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9481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41763/psn-pdf
      October 10, 2012 - Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. October 10, 2012 Turakhia MP, Estes NAM, Drew BJ, et al. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. Circulation. 2012;126(13):1665-9. ht…

9482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74721/psn-pdf
      February 02, 2022 - Hospital at Home: setting a regulatory course to ensure safe, high-quality care. February 2, 2022 DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high- quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/j.jcjq.2021.12.003. https://psnet.a…

9483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43797/psn-pdf
      January 07, 2015 - Building a community engagement approach for patient safety improvement. January 7, 2015 Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044. https://psnet.ahrq.gov/issue/building-community-engagement-appro…

9484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34812/psn-pdf
      March 05, 2008 - The critical incident technique. March 5, 2008 FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358. https://psnet.ahrq.gov/issue/critical-incident-technique This review details the background of a methodology aimed to record specific behaviors, rather than opinions or estimates, in evalu…

9485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46492/psn-pdf
      November 29, 2017 - Themed Issue on the Opioid Epidemic. November 29, 2017 Benzon HT, Anderson TA, eds. Anesth Analg. 2017;125(5):1427-1778. https://psnet.ahrq.gov/issue/themed-issue-opioid-epidemic Anesthesiologists provide pain management services in both perioperative and inpatient settings. Articles in this special issue review f…

9486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43535/psn-pdf
      September 24, 2014 - The friends and family test: a qualitative study of concerns that influence the willingness of English National Health Service staff to recommend their organisation. September 24, 2014 Dixon-Woods M, Minion JT, McKee L, et al. The friends and family test: a qualitative study of concerns that influence the willing…

9487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38831/psn-pdf
      August 05, 2009 - Rural hospital information technology implementation for safety and quality improvement: lessons learned. August 5, 2009 Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform Nurs. 2009;27(4):206-14. doi:10.1097…

9488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34706/psn-pdf
      December 23, 2012 - Analysing potential harm in Australian general practice: an incident-monitoring study. December 23, 2012 Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident- monitoring study. Med J Aust. 1998;169(2):73-6. https://psnet.ahrq.gov/issue/analysing-potential-harm…

9489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33925/psn-pdf
      December 18, 2008 - Drug-related morbidity and mortality and the economic impact of pharmaceutical care. December 18, 2008 Johnson JA, Bootman JL. Drug-related morbidity and mortality and the economic impact of pharmaceutical care. Am J Health Syst Pharm. 1997;54(5):554-8. https://psnet.ahrq.gov/issue/drug-related-morbidity-and-morta…

9490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841155/psn-pdf
      February 02, 2020 - Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. February 2, 2020 Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems…

9491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34724/psn-pdf
      May 27, 2011 - From patients to politicians: a cognitive engineering view of patient safety. May 27, 2011 Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4. https://psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety V…

9492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44901/psn-pdf
      March 30, 2016 - Medication safety pharmacy technician in a large, tertiary care, community hospital. March 30, 2016 Brown KN, Bergsbaken J, Reichard JS. Medication safety pharmacy technician in a large, tertiary care, community hospital. Am J Health Syst Pharm. 2016;73(4):188-191. doi:10.2146/ajhp150098. https://psnet.ahrq.gov/is…

9493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/859353/psn-pdf
      December 20, 2023 - Global State of Patient Safety 2023. December 20, 2023 Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023. https://psnet.ahrq.gov/issue/global-state-patient-safety-2023 Patient safety data can support learning health systems and worldwide improvement. This report discusses a set of in…

9494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867085/psn-pdf
      November 06, 2024 - The medication kit conundrum: considerations to enhance safety and efficiency. November 6, 2024 Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae233. https://psnet.ahrq.gov/issue/medi…

9495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47064/psn-pdf
      August 22, 2018 - Lax oversight leaves surgery center regulators and patients in the dark. August 22, 2018 Jewett C, Alesia M. Kaiser Health News. August 9, 2018. https://psnet.ahrq.gov/issue/lax-oversight-leaves-surgery-center-regulators-and-patients-dark High-profile failures during office-based procedures have raised awareness o…

9496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38172/psn-pdf
      October 29, 2008 - Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. October 29, 2008 McKay J, Bowie P, Murray L, et al. Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study.…

9497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43320/psn-pdf
      September 26, 2016 - Identification and interference of intraoperative distractions and interruptions in operating rooms. September 26, 2016 Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-29. doi:10.1…

9498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34780/psn-pdf
      March 28, 2005 - Disseminating innovations in health care. March 28, 2005 Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. https://psnet.ahrq.gov/issue/disseminating-innovations-health-care This commentary and review discusses the ability to adopt growing numbers of …

9499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36494/psn-pdf
      August 29, 2016 - Medication prescribing errors involving the route of administration. August 29, 2016 Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053. https://psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration …

9500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39707/psn-pdf
      January 07, 2015 - Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests. January 7, 2015 Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anesth Analg. 2010;111(3):679-86. do…