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psnet.ahrq.gov/web-mm/fumbled-handoffSeptember 01, 2006 - Fumbled Handoff Citation Text: Vidyarthi A. Fumbled Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43362/psn-pdfNovember 23, 2014 - A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? November 23, 2014 Dietz AS, Pronovost P, Mendez-Tellez PA, et al. A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improveme… -
psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awarenessMay 27, 2020 - Sentinel Event Alerts Preventing, and managing the impact of, anesthesia awareness. Citation Text: Preventing, and managing the impact of, anesthesia awareness. Sentinel Event Alert. 2004;32:1-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43857/psn-pdfAugust 02, 2015 - A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. August 2, 2015 Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. JAMA Surg. 2015;150(3):208… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46822/psn-pdfApril 12, 2019 - Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. April 12, 2019 Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist Intervention on the Risk of Readmission: A Randomized Clinical Trial… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43802/psn-pdfAugust 02, 2015 - Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. August 2, 2015 Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. JAMA. 201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41461/psn-pdfApril 05, 2013 - Residents' response to duty-hour regulations—a follow- up national survey. April 5, 2013 Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national survey. N Engl J Med. 2012;366(24):e35. doi:10.1056/NEJMp1202848. https://psnet.ahrq.gov/issue/residents-response-duty-h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39549/psn-pdfMarch 22, 2011 - The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. March 22, 2011 Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simul… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39438/psn-pdfMarch 23, 2011 - Time to listen: a review of methods to solicit patient reports of adverse events. March 23, 2011 King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.030114. https://psnet.ahrq.gov/issue/tim… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41458/psn-pdfJune 19, 2012 - What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the rapid response system in a multi-campus Australian metropolitan healthcare service. June 19, 2012 Shearer B, Marshall S, Buist MD, et al. What stops ho… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44268/psn-pdfNovember 23, 2016 - A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. November 23, 2016 Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. BMJ Qual … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46405/psn-pdfOctober 13, 2018 - Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. October 13, 2018 Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. Pediatrics. 2017;140(3). doi:10.1542/peds.2016-3494. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46027/psn-pdfJuly 02, 2019 - Dissecting Leapfrog: how well do Leapfrog Safe Practices Scores correlate with Hospital Compare ratings and penalties, and how much do they matter? July 2, 2019 Smith SN, Reichert HA, Ameling JM, et al. Dissecting Leapfrog: How Well Do Leapfrog Safe Practices Scores Correlate With Hospital Compare Ratings and Pena… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43264/psn-pdfJune 18, 2014 - CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008. June 18, 2014 Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 Million during 1990-2008. Health Af… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48060/psn-pdfJune 19, 2019 - Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review. June 19, 2019 Klimas J, Gorfinkel L, Fairbairn N, et al. Strategies to Identify Patient Risks of Prescription Opioid Addiction When Initiating Opioids for Pain: A Systematic Review. JAMA Net… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48084/psn-pdfAugust 14, 2019 - Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. August 14, 2019 Quinn M, Forman J, Harrod M, et al. Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. Diagnosis… -
psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitalsAugust 29, 2021 - Organizational Policy/Guidelines ASHP guidelines on preventing medication errors in hospitals. Citation Text: ASHP guidelines on preventing medication errors in hospitals. American journal of hospital pharmacy. 1993;50(2):305-14. Copy Citation Format: Google Scholar PubMed …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42945/psn-pdfFebruary 19, 2014 - Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives. February 19, 2014 Tregunno D, Ginsburg LR, Clarke B, et al. Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharma… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43862/psn-pdfMarch 20, 2015 - The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. March 20, 2015 Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. I… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44721/psn-pdfAugust 20, 2016 - Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. August 20, 2016 Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. B…
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