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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36837/psn-pdfDecember 03, 2018 - Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. December 3, 2018 Weick KE, Sutcliffe KM. Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary. Calif Manage Rev. 2012;45(2):73-84. doi:10.2307/41166166. https://psnet.ahrq.gov/issue/hospitals-cultures-en… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47030/psn-pdfJune 06, 2018 - Creating a safer operating room: groups, team dynamics and crew resource management principles. June 6, 2018 Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866319/psn-pdfJuly 17, 2024 - Performance of large language models on medical oncology examination questions. July 17, 2024 Longwell JB, Hirsch I, Binder F, et al. Performance of large language models on medical oncology examination questions. JAMA Netw Open. 2024;7(6):e2417641. doi:10.1001/jamanetworkopen.2024.17641. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837073/psn-pdfMay 11, 2022 - Clinical progress note: situation awareness for clinical deterioration in hospitalized children. May 11, 2022 Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:10.1002/jhm.2774. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854835/psn-pdfOctober 25, 2023 - Improving patient safety by shifting power from health professionals to patients. October 25, 2023 BMJ. 2023(383):2219, 2278, 2319, 2331. https://psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients This compendium of editorials and opinion pieces discuss “Martha’s Rule,” a ne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867018/psn-pdfOctober 23, 2024 - Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods systematic review. October 23, 2024 Witkowska MI, Janhunen K, Sak?Dankosky N, et al. Parents' perceptions of patient safety in paediatric hospital care—a mixed?methods systematic review. J Adv Nurs. 2024;Epub Aug 9. doi:10.1111/jan.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43631/psn-pdfDecember 19, 2014 - An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. December 19, 2014 McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. J Ped… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866694/psn-pdfSeptember 11, 2024 - What's the harm? Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists. September 11, 2024 Pohlman KA, Funabashi M, O’Beirne M, et al. What’s the harm? Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists. PLoS ONE… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838624/psn-pdfOctober 19, 2022 - Association of rapid response teams with hospital mortality in Medicare patients. October 19, 2022 Girotra S, Jones PG, Peberdy MA, et al. Association of rapid response teams with hospital mortality in Medicare patients. Circ Cardiovasc Qual Outcomes. 2022;15(9):e008901. doi:10.1161/circoutcomes.122.008901. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43413/psn-pdfOctober 20, 2014 - The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. October 20, 2014 Cifra CL, Jones KL, Ascenzi J, et al. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. BMJ Qual Saf. 2014;23(11):930-8. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44614/psn-pdfNovember 04, 2015 - Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures. November 4, 2015 Kothari A, Zapf MAC, Blackwell RH, et al. Components of Hospital Perioperative Infrastructure Can Overcome the Weekend Effect in Urgent General Surgery Procedures. Ann Surg. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50733/psn-pdfDecember 11, 2019 - Association between measured teamwork and medical errors: an observational study of prehospital care in the USA December 11, 2019 Herzberg S, Hansen M, Schoonover A, et al. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA. BMJ Open. 2019;9(10):e025314.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866075/psn-pdfJune 05, 2024 - Oncology patients' willingness to report their medication safety concerns from home: a qualitative study. June 5, 2024 Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety concerns from home: a qualitative study. Support Care Cancer. 2024;32(6):352. doi:10.1007/s00520… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46116/psn-pdfMay 24, 2017 - Elimination of emergency department medication errors due to estimated weights. May 24, 2017 Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5476. https://psnet.ahrq.gov/issue/elimin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35739/psn-pdfJuly 15, 2010 - CT for suspected appendicitis in children: an analysis of diagnostic errors. July 15, 2010 Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of diagnostic errors. Pediatr Radiol. 2006;36(4):331-7. https://psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74211/psn-pdfDecember 22, 2021 - Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products December 22, 2021 Uttaro E, Zhao F, Schweighardt A. Int J Pharm Compd. 2021;25(5):364-371. https://psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-li… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44202/psn-pdfJune 10, 2015 - Medication reconciliation to facilitate transitions of care after hospitalization. June 10, 2015 Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133. https://psnet.ahrq.gov/issue/medication-reconci… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46925/psn-pdfMarch 07, 2018 - Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry. March 7, 2018 Chang B, Kaye AD, Diaz JH, et al. Interventional Procedures Outside of the Operating Room: Results From the National Anesthesia Clinical Outcomes Registry. J Patient Saf. 2018;14(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46891/psn-pdfDecember 21, 2018 - Day of discharge does not impact hospital readmission after major cardiac surgery. December 21, 2018 Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.2018.07.031. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867593/psn-pdfJanuary 22, 2025 - Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. January 22, 2025 Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection prevention and control campaign for patient and family hospital s…
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