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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/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/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/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/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/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/867132/psn-pdfNovember 13, 2024 - Large language model influence on diagnostic reasoning: a randomized clinical trial. November 13, 2024 Goh E, Gallo R, Hom J, et al. Large language model influence on diagnostic reasoning: a randomized clinical trial. JAMA Netw Open. 2024;7(10):e2440969. doi:10.1001/jamanetworkopen.2024.40969. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867635/psn-pdfFebruary 26, 2025 - Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. February 26, 2025 Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. doi:10.1097/pq9.0000000000000773.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837505/psn-pdfJune 22, 2022 - Parent participation in morbidity and mortality review: parent and physician perspectives. June 22, 2022 de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102674.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864380/psn-pdfMarch 13, 2024 - Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. March 13, 2024 Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. Stud Health Technol Inf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46127/psn-pdfMay 31, 2017 - Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency. May 31, 2017 Harris LM, Dreyer BP, Mendelsohn A, et al. Liquid Medication Dosing Errors by Hispanic Parents: Role of Health Literacy and English Proficiency. Acad Pediatr. 2017;17(4):403-410. doi:10.1016/j.acap.20… -
psnet.ahrq.gov/web-mm/complications-ecmo-during-transportJanuary 27, 2021 - Frontiers in Pediatrics . 2019;7:329.
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72633/psn-pdfJanuary 13, 2021 - Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations. January 13, 2021 Lam BD, Bourgeois FC, Dong ZJ, et al. Speaking up about patient-perceived serious visit note errors: Patient and family experiences and recommendations. J Am Med Inform Assoc. 2021;28… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836960/psn-pdfApril 20, 2022 - Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. April 20, 2022 Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. doi:10.1097/pq9.0000000000000539. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864848/psn-pdfMarch 20, 2024 - An mHealth design to promote medication safety in children with medical complexity. March 20, 2024 Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000. https://psnet.ahrq.gov/issue/mh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851353/psn-pdfJuly 12, 2023 - Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. July 12, 2023 Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:10.1542/hpeds.2022-006937. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851663/psn-pdfJuly 26, 2023 - Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023 Washington, DC: VA Office of the Inspector General; June 28, 2023. Report no. 22-02725-132. https://psnet.ahrq.gov/issue/quality-care-concerns-and-facility-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836966/psn-pdfApril 20, 2022 - Performance variability in perioperative sentinel events: report on a nationwide data set. April 20, 2022 Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.1093/bjs/znac067. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851055/psn-pdfJune 28, 2023 - How do we learn about error? A cross-sectional study of urology trainees. June 28, 2023 Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007. https://psnet.ahrq.gov/issue/how-do-we-learn-about-error…
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