H. Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. J Gerontol Nurs. 2013;3…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47009/psn-pdf
    December 21, 2018 - Perceptions of rounding checklists in the intensive care unit: a qualitative study. December 21, 2018 Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218. https://psnet.ahrq.gov/issue/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44802/psn-pdf
    April 01, 2021 - Overall Hospital Quality Star Ratings. April 1, 2021 Centers for Medicare & Medicaid Services. https://psnet.ahrq.gov/issue/overall-hospital-quality-star-ratings-overview Hospital rating programs have received significant public attention, but concerns have been raised regarding their usefulness. This website prov…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46392/psn-pdf
    October 13, 2018 - The clinical and medicolegal implications of radiology results communication. October 13, 2018 Aryal B, Khorsand DA, Dubinsky TJ. The Clinical and Medicolegal Implications of Radiology Results Communication. Curr Probl Diagn Radiol. 2018;47(5):287-289. doi:10.1067/j.cpradiol.2017.09.009. https://psnet.ahrq.gov/iss…
  6. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
    March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851463/psn-pdf
    July 19, 2023 - Adverse Events Toolkit: Clinical Guidance for Identifying Harm July 19, 2023 Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report no. OEI-06-21-00031. https://psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-har…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853233/psn-pdf
    September 06, 2023 - Weight estimation for drug dose calculations in the prehospital setting - a systematic review. September 6, 2023 Wells M, Henry B, Goldstein L. Weight estimation for drug dose calculations in the prehospital setting - a systematic review. Prehosp Disaster Med. 2023;38(4):471-484. doi:10.1017/s1049023x23006027. htt…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50782/psn-pdf
    January 08, 2020 - What can patient safety teach us about clinician burnout? January 8, 2020 Wu AW, Dzau VJ. What Can Patient Safety Teach Us About Clinician Burnout? Ann Intern Med. 2019;171(12):933-934. doi:10.7326/m19-2397. https://psnet.ahrq.gov/issue/what-can-patient-safety-teach-us-about-clinician-burnout This commentary discu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851194/psn-pdf
    July 05, 2023 - The additional cost of perioperative medication errors July 5, 2023 Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136. https://psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors Prev…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43030/psn-pdf
    March 26, 2014 - Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. March 26, 2014 ISMP Medication Safety Alert! Acute care edition. March 13, 2014;19:1-2,4-5.   https://psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based- causes-vaccine-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43119/psn-pdf
    April 16, 2014 - Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. April 16, 2014 ISMP Medication Safety Alert! Acute care edition. March 27, 2014;19:1-5. https://psnet.ahrq.gov/issue/still-outside-bulls-eye-2014-2015-targeted-medication-safety-best-practices This newsletter article reports results…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849133/psn-pdf
    May 17, 2023 - The association between patient safety culture and adverse events - a scoping review. May 17, 2023 Vikan M, Haugen AS, Bjørnnes AK, et al. The association between patient safety culture and adverse events – a scoping review. BMC Health Serv Res. 2023;23(1):300. doi:10.1186/s12913-023-09332-8. https://psnet.ahrq.go…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72696/psn-pdf
    February 03, 2021 - Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units. February 3, 2021 Bacon CT, McCoy TP, Henshaw DS. Exploring the Association Between Organizational Safety Climate, Failure to Rescue, and Mortality in Inpatient Surgical Units. J Nurs Adm. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37794/psn-pdf
    February 15, 2011 - Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system. February 15, 2011 Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving Safety Culture in a Pediatric Hospital System. J Patient Saf. 2009;4(2). doi:…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38874/psn-pdf
    April 30, 2014 - Use of simulation-based education to reduce catheter- related bloodstream infections. April 30, 2014 Barsuk JH, Cohen ER, Feinglass J, et al. Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med. 2009;169(15):1420-3. doi:10.1001/archinternmed.2009.215. https://psnet.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45066/psn-pdf
    February 18, 2017 - Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project. February 18, 2017 Reynolds M, Jheeta S, Benn J, et al. Improving feedback on junior doctors' prescribing errors: mixed- methods evaluation of a quality improvement project. BMJ Qual Saf. 2017;26(3):…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837040/psn-pdf
    May 04, 2022 - Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. May 4, 2022 Silver Spring, MD: US Food and Drug Administration; April 5, 2022. https://psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety- communication The challenge of medical device steriliza…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37120/psn-pdf
    March 24, 2011 - Patient safety culture in primary care: developing a theoretical framework for practical use. March 24, 2011 Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical framework for practical use. Qual Saf Health Care. 2007;16(4):313-20. https://psnet.ahrq.gov/issue/patie…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40295/psn-pdf
    March 16, 2011 - The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team. March 16, 2011 Nurok M, Evans LA, Lipsitz S, et al. The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room…