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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41437/psn-pdf
    January 03, 2017 - Making the transition to nursing bedside shift reports. January 3, 2017 Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53. https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports Efforts to improve comm…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42040/psn-pdf
    September 28, 2016 - The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. September 28, 2016 Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communication systems on general in…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35855/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO: HealthGrades; 2006. https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals- study This third annual report on the safety of hospitalized Medicare patien…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851351/psn-pdf
    July 12, 2023 - Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. July 12, 2023 Berggren K, Ekstedt M, Joelsson?Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit during the COVID?19 pandemic: a multic…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44114/psn-pdf
    September 27, 2016 - Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. September 27, 2016 James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Care Delivery. J Cancer Educ. 2016;31…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37873/psn-pdf
    June 16, 2009 - Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. June 16, 2009 Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Ann Emerg Med. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46652/psn-pdf
    July 14, 2018 - The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. July 14, 2018 Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. J Healthc Risk Manag. 2018;…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39800/psn-pdf
    January 19, 2011 - Medication errors in paediatric outpatients. January 19, 2011 Kaushal R, Goldmann DA, Keohane CA, et al. Medication errors in paediatric outpatients. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.031179. https://psnet.ahrq.gov/issue/medication-errors-paediatric-outpatients Pediatric medication errors are common …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865484/psn-pdf
    April 03, 2024 - Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. April 3, 2024 Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41925/psn-pdf
    November 26, 2014 - Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. November 26, 2014 Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. J Gen Intern Med. 2012;2…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37997/psn-pdf
    June 16, 2011 - Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. June 16, 2011 Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45891/psn-pdf
    October 11, 2017 - Extent of diagnostic agreement among medical referrals. October 11, 2017 Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747. https://psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals Diagn…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36308/psn-pdf
    January 05, 2017 - A trigger tool to identify adverse events in the intensive care unit.  January 5, 2017 Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s1553- 7250(06)32076-4. https://…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836964/psn-pdf
    April 20, 2022 - Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. April 20, 2022 Nowak B, Schwendimann R, Lyrer P, et al. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60812/psn-pdf
    January 01, 2021 - A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. August 19, 2020 Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. JBI Ev…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35572/psn-pdf
    February 03, 2011 - The long road to patient safety: a status report on patient safety systems. February 3, 2011 Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836953/psn-pdf
    April 20, 2022 - Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. April 20, 2022 Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. Jt Comm J Qual Patien…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848039/psn-pdf
    April 26, 2023 - Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists. April 26, 2023 Allender EA, Bottema SM, Bosley CL, et al. Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists. Respir …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37690/psn-pdf
    April 16, 2008 - How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. April 16, 2008 Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An expl…
  20. psnet.ahrq.gov/issue/medication-errors-emergency-department-need-pharmacy-involvement
    August 12, 2020 - Newspaper/Magazine Article Medication errors in the emergency department: need for pharmacy involvement? Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 16, 2018 This piece…

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